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
Hauptverfasser: 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
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container_issue 18
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container_title International journal of environmental research and public health
container_volume 19
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
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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 . 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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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