3D Ultrasound in Pelvic Floor: Is It Useful as a Prognostic Tool in Type of Labor Development and Subsequent Pelvic Floor Diseases?
The objective of our study is to determine the thickness of the pubovisceral fasciculus of the levator ani muscle and the area of the genital hiatus by means of three-dimensional perineal ultrasound, in pregnant women in the 2nd trimester, and to analyze the related maternal, perinatal and postpartu...
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Veröffentlicht in: | International journal of environmental research and public health 2022-09, Vol.19 (18), p.11479 |
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creator | Barca, Juan A Bravo, Coral Tizón, Santiago García Aracil-Rodriguez, Rocío Pina-Moreno, Juan Manuel Cueto-Hernández, Ignacio Pintado-Recarte, Maria P Alvarez-Mon, Melchor Ortega, Miguel A De León-Luis, Juan A |
description | The objective of our study is to determine the thickness of the pubovisceral fasciculus of the levator ani muscle and the area of the genital hiatus by means of three-dimensional perineal ultrasound, in pregnant women in the 2nd trimester, and to analyze the related maternal, perinatal and postpartum clinical variables. Furthermore, to compare the results of our study with two similar series previously published. An observational, prospective study of pelvic floor ultrasound was carried out, performed at week 20, whose delivery was attended in the obstetrics service of the Hospital General Universitario Gregorio Marañón de Madrid (HGUGM), during the period of August from 2021 to June 2022. Maternal, ultrasound, perinatal and postpartum clinical variables were collected from each participant. During the study period, a total of 54 patients were included in it. The mean gestational age at which the ultrasound was performed was 19.81 ± 0.91 weeks. In relation to the ultrasound variables, the mean thickness of the pubovisceral muscle was 0.87 ± 0.13 cm (95% CI, 0.64-1.38 cm), while, in the plane of minimum dimension of the genital hiatus, the hiatal area at rest was 13.41 ± 3.22 (95% CI, 4.60-18.78) cm
. There is a significant correlation between the age of pregnant women (over 35 years of age) and the increase in the area of the genital hiatus (r = 0.295,
= 0.031). 3D ultrasound of the pelvic floor performed at week 20 of gestation can to be an effective, non-invasive, reproducible and cheap tool in the prognosis of the development of labor and of possible subsequent perineal dysfunctions. |
doi_str_mv | 10.3390/ijerph191811479 |
format | Article |
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. There is a significant correlation between the age of pregnant women (over 35 years of age) and the increase in the area of the genital hiatus (r = 0.295,
= 0.031). 3D ultrasound of the pelvic floor performed at week 20 of gestation can to be an effective, non-invasive, reproducible and cheap tool in the prognosis of the development of labor and of possible subsequent perineal dysfunctions.</description><identifier>ISSN: 1660-4601</identifier><identifier>ISSN: 1661-7827</identifier><identifier>EISSN: 1660-4601</identifier><identifier>DOI: 10.3390/ijerph191811479</identifier><identifier>PMID: 36141753</identifier><language>eng</language><publisher>Switzerland: MDPI AG</publisher><subject>Adult ; Biomechanics ; Childbirth & labor ; Comparative analysis ; Fecal incontinence ; Female ; Gestational age ; Humans ; Imaging, Three-Dimensional ; Labor ; Morphology ; Muscles ; Obstetrics ; Patients ; Pelvic Floor - diagnostic imaging ; Pelvic Floor Disorders - diagnostic imaging ; Pelvic organ prolapse ; Pelvis ; Perineum ; Postpartum ; Postpartum period ; Pregnancy ; Prognosis ; Prospective Studies ; Questionnaires ; Thickness ; Trauma ; Ultrasonic imaging ; Ultrasonography - methods ; Ultrasound ; Urinary incontinence ; Variables ; Womens health</subject><ispartof>International journal of environmental research and public health, 2022-09, Vol.19 (18), p.11479</ispartof><rights>2022 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2022 by the authors. 