Echogenicity of puborectalis muscle, cervix and vastus lateralis muscle in pregnancy in relation to mode of delivery

Autor: J. H. Schagen van Leeuwen, F. van den Noort, Mariëlla I. J. Withagen, C. H. van der Vaart, M. K. Van de Waarsenburg
Jazyk: angličtina
Rok vydání: 2019
Předmět:
medicine.medical_treatment
echogenicity
Cervix Uteri
Imaging
Quadriceps Muscle
0302 clinical medicine
Pregnancy
Obstetrics and Gynaecology
Valsalva maneuver
Medicine
3D/4D
030212 general & internal medicine
Prospective Studies
4D
Netherlands
Ultrasonography
030219 obstetrics & reproductive medicine
Pelvic floor
Radiological and Ultrasound Technology
Ultrasound
Obstetrics and Gynecology
Gestational age
General Medicine
Ultrasonography/methods
Clinical Trial
Multicenter Study
Obstetric/trends
medicine.anatomical_structure
Radiology Nuclear Medicine and imaging
Cesarean Section/methods
Female
delivery
Puborectalis muscle
Muscle Contraction
Muscle Contraction/physiology
3D
Adult
medicine.medical_specialty
Quadriceps Muscle/diagnostic imaging
Vastus lateralis muscle
Valsalva Maneuver
Urology
Imaging
Three-Dimensional/instrumentation
Netherlands/epidemiology
Gestational Age
03 medical and health sciences
Imaging
Three-Dimensional
cervix
vastus lateralis
Journal Article
Humans
Radiology
Nuclear Medicine and imaging
Comparative Study
Cervix
Delivery
Obstetric/trends
puborectalis
business.industry
Cesarean Section
Echogenicity
area
Pelvic Floor
transperineal ultrasound
Delivery
Obstetric
Valsalva Maneuver/physiology
22/4 OA procedure
Cervix Uteri/anatomy & histology
body regions
Reproductive Medicine
Three-Dimensional/instrumentation
business
Pelvic Floor/anatomy & histology
Zdroj: Ultrasound in Obstetrics and Gynecology, 54(1), 119-123. Wiley
Ultrasound in Obstetrics and Gynecology, 54(1), 119. John Wiley and Sons Ltd
ISSN: 0960-7692
Popis: To confirm our previous observation that levator hiatal dimensions and mean echogenicity of the puborectalis muscle (MEP) are significantly different at 12 weeks' gestation in women who delivered by Cesarean section due to failure to progress compared with those who delivered vaginally. The secondary objective was to assess the association between the echogenicity of the cervix and vastus lateralis muscle and mode of delivery.In this prospective multicenter study, 306 nulliparous women with a singleton pregnancy underwent ultrasound assessments of the pelvic floor at rest, on maximum pelvic floor muscle contraction and on maximum Valsalva maneuver, of the cervix and of the vastus lateralis muscle at 12 weeks' gestation. Dimensions of the levator hiatus, MEP and mean echogenicity of the cervix and vastus lateralis muscle were measured and compared according to mode of delivery.Two hundred and forty-nine women were included in the analyses. We were unable to confirm our previous finding that MEP and levator hiatal transverse diameter and area at 12 weeks' gestation are associated significantly with mode of delivery. In addition, we could not demonstrate a significant association between echogenicity of the cervix or vastus lateralis muscle and mode of delivery. Overall, MEP was a mean of 20 points lower in women in the new database as compared with the previous study, despite the use of the same ultrasound equipment.In a second, independent multicenter dataset, we were unable to confirm our previous finding that levator hiatal dimensions and MEP on pelvic floor muscle contraction are associated significantly with mode of delivery. We also found no association between echogenicity of the cervix or vastus lateralis and mode of delivery. Copyright © 2018 ISUOG. Published by John WileySons Ltd.
Databáze: OpenAIRE
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