Recovery from pelvic floor dysfunction symptoms in the postpartum is associated with the duration of the second stage of labor

2019 ◽  
Vol 300 (1) ◽  
pp. 127-133
Author(s):  
Ella Pardo ◽  
Reut Rotem ◽  
Hannah Glinter ◽  
Miriam Erenberg ◽  
Lior Yahav ◽  
...  
Keyword(s):  
Pelvic Floor ◽  
Pelvic Floor Dysfunction ◽  
Second Stage Of Labor ◽  
Second Stage

Prediction Index of Levator Ani Muscle Avulsion After Vaginal Delivery: An Evidence-Based Appraisal

2018 ◽  
Vol 24 (8) ◽  
pp. 6214-6217
Author(s):  
Budi Iman Santoso ◽  
Adly Nanda Al-Fattah ◽  
Raymond Surya ◽  
Surrahman Hakim
Keyword(s):  
Pelvic Floor ◽  
Vaginal Delivery ◽  
Pelvic Floor Dysfunction ◽  
Levator Ani ◽  
Influential Factors ◽  
Cochrane Library ◽  
Levator Ani Muscle ◽  
Second Stage Of Labor ◽  
Second Stage ◽  
Levator Ani Muscle Avulsion

Pelvic floor dysfunction (PFD) due to vaginal delivery is related to tear of levator ani muscle (LAM) that potentially lead to the impairment of quality of life among women. A number of attempts to predict LAM injury after vaginal delivery had been conducted. This study aims to appraise the accuracy of several prediction index determining LAM injury after vaginal delivery. We conducted a search in Cochrane Library®, Pubmed®, and Medline® with the keywords of “pelvic floor dysfunction” AND “vaginal delivery” AND “prediction.” Critical appraisal determining the validity, importance, and applicability (VIA) was conducted by 2 independent authors. After 6 weeks to 3 months’ duration of follow up, the incidence of LAM avulsion was varied from 15.4% to 35.6% from three studies. Multivariate analysis showed that forceps delivery, OASIS, and active second stage (OR 3.8; 3.1; 1.61; respectively) as the most influential factors for LAM incidence. Maternal age and time spent in active pushing were also contributed to LAM incidence. OASIS and second stage of labor could be used as the most influential components of prediction index for LAM incidence. Prediction indexes for LAM incidence are developed. OASIS and second stage of labor are acknowledged as two most influential variables among three appraised studies.

Pelvic Floor Dysfunction after Prolonged Second Stage of Labor [12A]

2018 ◽  
Vol 131 ◽  
pp. 12S
Author(s):  
Alexis Gimovsky ◽  
Molly Amero ◽  
Jaclyn Phillips ◽  
Jordan Levine ◽  
Vincenzo Berghella
Keyword(s):  
Pelvic Floor ◽  
Pelvic Floor Dysfunction ◽  
Second Stage Of Labor ◽  
Second Stage

scholarly journals 385: Is there a correlation between pelvic floor dysfunction symptoms during pregnancy and the duration of the second stage of labor?

2018 ◽  
Vol 218 (1) ◽  
pp. S237
Author(s):  
Ella S. Pardo ◽  
Reut A. Rotem ◽  
Hannah Glinter ◽  
Miriam Erenberg ◽  
Lior Yahav ◽  
...  
Keyword(s):  
Pelvic Floor ◽  
Pelvic Floor Dysfunction ◽  
Second Stage Of Labor ◽  
Second Stage

386: Recovery from pelvic floor dysfunction symptoms in the postpartum is correlated with the duration of the second stage of labor

2018 ◽  
Vol 218 (1) ◽  
pp. S237-S238
Author(s):  
Ella S. Pardo ◽  
Reut Rotem ◽  
Zehava Yohay ◽  
David Yohay ◽  
Lior Yahav ◽  
...  
Keyword(s):  
Pelvic Floor ◽  
Pelvic Floor Dysfunction ◽  
Second Stage Of Labor ◽  
Second Stage

Effects of Nonlinear Muscle Elasticity on Pelvic Floor Mechanics During Vaginal Childbirth

2010 ◽  
Vol 132 (11) ◽  
Author(s):  
Xinshan Li ◽  
Jennifer A. Kruger ◽  
Martyn P. Nash ◽  
Poul M. F. Nielsen
Keyword(s):  
Experimental Data ◽  
Pelvic Floor ◽  
Vaginal Delivery ◽  
Pelvic Floor Dysfunction ◽  
Levator Ani ◽  
Head Model ◽  
Levator Ani Muscle ◽  
Fetal Head ◽  
Second Stage Of Labor ◽  
Second Stage

The role of the pelvic floor soft tissues during the second stage of labor, particularly the levator ani muscle, has attracted much interest recently. It has been postulated that the passage of the fetal head through the pelvis may cause excessive stretching of the levator ani muscle, which may lead to pelvic floor dysfunction and pelvic organ prolapse later in life. In order to study the complex biomechanical interactions between the levator ani muscle and the fetal head during the second stage of labor, finite element models have been developed for quantitative analysis of this process. In this study we have simulated vaginal delivery using individual-specific anatomical computer models of the pelvic floor interacting with a fetal head model with minimal restrictions placed upon its motion. Two constitutive relations were considered for the levator ani muscle (of exponential and neo-Hookean forms). For comparison purposes, the exponential relation was chosen to exhibit much greater stiffening at higher strains beyond the range of the experimental data. We demonstrated that increased nonlinearity in the elastic response of the tissues leads to considerably higher (56%) estimated force required for delivery, accompanied by a more homogeneous spatial distribution of maximum principal stretch ratio across the muscle. These results indicate that the form of constitutive relation beyond the presently available experimental data markedly affects the estimated function of the levator ani muscle during vaginal delivery, due to the large strains that occur. Further experimental data at higher strains are necessary in order to more reliably characterize the constitutive behavior required for modeling vaginal childbirth.

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