2022</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c375t-2d3f40bc9a3aab3b3c82f9ef16a461c0039188ec1bd05e1191ab0d33b8b43b983</cites><orcidid>0000-0001-8966-4468 ; 0000-0002-4899-6252 ; 0000-0003-1309-7510 ; 0000-0003-2588-1708 ; 0000-0002-6320-2668</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC9517123/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC9517123/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,27924,27925,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/36141753$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Barca, Juan A</creatorcontrib><creatorcontrib>Bravo, Coral</creatorcontrib><creatorcontrib>Tizón, Santiago García</creatorcontrib><creatorcontrib>Aracil-Rodriguez, Rocío</creatorcontrib><creatorcontrib>Pina-Moreno, Juan Manuel</creatorcontrib><creatorcontrib>Cueto-Hernández, Ignacio</creatorcontrib><creatorcontrib>Pintado-Recarte, Maria P</creatorcontrib><creatorcontrib>Alvarez-Mon, Melchor</creatorcontrib><creatorcontrib>Ortega, Miguel A</creatorcontrib><creatorcontrib>De León-Luis, Juan A</creatorcontrib><title>3D Ultrasound in Pelvic Floor: Is It Useful as a Prognostic Tool in Type of Labor Development and Subsequent Pelvic Floor Diseases?</title><title>International journal of environmental research and public health</title><addtitle>Int J Environ Res Public Health</addtitle><description>The objective of our study is to determine the thickness of the pubovisceral fasciculus of the levator ani muscle and the area of the genital hiatus by means of three-dimensional perineal ultrasound, in pregnant women in the 2nd trimester, and to analyze the related maternal, perinatal and postpartum clinical variables. Furthermore, to compare the results of our study with two similar series previously published. An observational, prospective study of pelvic floor ultrasound was carried out, performed at week 20, whose delivery was attended in the obstetrics service of the Hospital General Universitario Gregorio Marañón de Madrid (HGUGM), during the period of August from 2021 to June 2022. Maternal, ultrasound, perinatal and postpartum clinical variables were collected from each participant. During the study period, a total of 54 patients were included in it. The mean gestational age at which the ultrasound was performed was 19.81 ± 0.91 weeks. In relation to the ultrasound variables, the mean thickness of the pubovisceral muscle was 0.87 ± 0.13 cm (95% CI, 0.64-1.38 cm), while, in the plane of minimum dimension of the genital hiatus, the hiatal area at rest was 13.41 ± 3.22 (95% CI, 4.60-18.78) cm
. There is a significant correlation between the age of pregnant women (over 35 years of age) and the increase in the area of the genital hiatus (r = 0.295,
= 0.031). 3D ultrasound of the pelvic floor performed at week 20 of gestation can to be an effective, non-invasive, reproducible and cheap tool in the prognosis of the development of labor and of possible subsequent perineal dysfunctions.</description><subject>Adult</subject><subject>Biomechanics</subject><subject>Childbirth & labor</subject><subject>Comparative analysis</subject><subject>Fecal incontinence</subject><subject>Female</subject><subject>Gestational age</subject><subject>Humans</subject><subject>Imaging, Three-Dimensional</subject><subject>Labor</subject><subject>Morphology</subject><subject>Muscles</subject><subject>Obstetrics</subject><subject>Patients</subject><subject>Pelvic Floor - diagnostic imaging</subject><subject>Pelvic Floor Disorders - diagnostic imaging</subject><subject>Pelvic organ prolapse</subject><subject>Pelvis</subject><subject>Perineum</subject><subject>Postpartum</subject><subject>Postpartum period</subject><subject>Pregnancy</subject><subject>Prognosis</subject><subject>Prospective Studies</subject><subject>Questionnaires</subject><subject>Thickness</subject><subject>Trauma</subject><subject>Ultrasonic imaging</subject><subject>Ultrasonography - 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diagnostic imaging</topic><topic>Pelvic Floor Disorders - diagnostic imaging</topic><topic>Pelvic organ prolapse</topic><topic>Pelvis</topic><topic>Perineum</topic><topic>Postpartum</topic><topic>Postpartum period</topic><topic>Pregnancy</topic><topic>Prognosis</topic><topic>Prospective Studies</topic><topic>Questionnaires</topic><topic>Thickness</topic><topic>Trauma</topic><topic>Ultrasonic