scholarly journals MRI changes of pelvic floor and pubic bone observed in primiparous women after childbirth by normal vaginal delivery

2016 ◽  
Vol 294 (2) ◽  
pp. 285-289 ◽  
Author(s):  
Minghai Shi ◽  
Shiyao Shang ◽  
Bing Xie ◽  
Jianliu Wang ◽  
Bin Hu ◽  
...  
Keyword(s):  
Pelvic Floor ◽  
Vaginal Delivery ◽  
Normal Vaginal Delivery ◽  
Pubic Bone ◽  
Mri Changes ◽  
Primiparous Women

scholarly journals Clinical and Ultrasonographic Evaluation of the Pelvic Floor in Primiparous Women after Normal Vaginal Delivery with Episiotomy and without Episiotomy

2020 ◽  
Vol 7 (1) ◽  
pp. 4-8
Author(s):  
Nora H. K. Elabady ◽  
◽  
Ahmed M. Awara ◽  
Amr M. El-Badry ◽  
Nareman El-Hamamy ◽  
...  
Keyword(s):  
Pelvic Floor ◽  
Vaginal Delivery ◽  
Levator Ani ◽  
Clinical Findings ◽  
University Hospital ◽  
Normal Vaginal Delivery ◽  
Significant Difference ◽  
Group A ◽  
Group B ◽  
Primiparous Women

Objective The aim of this prospective study is clinical and ultrasonographic evaluation of the pelvic floor in primiparous women after normal vaginal delivery with episiotomy and without episiotomy. Methods This is a cross-section study of primiparous women with a history of delivery at Tanta University Hospital from August 2018 to August 2019. The sample power was calculated based on avulsion (major and minor) in two groups (vaginal delivery with episiotomy and without episiotomy) of total forty-primiparous women with an interval after delivery (20 cases after normal vaginal delivery with episiotomy and 20 cases after normal vaginal delivery without episiotomy). Results Twenty-four hours of delivery there was a highly significant difference between group A (with episiotomy) and group B (without episiotomy) regarding to ultrasound abnormalities, degree of tear, blood loss, hemoglobin concentration and clinical findings, while no difference regarding levator ani weakness. Two months later from delivery there was no significant difference between group A and group B regarding to ultrasound abnormalities and levator ani weakness while there was a difference between the two groups in regarding with clinical findings. Conclusion Normal vaginal delivery without episiotomy in primiparous women is better than normal vaginal delivery with episiotomy as there is no perineal tenderness, no dyspareunia. Low incidence of urinary, rectal incontinence, tear and perineal infection.

Early postpartum pelvic floor changes in primiparous women after vaginal delivery using 3T MRI

2017 ◽  
Vol 36 (8) ◽  
pp. 2064-2073 ◽  
Author(s):  
Céline D. Alt ◽  
Franziska Hampel ◽  
Jan Philipp Radtke ◽  
Peter Hallscheidt ◽  
Bettina Schlehe ◽  
...  
Keyword(s):  
Pelvic Floor ◽  
Vaginal Delivery ◽  
3T Mri ◽  
Early Postpartum ◽  
Primiparous Women

scholarly journals Primiparous Women’s Experiences of Normal Vaginal Delivery in Iran: A Qualitative Study

2020 ◽  
Author(s):  
Marzieh Khamehchian ◽  
Mohsen Adib-Hajbaghery ◽  
Nastaran HeydariKhayat ◽  
Mahboubeh Rezaei ◽  
Mahdieh Sabery
Keyword(s):  
Qualitative Study ◽  
Vaginal Delivery ◽  
Emotional Support ◽  
Major Effect ◽  
Study Data ◽  
Normal Vaginal Delivery ◽  
Spiritual Support ◽  
Structured Interviews ◽  
Women's Lives ◽  
Primiparous Women

Abstract Background: Childbirth is considered as the most challenging psychological event in a woman's life. It has a major effect on women’s lives with long-term positive or negative impacts. Cultural, religious, and socioeconomic differences can affect women’s perception about normal vaginal delivery (NVD) experience. Therefore, it is necessary to explore the primiparous women's perception about it.Methods: This qualitative study, with a descriptive content analysis approach, was conducted in Kashan, a city in the center of Iran. Purposive sampling was used to recruit the participants of the current study. Data was gathered by semi-structured interviews during 24 hours after normal vaginal birth among primiparous women. The sampling started from June to October in 2016. Interviews continued until data saturation which was achieved in the 14th interview but for assurance, it continued until the 17th one. Results: The following three main themes were extracted "immersion in stress", "pain, the essence of NVD" and "strategies for situation management". Furthermore, seven subthemes were obtained including 'loss threat’, ‘stressful context', temporary impairment in physiologic harmony, paradoxical emotions, self-management, emotional support, and spiritual support. Conclusions: This study showed that stress and pain were two highlighted issues in NVD process. Increasing women's awareness about NVD process, familiarizing the primiparous women with the simulated delivery room, accompanying these women for emotional support, and providing spiritual support can be effective in situation management to make the child delivery a pleasant and satisfying experience.

