Using intercostal muscle EMG to quantify maternal expulsive efforts during vaginal delivery: A pilot study
Aims The expulsive forces of childbirth can be included among the many potential risk factors implicated in the subsequent development of stress urinary incontinence (SUI) in women. The objective of this study was to devise a non‐invasive way to measure abdominal pushing that would accurately repres...
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| Veröffentlicht in: | Neurourology and urodynamics 2004, Vol.23 (7), p.675-678 |
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| container_title | Neurourology and urodynamics |
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| creator | Demaria, Fabien Porcher, Raphael Ismael, Samer Sheickh Amarenco, Gérard Fritel, Xavier Madelenat, Patrick Benifla, Jean-Louis |
| description | Aims
The expulsive forces of childbirth can be included among the many potential risk factors implicated in the subsequent development of stress urinary incontinence (SUI) in women. The objective of this study was to devise a non‐invasive way to measure abdominal pushing that would accurately represent the expulsive forces during childbirth.
Methods
By means of intravesical and intrauterine manometry, and electromyography (EMG) of intercostal muscles, we quantified these forces in 21 women during vaginal delivery.
Results
A mathematical analysis of variance (ANOVA) model showed the integral of intravesical pressure to be significantly associated (P |
| doi_str_mv | 10.1002/nau.20050 |
| format | Article |
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The expulsive forces of childbirth can be included among the many potential risk factors implicated in the subsequent development of stress urinary incontinence (SUI) in women. The objective of this study was to devise a non‐invasive way to measure abdominal pushing that would accurately represent the expulsive forces during childbirth.
Methods
By means of intravesical and intrauterine manometry, and electromyography (EMG) of intercostal muscles, we quantified these forces in 21 women during vaginal delivery.
Results
A mathematical analysis of variance (ANOVA) model showed the integral of intravesical pressure to be significantly associated (P < 0.001) with the integral of intercostal muscle electrical activity during the first six uterine contractions during the phase of fetal expulsion.
Conclusions
EMG is a non‐invasive measurement that can replace intravesical determinations to quantify these forces as it reflects the real intra‐abdominal pressure. © 2004 Wiley‐Liss, Inc.</description><identifier>ISSN: 0733-2467</identifier><identifier>EISSN: 1520-6777</identifier><identifier>DOI: 10.1002/nau.20050</identifier><identifier>PMID: 15382195</identifier><language>eng</language><publisher>Hoboken: Wiley Subscription Services, Inc., A Wiley Company</publisher><subject>Adult ; Analgesia, Epidural ; Analysis of Variance ; delivery ; Electromyography ; EMG ; expulsive efforts ; Female ; Fetus - physiology ; Humans ; Intercostal Muscles - physiology ; intravesical pressure ; Labor, Obstetric - physiology ; Parity ; Parturition - physiology ; Pilot Projects ; Pregnancy ; Pressure ; Urinary Incontinence, Stress - etiology ; Urinary Incontinence, Stress - physiopathology ; urinary stress incontinence ; Uterine Contraction - physiology</subject><ispartof>Neurourology and urodynamics, 2004, Vol.23 (7), p.675-678</ispartof><rights>Copyright © 2004 Wiley‐Liss, Inc.</rights><rights>2004 Wiley-Liss, Inc.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3590-f1e73c9b6b57a21731d92daa81b8e9580b18dee4e78927326b98612b0ce631103</citedby><cites>FETCH-LOGICAL-c3590-f1e73c9b6b57a21731d92daa81b8e9580b18dee4e78927326b98612b0ce631103</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2Fnau.20050$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Fnau.20050$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,4009,27902,27903,27904,45553,45554</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/15382195$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Demaria, Fabien</creatorcontrib><creatorcontrib>Porcher, Raphael</creatorcontrib><creatorcontrib>Ismael, Samer Sheickh</creatorcontrib><creatorcontrib>Amarenco, Gérard</creatorcontrib><creatorcontrib>Fritel, Xavier</creatorcontrib><creatorcontrib>Madelenat, Patrick</creatorcontrib><creatorcontrib>Benifla, Jean-Louis</creatorcontrib><title>Using intercostal muscle EMG to quantify maternal expulsive efforts during vaginal delivery: A pilot study</title><title>Neurourology and urodynamics</title><addtitle>Neurourol. Urodyn</addtitle><description>Aims
The expulsive forces of childbirth can be included among the many potential risk factors implicated in the subsequent development of stress urinary incontinence (SUI) in women. The objective of this study was to devise a non‐invasive way to measure abdominal pushing that would accurately represent the expulsive forces during childbirth.
