Do women notice the effect of childbirth-related pelvic floor trauma?
Introduction In 10–30% of women, vaginal birth results in levator ani tears (‘avulsion’) that are associated with pelvic floor dysfunction in later life. We hypothesised that women notice reduced pelvic floor muscle strength after childbirth, especially those with avulsion. Methods This is a seconda...
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| Veröffentlicht in: | Australian & New Zealand journal of obstetrics & gynaecology 2012-06, Vol.52 (3), p.277-281 |
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| container_title | Australian & New Zealand journal of obstetrics & gynaecology |
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| creator | Dietz, Hans P. Shek, Ka Lai Chantarasorn, Varisara Langer, Susanne E.M. |
| description | Introduction
In 10–30% of women, vaginal birth results in levator ani tears (‘avulsion’) that are associated with pelvic floor dysfunction in later life. We hypothesised that women notice reduced pelvic floor muscle strength after childbirth, especially those with avulsion.
Methods
This is a secondary analysis of two perinatal studies. At 3–6 months postpartum, women were asked to estimate pelvic floor muscle strength relative to antepartum strength. Translabial ultrasound was performed to determine pelvic floor structure and function.
Results
Five hundred and thirteen primiparous women were seen at a median of 129 days after delivery of a singleton at a mean gestation of 40 weeks. At follow‐up, 481 were able to rate pelvic floor strength (mean 89%). This reduction was associated with delivery mode (P |
| doi_str_mv | 10.1111/j.1479-828X.2012.01432.x |
| format | Article |
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In 10–30% of women, vaginal birth results in levator ani tears (‘avulsion’) that are associated with pelvic floor dysfunction in later life. We hypothesised that women notice reduced pelvic floor muscle strength after childbirth, especially those with avulsion.
Methods
This is a secondary analysis of two perinatal studies. At 3–6 months postpartum, women were asked to estimate pelvic floor muscle strength relative to antepartum strength. Translabial ultrasound was performed to determine pelvic floor structure and function.
Results
Five hundred and thirteen primiparous women were seen at a median of 129 days after delivery of a singleton at a mean gestation of 40 weeks. At follow‐up, 481 were able to rate pelvic floor strength (mean 89%). This reduction was associated with delivery mode (P < 0.001), episiotomy (P = 0.01), perineal tears (P = 0.025) and avulsion (n = 45, P = 0.04).
Conclusion
After the birth of a first child, women notice a significant reduction in pelvic floor muscle strength, which is associated with delivery mode as well as perineal and pelvic floor muscle trauma.
Summary
Many women notice reduced pelvic floor function after childbirth, especially those who have suffered an avulsion of the puborectalis muscle.</description><identifier>ISSN: 0004-8666</identifier><identifier>EISSN: 1479-828X</identifier><identifier>DOI: 10.1111/j.1479-828X.2012.01432.x</identifier><identifier>PMID: 22497634</identifier><language>eng</language><publisher>Australia: Blackwell Publishing Ltd</publisher><subject>Adolescent ; Adult ; Anus Diseases - diagnostic imaging ; Anus Diseases - epidemiology ; Anus Diseases - physiopathology ; avulsion ; birth trauma ; Episiotomy ; Female ; Humans ; levator ani ; Middle Aged ; Muscle Strength ; Parturition - physiology ; Pelvic Floor Disorders - diagnostic imaging ; Pelvic Floor Disorders - epidemiology ; Pelvic Floor Disorders - physiopathology ; pelvic floor muscle ; Perineum - injuries ; Perineum - physiopathology ; Postpartum Period - physiology ; Pregnancy ; prolapse ; Ultrasonography ; ultrasound ; Young Adult</subject><ispartof>Australian & New Zealand journal of obstetrics & gynaecology, 2012-06, Vol.52 (3), p.277-281</ispartof><rights>2012 The Authors ANZJOG © 2012 The Royal Australian and New Zealand College of Obstetricians and Gynaecologists</rights><rights>2012 The Authors ANZJOG © 2012 The Royal Australian and New Zealand College of Obstetricians and Gynaecologists.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4572-78a130374062ca55c02115e20e92ee2dbac339a9e6a3af2175a9771fdd95e8363</citedby><cites>FETCH-LOGICAL-c4572-78a130374062ca55c02115e20e92ee2dbac339a9e6a3af2175a9771fdd95e8363</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fj.1479-828X.2012.01432.x$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fj.1479-828X.2012.01432.x$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27901,27902,45550,45551</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/22497634$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Dietz, Hans P.</creatorcontrib><creatorcontrib>Shek, Ka Lai</creatorcontrib><creatorcontrib>Chantarasorn, Varisara</creatorcontrib><creatorcontrib>Langer, Susanne E.M.</creatorcontrib><title>Do women notice the effect of childbirth-related pelvic floor trauma?</title><title>Australian & New Zealand journal of obstetrics & gynaecology</title><addtitle>Aust N Z J Obstet Gynaecol</addtitle><description>Introduction
In 10–30% of women, vaginal birth results in levator ani tears (‘avulsion’) that are associated with pelvic floor dysfunction in later life. We hypothesised that women notice reduced pelvic floor muscle strength after childbirth, especially those with avulsion.
