Volume sonography of the pelvic floor in nulliparous women and after elective cesarean section

2001 ◽  
Vol 80 (7) ◽  
pp. 611-615 ◽  
Author(s):  
Nadin Ochsenbein ◽  
Juozas Kurmanavicius ◽  
Renate Huch ◽  
Albert Huch ◽  
Josef Wisser
Keyword(s):  
Cesarean Section ◽  
Pelvic Floor ◽  
Elective Cesarean Section ◽  
Nulliparous Women ◽  
Elective Cesarean

Volume sonography of the pelvic floor in nulliparous women and after elective cesarean section

2001 ◽  
Vol 80 (7) ◽  
pp. 611-615 ◽  
Author(s):  
Nadin Ochsenbein ◽  
Juozas Kurmanavicius ◽  
Renate Huch ◽  
Albert Huch ◽  
Josef Wisser
Keyword(s):  
Cesarean Section ◽  
Pelvic Floor ◽  
Elective Cesarean Section ◽  
Nulliparous Women ◽  
Elective Cesarean

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.

Five years’ experience in an anesthesiology antenatal clinic for high-risk patients

2018 ◽  
Vol 46 (3) ◽  
pp. 287-291 ◽  
Author(s):  
Daniel Shatalin ◽  
Yaacov Gozal ◽  
Sorina Grisaru-Granovsky ◽  
Alexander Ioscovich
Keyword(s):  
High Risk ◽  
Cesarean Section ◽  
Mode Of Delivery ◽  
Antenatal Clinic ◽  
Management Plan ◽  
Elective Cesarean Section ◽  
Nulliparous Women ◽  
Mother And Child ◽  
Elective Cesarean ◽  
Hospital Births

Abstract Introduction: The aim, of this study is to describe our approach and outcomes in an outpatient anesthesia/analgesia antepartum clinic among ambulatory high-risk obstetric patients. Methods: This was a retrospective evaluation of the activity of the anesthesiology antenatal clinic from its inception in 2010 until 2016 (a 5-year period). The clinic works in collaboration with the Department of Obstetrics and Gynecology. The catchment area of the study University Affiliated Hospital attends a multiethnic population characterized by high parity. Results: There were 241 referrals over the 5 years, each of whom was discharged with a consult and a delivery management plan and 228 (95%) of which were performed as planned. Mean gestational age at consultation was 34.4 weeks (range: 20–37). There were no preconceptional consultation. No limitations regarding mode of anesthesia/analgesia was considered for 47% of the referrals. Nulliparous women accounted for 50% of the referrals and 17% were in their second pregnancy. The greatest number of referrals (30%) was for musculoskeletal conditions. No maternal death encountered. The mode of delivery was vaginal in 139 (65%) women; elective cesarean section in 44 (21%) women; and emergent cesarean section in 30 (14%) women. The neonatal outcomes were unremarkable; 210 (87%) in hospital births, 97.1% had an a 5′ Apgar score of 9. Conclusion: Our findings reveal the need for high-risk obstetric patients consult with a dedicated obstetric anesthesiologist to devise a management plan for labor and delivery that is tailored to their comorbidity and obstetric status, to ensure an optimum outcome for mother and child.

scholarly journals Prevalence of urinary incontinence and pelvic floor muscle dysfunction in primiparae two years after cesarean section: cross-sectional study

2013 ◽  
Vol 131 (2) ◽  
pp. 95-99 ◽  
Author(s):  
Angélica Mércia Pascon Barbosa ◽  
Gabriela Marini ◽  
Fernanda Piculo ◽  
Cibele Vieira Cunha Rudge ◽  
Iracema Mattos Paranhos Calderon ◽  
...  
Keyword(s):  
Urinary Incontinence ◽  
Cesarean Section ◽  
Pelvic Floor ◽  
Pelvic Floor Muscle ◽  
Cross Sectional Study ◽  
Elective Cesarean Section ◽  
Muscle Dysfunction ◽  
Cross Sectional ◽  
Elective Cesarean ◽  
Weight Gain During Pregnancy

CONTEXT AND OBJECTIVE There is uncertainty in the literature regarding the theory that obstetric events and pelvic floor injuries give rise to lower risk of subsequent urinary incontinence among women delivering via cesarean section than among women delivering vaginally. The objective of this study was to assess the two-year postpartum prevalence of urinary incontinence and pelvic floor muscle dysfunction and the factors responsible for them. DESIGN AND SETTING Cross-sectional study, conducted in a public university. METHODS 220 women who had undergone elective cesarean section or vaginal childbirth two years earlier were selected. Their urinary incontinence symptoms were investigated, and their pelvic floor muscle dysfunction was assessed using digital palpation and a perineometer. RESULTS The two-year urinary incontinence prevalences following vaginal childbirth and cesarean section were 17% and 18.9%, respectively. The only risk factor for pelvic floor muscle dysfunction was weight gain during pregnancy. Body mass index less than 25 kg/m 2 and normal pelvic floor muscle function protected against urinary incontinence. Gestational urinary incontinence increased the risk of two-year postpartum urinary incontinence. CONCLUSION Gestational urinary incontinence was a crucial precursor of postpartum urinary incontinence. Weight gain during pregnancy increased the subsequent risk of pelvic floor muscle dysfunction, and elective cesarean section did not prevent urinary incontinence.

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