Methods
By means of intravesical and intrauterine manometry, and electromyography (EMG) of intercostal muscles, we quantified these forces in 21 women during vaginal delivery.
Results
A mathematical analysis of variance (ANOVA) model showed the integral of intravesical pressure to be significantly associated (P < 0.001) with the integral of intercostal muscle electrical activity during the first six uterine contractions during the phase of fetal expulsion.
Conclusions
EMG is a non‐invasive measurement that can replace intravesical determinations to quantify these forces as it reflects the real intra‐abdominal pressure. © 2004 Wiley‐Liss, Inc.</description><subject>Adult</subject><subject>Analgesia, Epidural</subject><subject>Analysis of Variance</subject><subject>delivery</subject><subject>Electromyography</subject><subject>EMG</subject><subject>expulsive efforts</subject><subject>Female</subject><subject>Fetus - physiology</subject><subject>Humans</subject><subject>Intercostal Muscles - physiology</subject><subject>intravesical pressure</subject><subject>Labor, Obstetric - physiology</subject><subject>Parity</subject><subject>Parturition - physiology</subject><subject>Pilot Projects</subject><subject>Pregnancy</subject><subject>Pressure</subject><subject>Urinary Incontinence, Stress - etiology</subject><subject>Urinary Incontinence, Stress - physiopathology</subject><subject>urinary stress incontinence</subject><subject>Uterine Contraction - physiology</subject><issn>0733-2467</issn><issn>1520-6777</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2004</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kDtv1EAURkcIRJZAwR9AUyGlcDKPnRfdahU2kUJoWChHY_s6mjC2N_MI8b_Hm12gorrFPd8pDkLvKTmnhLCLwZVzRoggL9CCCkYqqZR6iRZEcV6xpVQn6E1K94QQzZfmNTqhgmtGjVig-23ywx32Q4bYjCm7gPuSmgD48ssG5xE_FDdk3024dzMyzH942pWQ_CNg6Lox5oTbEveSR3fn90ALYf7G6RNe4Z0PY8Ypl3Z6i151LiR4d7ynaPv58tv6qrr5urler26qhgtDqo6C4o2pZS2UY1Rx2hrWOqdprcEITWqqW4AlKG2Y4kzWRkvKatKA5JQSfoo-Hry7OD4USNn2PjUQghtgLMlKaagSRMzg2QFs4phShM7uou9dnCwldh_WzmHtc9iZ_XCUlrqH9h95LDkDFwfglw8w_d9kb1fbP8rqsPApw9PfhYs_rVRcCfvjdmP1980V52xtDf8N2-qRzQ</recordid><startdate>2004</startdate><enddate>2004</enddate><creator>Demaria, Fabien</creator><creator>Porcher, Raphael</creator><creator>Ismael, Samer Sheickh</creator><creator>Amarenco, Gérard</creator><creator>Fritel, Xavier</creator><creator>Madelenat, Patrick</creator><creator>Benifla, Jean-Louis</creator><general>Wiley Subscription Services, Inc., A Wiley Company</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>2004</creationdate><title>Using intercostal muscle EMG to quantify maternal expulsive efforts during vaginal delivery: A pilot study</title><author>Demaria, Fabien ; Porcher, Raphael ; Ismael, Samer Sheickh ; Amarenco, Gérard ; Fritel, Xavier ; Madelenat, Patrick ; Benifla, Jean-Louis</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3590-f1e73c9b6b57a21731d92daa81b8e9580b18dee4e78927326b98612b0ce631103</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2004</creationdate><topic>Adult</topic><topic>Analgesia, Epidural</topic><topic>Analysis of Variance</topic><topic>delivery</topic><topic>Electromyography</topic><topic>EMG</topic><topic>expulsive efforts</topic><topic>Female</topic><topic>Fetus - physiology</topic><topic>Humans</topic><topic>Intercostal Muscles - physiology</topic><topic>intravesical pressure</topic><topic>Labor, Obstetric - physiology</topic><topic>Parity</topic><topic>Parturition - physiology</topic><topic>Pilot Projects</topic><topic>Pregnancy</topic><topic>Pressure</topic><topic>Urinary Incontinence, Stress - etiology</topic><topic>Urinary Incontinence, Stress - physiopathology</topic><topic>urinary stress incontinence</topic><topic>Uterine Contraction - physiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Demaria, Fabien</creatorcontrib><creatorcontrib>Porcher, Raphael</creatorcontrib><creatorcontrib>Ismael, Samer Sheickh</creatorcontrib><creatorcontrib>Amarenco, Gérard</creatorcontrib><creatorcontrib>Fritel, Xavier</creatorcontrib><creatorcontrib>Madelenat, Patrick</creatorcontrib><creatorcontrib>Benifla, Jean-Louis</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>Neurourology and urodynamics</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Demaria, Fabien</au><au>Porcher, Raphael</au><au>Ismael, Samer Sheickh</au><au>Amarenco, Gérard</au><au>Fritel, Xavier</au><au>Madelenat, Patrick</au><au>Benifla, Jean-Louis</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Using intercostal muscle EMG to quantify maternal expulsive efforts during vaginal delivery: A pilot study</atitle><jtitle>Neurourology and urodynamics</jtitle><addtitle>Neurourol. Urodyn</addtitle><date>2004</date><risdate>2004</risdate><volume>23</volume><issue>7</issue><spage>675</spage><epage>678</epage><pages>675-678</pages><issn>0733-2467</issn><eissn>1520-6777</eissn><abstract>Aims
The expulsive forces of childbirth can be included among the many potential risk factors implicated in the subsequent development of stress urinary incontinence (SUI) in women. The objective of this study was to devise a non‐invasive way to measure abdominal pushing that would accurately represent the expulsive forces during childbirth.
Methods
By means of intravesical and intrauterine manometry, and electromyography (EMG) of intercostal muscles, we quantified these forces in 21 women during vaginal delivery.
Results
A mathematical analysis of variance (ANOVA) model showed the integral of intravesical pressure to be significantly associated (P < 0.001) with the integral of intercostal muscle electrical activity during the first six uterine contractions during the phase of fetal expulsion.
Conclusions
EMG is a non‐invasive measurement that can replace intravesical determinations to quantify these forces as it reflects the real intra‐abdominal pressure. © 2004 Wiley‐Liss, Inc.</abstract><cop>Hoboken</cop><pub>Wiley Subscription Services, Inc., A Wiley Company</pub><pmid>15382195</pmid><doi>10.1002/nau.20050</doi><tpages>4</tpages></addata></record> |
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| source | MEDLINE; Wiley Online Library Journals Frontfile Complete |
| subjects | Adult Analgesia, Epidural Analysis of Variance delivery Electromyography EMG expulsive efforts Female Fetus - physiology Humans Intercostal Muscles - physiology intravesical pressure Labor, Obstetric - physiology Parity Parturition - physiology Pilot Projects Pregnancy Pressure Urinary Incontinence, Stress - etiology Urinary Incontinence, Stress - physiopathology urinary stress incontinence Uterine Contraction - physiology |
| title | Using intercostal muscle EMG to quantify maternal expulsive efforts during vaginal delivery: A pilot study |
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