Do we protect the pelvic floor with non-elective cesarean? A study of 3-D/4-D pelvic floor ultrasound immediately after delivery

AimTo compare levator defect, loss of tenting, change in biometric measurements of the levator ani and genital hiatus according to the mode of delivery, length of the labor, Bishop score, birthweight and head circumference immediately after delivery. MethodsOne hundred and seventy-one primiparous women who delivered either by vaginal delivery or cesarean were prospectively evaluated. Two 3-D volumes (one at rest, one on Valsalva maneuver) were recorded in the supine position after voiding, and levator biometry, levator defect and loss of tenting were determined on the axial plane. ResultsOf 171 nulliparous women, 84 had vaginal delivery and 87 had cesarean delivery. All hiatal dimensions on resting and maximal Valsalva were found to be higher in the vaginal delivery group. Levator defect rate was found to be significantly higher in the vaginal delivery group (P<0.0001). We found a positive correlation with head circumference, fetal weight and first stage labor length in women who delivered vaginally. In the cesarean delivery group, mean fetal head circumference, fetal weight, length of first stage of labor and Bishop score were higher in women with levator ani defect. Loss of tenting rate was significantly higher in vaginal delivery women (P=0.03). ConclusionLabor itself, and factors such as fetal head circumference and fetal weight that cause prolongation of labor, can induce levator ani muscle defect or microtrauma which in turn can cause morphological alterations of the levator hiatus.

Yazar Aydin, Serdar
Tuncel, Muazzez Ayca
Aydin, Cagri Arioglu
Ark, Cemal
Yayın Türü Article
Tek Biçim Adres https://hdl.handle.net/20.500.12628/2410
Tek Biçim Adres 10.1111/jog.12303
Konu Başlıkları cesarean section
levator ani muscle
levator hiatus
pelvic floor anatomy
pelvic floor imaging
Koleksiyonlar Araştırma Çıktıları | WoS | Scopus | TR-Dizin | PubMed | SOBİAD
PubMed İndeksli Yayınlar Koleksiyonu
WoS İndeksli Yayınlar Koleksiyonu
Dergi Adı JOURNAL OF OBSTETRICS AND GYNAECOLOGY RESEARCH
Dergi Cilt Bilgisi 40
Dergi Sayısı 4
Sayfalar 1037 - 1045
Yayın Yılı 2014
Eser Adı
[dc.title]
Do we protect the pelvic floor with non-elective cesarean? A study of 3-D/4-D pelvic floor ultrasound immediately after delivery
Yazar
[dc.contributor.author]
Aydin, Serdar
Yazar
[dc.contributor.author]
Tuncel, Muazzez Ayca
Yazar
[dc.contributor.author]
Aydin, Cagri Arioglu
Yazar
[dc.contributor.author]
Ark, Cemal
Yayın Yılı
[dc.date.issued]
2014
Yayıncı
[dc.publisher]
WILEY
Yayın Türü
[dc.type]
article
Özet
[dc.description.abstract]
AimTo compare levator defect, loss of tenting, change in biometric measurements of the levator ani and genital hiatus according to the mode of delivery, length of the labor, Bishop score, birthweight and head circumference immediately after delivery. MethodsOne hundred and seventy-one primiparous women who delivered either by vaginal delivery or cesarean were prospectively evaluated. Two 3-D volumes (one at rest, one on Valsalva maneuver) were recorded in the supine position after voiding, and levator biometry, levator defect and loss of tenting were determined on the axial plane. ResultsOf 171 nulliparous women, 84 had vaginal delivery and 87 had cesarean delivery. All hiatal dimensions on resting and maximal Valsalva were found to be higher in the vaginal delivery group. Levator defect rate was found to be significantly higher in the vaginal delivery group (P<0.0001). We found a positive correlation with head circumference, fetal weight and first stage labor length in women who delivered vaginally. In the cesarean delivery group, mean fetal head circumference, fetal weight, length of first stage of labor and Bishop score were higher in women with levator ani defect. Loss of tenting rate was significantly higher in vaginal delivery women (P=0.03). ConclusionLabor itself, and factors such as fetal head circumference and fetal weight that cause prolongation of labor, can induce levator ani muscle defect or microtrauma which in turn can cause morphological alterations of the levator hiatus.
Açıklama
[dc.description]
WOS: 000333615200020
Açıklama
[dc.description]
PubMed: 24612399
Kayıt Giriş Tarihi
[dc.date.accessioned]
2019-12-23
Açık Erişim Tarihi
[dc.date.available]
2019-12-23
Yayın Dili
[dc.language.iso]
eng
Konu Başlıkları
[dc.subject]
cesarean section
Konu Başlıkları
[dc.subject]
levator ani muscle
Konu Başlıkları
[dc.subject]
levator hiatus
Konu Başlıkları
[dc.subject]
pelvic floor anatomy
Konu Başlıkları
[dc.subject]
pelvic floor imaging
Haklar
[dc.rights]
info:eu-repo/semantics/closedAccess
ISSN
[dc.identifier.issn]
1341-8076
ISSN
[dc.identifier.issn]
1447-0756
İlk Sayfa Sayısı
[dc.identifier.startpage]
1037
Son Sayfa Sayısı
[dc.identifier.endpage]
1045
Dergi Adı
[dc.relation.journal]
JOURNAL OF OBSTETRICS AND GYNAECOLOGY RESEARCH
Dergi Sayısı
[dc.identifier.issue]
4
Dergi Cilt Bilgisi
[dc.identifier.volume]
40
Tek Biçim Adres
[dc.identifier.uri]
https://dx.doi.org/10.1111/jog.12303
Tek Biçim Adres
[dc.identifier.uri]
https://hdl.handle.net/20.500.12628/2410
Görüntülenme Sayısı ( Şehir )
Görüntülenme Sayısı ( Ülke )
Görüntülenme Sayısı ( Zaman Dağılımı )
Görüntülenme
9
09.12.2022 tarihinden bu yana
İndirme
1
09.12.2022 tarihinden bu yana
Son Erişim Tarihi
18 Ocak 2024 18:12
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Tıklayınız
delivery levator defect vaginal higher circumference cesarean tenting length weight Valsalva significantly delivered hiatus Bishop itself positive factors alterations Levator morphological microtrauma correlation ConclusionLabor muscle induce prolongation vaginally voiding maximal hundred evaluated prospectively either primiparous
6698 sayılı Kişisel Verilerin Korunması Kanunu kapsamında yükümlülüklerimiz ve çerez politikamız hakkında bilgi sahibi olmak için alttaki bağlantıyı kullanabilirsiniz.

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