scholarly journals Pelvic floor biometry in asymptomatic primiparous women compared with nulliparous women: a single-center study in Southern China

2020 ◽  
Vol 48 (4) ◽  
pp. 030006052092039
Author(s):  
Yong-jiang Mao ◽  
Zhi-juan Zheng ◽  
Jie-hua Xu ◽  
Jing Xu ◽  
Xin-ling Zhang
Keyword(s):  
Cesarean Section ◽  
Pelvic Floor ◽  
Vaginal Delivery ◽  
Southern China ◽  
Valsalva Maneuver ◽  
Elective Cesarean Section ◽  
Nulliparous Women ◽  
Elective Cesarean ◽  
Primiparous Women ◽  
Ultrasound Parameters

Objective This study aimed to investigate pelvic floor biometry of asymptomatic primiparous women compared with nulliparous women by using four-dimensional transperineal ultrasound (4D TPUS). Methods From July 2015 to February 2017, 722 women were enrolled and divided into the nulliparous group (n = 292), the vaginal delivery group (n = 272), and the elective cesarean section group (n = 158). The ultrasound parameters of 4D TPUS were compared among the groups. Results The vaginal delivery group had a significantly greater bladder neck descent (η2 = 0.04), retrovesical angles on Valsalva maneuver (η2 = 0.01), urethral rotation (η2 = 0.01), levator hiatus area on Valsalva maneuver (η2 = 0.02), urethral inclination angle (η2 = 0.02), and funneling of the proximal urethra (η2 = 0.11) than the other two groups. Comparison of the two modes of delivery (vaginal delivery and cesarean section) also showed significant differences in the above-mentioned ultrasound parameters. Conclusion There are significant differences in pelvic floor biometry between asymptomatic primiparous women and nulliparous women, as well as between women with vaginal delivery and those with elective cesarean section.

scholarly journals Primiparous Women’s Experiences of Normal Vaginal Delivery in Iran: A Qualitative Study

2020 ◽  
Author(s):  
Marzieh Khamehchian ◽  
Mohsen Adib-Hajbaghery ◽  
Nastaran Heydari Khayat ◽  
Mahdieh Sabery ◽  
Mahboubeh Rezaei New
Keyword(s):  
Qualitative Study ◽  
Vaginal Delivery ◽  
Emotional Support ◽  
Normal Vaginal Delivery ◽  
Spiritual Support ◽  
Structured Interviews ◽  
Women’S Experiences ◽  
Women's Experiences ◽  
Data Saturation ◽  
Primiparous Women

Abstract Primiparous Women’s Experiences of Normal Vaginal delivery in Iran: A qualitative study Abstract Background: Childbirth is considered as the most challenging psychological event in women's life. It has a powerful effect on women’s lives with long-term positive or negative impacts. Cultural, religious, and socioeconomic differences can affect women’s perception about normal vaginal delivery (NVD) experience, it is necessary to explore the primiparous women's perception about it. Methods: This qualitative study with a descriptive content analysis approach was conducted in Kashan, a city in the center of Iran. Purposive sampling was used to recruit the participants of the current study. Data was gathered by semi-structured interviews during 24 hours after normal vaginal birth among primiparous women. The Sampling started from June to October in 2016. Interviews continued till data saturation. Data saturation was achieved in the 14th interview but for assurance, it continued until the 17th one. Results: The following three main themes were extracted "immersion in stress", "pain, the essence of NVD" and "strategies for situation management". Also, seven sub themes were obtained including 'loss threat’, ‘stressful context', temporary impairment in physiologic harmony, paradoxical emotions, self-management, emotional support, and spiritual support. Conclusions: This study showed that stress and pain were two highlighted issues in NVD process. Increasing women's awareness about NVD process and what they experience during this process, familiarizing the primiparous women with the simulated delivery room, accompanying these women for emotional support, and providing spiritual support can be effective in situation management to make the child delivery a pleasant and satisfying experience.

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