Pelvic floor dysfunction after levator trauma one year postpartum: a prospective case-control study

2014 ◽  
Vol 74 (05) ◽  
Author(s):  
RM Laterza ◽  
L Schrutka ◽  
W Umek ◽  
S Albrich ◽  
H Koelbl
2014 ◽  
Vol 26 (1) ◽  
pp. 41-47 ◽  
Author(s):  
Rosa Maria Laterza ◽  
Lore Schrutka ◽  
Wolfgang Umek ◽  
Stefan Albrich ◽  
Heinz Koelbl

Author(s):  
Tapaswini Hota ◽  
Sujata Misra

Background: It is a study to determine whether or not, the widening of GH and PB with valsalva is evidence of pelvic floor dysfunction, and by the logic should the values in POPQ staging, be taken at valsalva or at rest.Methods: Prospective 2 arm cohort study. However, the analysis of various risk factors for prolapse was done in a case control study manner.Results: As compared to women without prolapse, in patients with POP, the dimensions of GH and PB are higher. Also, the increase in their dimensions with valsalva is more in prolapse cases. So valsalving while measurement of GH and PB would give a better idea of pelvic floor dysfunction.Conclusions: The study shows association between the severity of urinary problems and degree of prolapse. Measurements of POPQ when taken during valsalva, tend to give a better picture of levator dysfunction in prolapse patients.


2020 ◽  
Vol 16 (1) ◽  
pp. 52-59
Author(s):  
Naina Kumar ◽  
Himani Agarwal

Background: Placenta plays a very important role in the growth and development of fetus. Objective: To know the correlation between placental weight and perinatal outcome in term antenatal women. Methods: Present prospective case-control study was conducted in the rural tertiary center of Northern India over one year (January-December 2018) on 1,118 term (≥37-≤42 weeks) antenatal women with singleton pregnancy fulfilling inclusion criteria with 559 women with high-risk pregnancy as cases and 559 low-risk pregnant women as controls. Placental weight, birth weight was measured immediately after delivery and compared between the two groups along with gestation, parity, fetal gender, and neonatal outcome. Statistical analysis was done using SPSS 22 version. Results: Mean placental weight [481.98±67.83 gm vs. 499.47±59.59 gm (p=.000)] and birth weight [2.68±0.53 Kg vs. 2.88±0.4 Kg (p=.000)] was significantly lower in high risk as compared to lowrisk participants, whereas placental birth weight ratio was higher in high-risk cases [18.35±2.37 vs. 17.41±1.38 (p=.000)] respectively. Placental weight was positively correlated with birth weight and placental weight and birth weight increased with increasing gestation in both cases and controls. Male neonates had higher placental weight [492.74±68.24 gm vs. 488±58.8 gm (p=0.224)] and birth weight [2.81±0.5 Kg vs. 2.74±0.45 Kg (p=0.033)] as compared to females. Neonatal Intensive Care Unit admission was significantly associated with low placental and birth weight (p=.000). Conclusion: There is a significant correlation between placental weight, birth weight and neonatal outcome, hence placental weight can be used as an indirect indicator of intrauterine fetal growth.


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