A review of levator ani avulsion after childbirth: Incidence, imaging and management

Autor:	Elizabeth Doxford-Hook, Candice Downey, Joanna Gibson, Fiona Marsh
Rok vydání:	2021
Předmět:	Pregnancy Risk Factors Incidence Maternity and Midwifery Obstetrics and Gynecology Humans Female Pelvic Floor Delivery Obstetric Ultrasonography
Zdroj:	Midwifery. 115
ISSN:	1532-3099
Popis:	Key Content • Levator ani muscle (LAM) avulsion injury occurs occultly during childbirth, most commonly during operative vaginal deliveries. • Injuries of levator ani have long term sequelae for pelvic floor health. As life expectancy increases the burden of disease upon urogynaecology services will need to be considered. • Diagnosis of this condition can be difficult as there is no agreed 'gold standard' imaging modality. • There is no consensus regarding surgical management of LAM avulsion. Learning objectives • Review anatomy and function of levator ani muscle • Identify the risk factors for levator ani avulsion injury • Role of imaging to appropriately identify LAM injury and current management options including appropriate follow up • Management of subsequent pregnancy following LAM avulsion Ethical issues • Is there value to the patient in diagnosing levator ani avulsion when there is no recommended treatment for these injuries?
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_dedup___::8962c2c114290b0d777b1e8aa6ec24c0 https://pubmed.ncbi.nlm.nih.gov/36191381 Zobrazit plný text záznamu Full Text from ScienceDirect