Methods
This is a secondary analysis of two perinatal studies. At 3–6 months postpartum, women were asked to estimate pelvic floor muscle strength relative to antepartum strength. Translabial ultrasound was performed to determine pelvic floor structure and function.
Results
Five hundred and thirteen primiparous women were seen at a median of 129 days after delivery of a singleton at a mean gestation of 40 weeks. At follow‐up, 481 were able to rate pelvic floor strength (mean 89%). This reduction was associated with delivery mode (P < 0.001), episiotomy (P = 0.01), perineal tears (P = 0.025) and avulsion (n = 45, P = 0.04).
Conclusion
After the birth of a first child, women notice a significant reduction in pelvic floor muscle strength, which is associated with delivery mode as well as perineal and pelvic floor muscle trauma.
Summary
Many women notice reduced pelvic floor function after childbirth, especially those who have suffered an avulsion of the puborectalis muscle.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Anus Diseases - diagnostic imaging</subject><subject>Anus Diseases - epidemiology</subject><subject>Anus Diseases - physiopathology</subject><subject>avulsion</subject><subject>birth trauma</subject><subject>Episiotomy</subject><subject>Female</subject><subject>Humans</subject><subject>levator ani</subject><subject>Middle Aged</subject><subject>Muscle Strength</subject><subject>Parturition - physiology</subject><subject>Pelvic Floor Disorders - diagnostic imaging</subject><subject>Pelvic Floor Disorders - epidemiology</subject><subject>Pelvic Floor Disorders - physiopathology</subject><subject>pelvic floor muscle</subject><subject>Perineum - injuries</subject><subject>Perineum - physiopathology</subject><subject>Postpartum Period - physiology</subject><subject>Pregnancy</subject><subject>prolapse</subject><subject>Ultrasonography</subject><subject>ultrasound</subject><subject>Young Adult</subject><issn>0004-8666</issn><issn>1479-828X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2012</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkE1PwjAYgBujEUT_gunRy2a_1m4HYxARNUQvGr01pXsXhhvFdij-ezdRzvbSJn2e900ehDAlMW3P-SKmQmVRytLXmBHKYkIFZ_FmD_V3H_uoTwgRUSql7KGjEBaE0Cyh4hD1GBOZklz00fja4U9XwxIvXVNawM0cMBQF2Aa7Att5WeWz0jfzyENlGsjxCqqP0uKics7jxpt1bS6P0UFhqgAnv_cAPd-Mn0a30fRxcjcaTiMrEsUilRrKCVeCSGZNkljCKE2AEcgYAMtnxnKemQyk4aZgVCUmU4oWeZ4lkHLJB-hsO3fl3fsaQqPrMlioKrMEtw6aEkZSzgTjLZpuUetdCB4KvfJlbfxXC-kuol7orpXuWukuov6JqDetevq7ZT2rId-Jf9Va4GILfJYVfP17sB7eP3av1o-2fhka2Ox849-0VFwl-uVhounVEydTKbXg351Zjgs</recordid><startdate>201206</startdate><enddate>201206</enddate><creator>Dietz, Hans P.</creator><creator>Shek, Ka Lai</creator><creator>Chantarasorn, Varisara</creator><creator>Langer, Susanne E.M.</creator><general>Blackwell Publishing Ltd</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>201206</creationdate><title>Do women notice the effect of childbirth-related pelvic floor trauma?</title><author>Dietz, Hans P. ; Shek, Ka Lai ; Chantarasorn, Varisara ; Langer, Susanne E.M.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4572-78a130374062ca55c02115e20e92ee2dbac339a9e6a3af2175a9771fdd95e8363</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2012</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Anus Diseases - diagnostic imaging</topic><topic>Anus Diseases - epidemiology</topic><topic>Anus Diseases - physiopathology</topic><topic>avulsion</topic><topic>birth trauma</topic><topic>Episiotomy</topic><topic>Female</topic><topic>Humans</topic><topic>levator ani</topic><topic>Middle Aged</topic><topic>Muscle Strength</topic><topic>Parturition - physiology</topic><topic>Pelvic Floor Disorders - diagnostic imaging</topic><topic>Pelvic Floor Disorders - epidemiology</topic><topic>Pelvic Floor Disorders - physiopathology</topic><topic>pelvic floor muscle</topic><topic>Perineum - injuries</topic><topic>Perineum - physiopathology</topic><topic>Postpartum Period - physiology</topic><topic>Pregnancy</topic><topic>prolapse</topic><topic>Ultrasonography</topic><topic>ultrasound</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Dietz, Hans P.