imaging</topic><topic>Ultrasonography - methods</topic><topic>Ultrasound</topic><topic>Urinary incontinence</topic><topic>Variables</topic><topic>Womens health</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Barca, Juan A</creatorcontrib><creatorcontrib>Bravo, Coral</creatorcontrib><creatorcontrib>Tizón, Santiago García</creatorcontrib><creatorcontrib>Aracil-Rodriguez, Rocío</creatorcontrib><creatorcontrib>Pina-Moreno, Juan Manuel</creatorcontrib><creatorcontrib>Cueto-Hernández, Ignacio</creatorcontrib><creatorcontrib>Pintado-Recarte, Maria P</creatorcontrib><creatorcontrib>Alvarez-Mon, Melchor</creatorcontrib><creatorcontrib>Ortega, Miguel A</creatorcontrib><creatorcontrib>De León-Luis, Juan A</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>ProQuest Health and Medical</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Public Health Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Access via ProQuest (Open Access)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>International journal of environmental research and public health</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Barca, Juan A</au><au>Bravo, Coral</au><au>Tizón, Santiago García</au><au>Aracil-Rodriguez, Rocío</au><au>Pina-Moreno, Juan Manuel</au><au>Cueto-Hernández, Ignacio</au><au>Pintado-Recarte, Maria P</au><au>Alvarez-Mon, Melchor</au><au>Ortega, Miguel A</au><au>De León-Luis, Juan A</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>3D Ultrasound in Pelvic Floor: Is It Useful as a Prognostic Tool in Type of Labor Development and Subsequent Pelvic Floor Diseases?</atitle><jtitle>International journal of environmental research and public health</jtitle><addtitle>Int J Environ Res Public Health</addtitle><date>2022-09-13</date><risdate>2022</risdate><volume>19</volume><issue>18</issue><spage>11479</spage><pages>11479-</pages><issn>1660-4601</issn><issn>1661-7827</issn><eissn>1660-4601</eissn><abstract>The objective of our study is to determine the thickness of the pubovisceral fasciculus of the levator ani muscle and the area of the genital hiatus by means of three-dimensional perineal ultrasound, in pregnant women in the 2nd trimester, and to analyze the related maternal, perinatal and postpartum clinical variables. Furthermore, to compare the results of our study with two similar series previously published. An observational, prospective study of pelvic floor ultrasound was carried out, performed at week 20, whose delivery was attended in the obstetrics service of the Hospital General Universitario Gregorio Marañón de Madrid (HGUGM), during the period of August from 2021 to June 2022. Maternal, ultrasound, perinatal and postpartum clinical variables were collected from each participant. During the study period, a total of 54 patients were included in it. The mean gestational age at which the ultrasound was performed was 19.81 ± 0.91 weeks. In relation to the ultrasound variables, the mean thickness of the pubovisceral muscle was 0.87 ± 0.13 cm (95% CI, 0.64-1.38 cm), while, in the plane of minimum dimension of the genital hiatus, the hiatal area at rest was 13.41 ± 3.22 (95% CI, 4.60-18.78) cm
. There is a significant correlation between the age of pregnant women (over 35 years of age) and the increase in the area of the genital hiatus (r = 0.295,
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source | MEDLINE; PubMed Central Open Access; MDPI - Multidisciplinary Digital Publishing Institute; EZB-FREE-00999 freely available EZB journals; PubMed Central; Free Full-Text Journals in Chemistry |
subjects | Adult Biomechanics Childbirth & labor Comparative analysis Fecal incontinence Female Gestational age Humans Imaging, Three-Dimensional Labor Morphology Muscles Obstetrics Patients Pelvic Floor - diagnostic imaging Pelvic Floor Disorders - diagnostic imaging Pelvic organ prolapse Pelvis Perineum Postpartum Postpartum period Pregnancy Prognosis Prospective Studies Questionnaires Thickness Trauma Ultrasonic imaging Ultrasonography - methods Ultrasound Urinary incontinence Variables Womens health |
title | 3D Ultrasound in Pelvic Floor: Is It Useful as a Prognostic Tool in Type of Labor Development and Subsequent Pelvic Floor Diseases? |
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