Recognition and Management of Pelvic Floor Disorders in Pregnancy and the Postpartum Period

2021 ◽  
Vol 48 (3) ◽  
pp. 571-584
Author(s):  
Annetta M. Madsen ◽  
Lisa C. Hickman ◽  
Katie Propst
Keyword(s):  
Pelvic Floor ◽  
Postpartum Period ◽  
Pelvic Floor Disorders ◽  
In Pregnancy

scholarly journals The effect of water immersion delivery on the strength of pelvic floor muscle and pelvic floor disorders during postpartum period

Medicine ◽  
2017 ◽  
Vol 96 (41) ◽  
pp. e8124 ◽  
Author(s):  
Yun Zhao ◽  
Mei Xiao ◽  
Fei Tang ◽  
Wan Tang ◽  
Heng Yin ◽  
...  
Keyword(s):  
Pelvic Floor ◽  
Postpartum Period ◽  
Pelvic Floor Disorders ◽  
Pelvic Floor Muscle ◽  
Water Immersion ◽  
Effect Of Water

Pelvic Floor Disorders Linked to Low Vitamin D

2011 ◽  
Vol 41 (19) ◽  
pp. 36
Author(s):  
AMY ROTHMAN SCHONFELD
Keyword(s):  
Vitamin D ◽  
Pelvic Floor ◽  
Pelvic Floor Disorders

scholarly journals Urogynecology in obstetrics: impact of pregnancy and delivery on pelvic floor disorders, a prospective longitudinal observational pilot study

2021 ◽  
Author(s):  
Russalina Stroeder ◽  
Julia Radosa ◽  
Lea Clemens ◽  
Christoph Gerlinger ◽  
Gilda Schmidt ◽  
...  
Keyword(s):  
Risk Factors ◽  
Connective Tissue ◽  
Pelvic Floor ◽  
Pelvic Floor Disorders ◽  
Fetal Weight ◽  
Vacuum Extraction ◽  
Translabial Ultrasound ◽  
Third Trimester ◽  
Tertiary Center ◽  
Prospective Longitudinal

Abstract Purpose To assess changes in the pelvic floor anatomy that cause pelvic floor disorders (PFDs) in primigravidae during and after pregnancy and to evaluate their impact on women’s quality of life (QoL). Methods POP-Q and translabial ultrasound examination was performed in the third trimester and 3 months after delivery in a cohort of primigravidae with singleton pregnancy delivering in a tertiary center. Results were analyzed regarding mode of delivery and other pre- and peripartal factors. Two individualized detailed questionnaires were distributed at 3 months and at 12 months after childbirth to determinate QoL. Results We recruited 45 women, of whom 17 delivered vaginally (VD), 11 received a vacuum extraction delivery (VE) and 17 a Cesarean section in labor (CS). When comparing third-trimester sonography to 3 months after delivery, bladder neck mobility increased significantly in each delivery group and hiatal area increased significantly in the VD group. A LAM avulsion was found in two women after VE. Connective tissue weakness (p = 0.0483) and fetal weight at birth (p = 0.0384) were identified as significant risk factors for the occurrence of PFDs in a multivariant regression analysis. Urinary incontinence was most common with 15% and 11% of cases at 3, respectively, 12 months after delivery. 42% of women reported discomfort during sexual intercourse, 3 months after delivery and 24% 12 months postpartum. Although 93% of women engage a midwife after delivery, only 56% participated in pelvic floor muscle training. Conclusion Connective tissue weakness and high fetal weight at birth are important risk factors for the occurrence of PFDs. Nevertheless, more parturients should participate in postpartal care services to prevent future PFDs.

Levator plate descent angle in pelvic floor disorders

2021 ◽  
Author(s):  
Hong Yoon Jeong ◽  
Duk Hoon Park ◽  
Jong Kyun Lee
Keyword(s):  
Pelvic Floor ◽  
Pelvic Floor Disorders
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