</creatorcontrib><creatorcontrib>Shek, Ka Lai</creatorcontrib><creatorcontrib>Chantarasorn, Varisara</creatorcontrib><creatorcontrib>Langer, Susanne E.M.</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Australian & New Zealand journal of obstetrics & gynaecology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Dietz, Hans P.</au><au>Shek, Ka Lai</au><au>Chantarasorn, Varisara</au><au>Langer, Susanne E.M.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Do women notice the effect of childbirth-related pelvic floor trauma?</atitle><jtitle>Australian & New Zealand journal of obstetrics & gynaecology</jtitle><addtitle>Aust N Z J Obstet Gynaecol</addtitle><date>2012-06</date><risdate>2012</risdate><volume>52</volume><issue>3</issue><spage>277</spage><epage>281</epage><pages>277-281</pages><issn>0004-8666</issn><eissn>1479-828X</eissn><abstract>Introduction
In 10–30% of women, vaginal birth results in levator ani tears (‘avulsion’) that are associated with pelvic floor dysfunction in later life. We hypothesised that women notice reduced pelvic floor muscle strength after childbirth, especially those with avulsion.
Methods
This is a secondary analysis of two perinatal studies. At 3–6 months postpartum, women were asked to estimate pelvic floor muscle strength relative to antepartum strength. Translabial ultrasound was performed to determine pelvic floor structure and function.
Results
Five hundred and thirteen primiparous women were seen at a median of 129 days after delivery of a singleton at a mean gestation of 40 weeks. At follow‐up, 481 were able to rate pelvic floor strength (mean 89%). This reduction was associated with delivery mode (P < 0.001), episiotomy (P = 0.01), perineal tears (P = 0.025) and avulsion (n = 45, P = 0.04).
Conclusion
After the birth of a first child, women notice a significant reduction in pelvic floor muscle strength, which is associated with delivery mode as well as perineal and pelvic floor muscle trauma.
Summary
Many women notice reduced pelvic floor function after childbirth, especially those who have suffered an avulsion of the puborectalis muscle.</abstract><cop>Australia</cop><pub>Blackwell Publishing Ltd</pub><pmid>22497634</pmid><doi>10.1111/j.1479-828X.2012.01432.x</doi><tpages>5</tpages><oa>free_for_read</oa></addata></record> |
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| source | MEDLINE; Wiley Online Library Journals Frontfile Complete |
| subjects | Adolescent Adult Anus Diseases - diagnostic imaging Anus Diseases - epidemiology Anus Diseases - physiopathology avulsion birth trauma Episiotomy Female Humans levator ani Middle Aged Muscle Strength Parturition - physiology Pelvic Floor Disorders - diagnostic imaging Pelvic Floor Disorders - epidemiology Pelvic Floor Disorders - physiopathology pelvic floor muscle Perineum - injuries Perineum - physiopathology Postpartum Period - physiology Pregnancy prolapse Ultrasonography ultrasound Young Adult |
| title | Do women notice the effect of childbirth-related pelvic floor trauma? |
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