scholarly journals Does symphysis pubis width change during labor?

Author(s):  
Buğra Çoşkun ◽  
Demet Kokanalı ◽  
Bora Çoşkun ◽  
Burcu Timur ◽  
Ramazan Erda Pay ◽  
...  
Keyword(s):  
2017 ◽  
Author(s):  
Kathryn Grace De Rego ◽  
◽  
Brett Eaton ◽  
J. Wesley Lauer ◽  
Marwan Hassan

2019 ◽  
Vol 9 (5) ◽  
pp. 20190027 ◽  
Author(s):  
Dulce Oliveira ◽  
Maria Vila Pouca ◽  
João Ferreira ◽  
Teresa Mascarenhas

Childbirth-related injuries are one of the main causes of pelvic floor dysfunction. To attempt to avoid serious tears during delivery, an episiotomy can be performed. In this study, we intended to investigate the biomechanical performance of the pelvic floor muscles after performing different episiotomies using a physics-based computational model which includes the pelvic floor muscles and the fetus. Previous biomechanical studies have analysed the mechanical effects of single incisions of different lengths; in this study, we intend to analyse the implications of multiple small incisions, evaluating the reaction forces, the stress on the muscles and the loss of tissue integrity sustained by the pelvic floor. The obtained results predict that an episiotomy delivery reduces the likelihood of macroscopic levator trauma by decreasing the stress on the region of insertion of the rectal area of the levator ani in the symphysis pubis . From the mechanical point of view, multiple incisions do not bring benefits compared to larger incisions. However, nothing can be ascertained about the clinical benefit of such an approach.


2003 ◽  
Vol 58 (5) ◽  
pp. 291-292
Author(s):  
Kelly Owens ◽  
Ann Pearson ◽  
Gerald< Mason

2016 ◽  
Vol 40 (2) ◽  
pp. 185-190 ◽  
Author(s):  
Serdar Aydın ◽  
Rabia Zehra Bakar ◽  
Çağrı Arıoğlu Aydın ◽  
Pınar Özcan

2005 ◽  
Vol 85 (12) ◽  
pp. 1290-1300 ◽  
Author(s):  
Jill Depledge ◽  
Peter J McNair ◽  
Cheryl Keal-Smith ◽  
Maynard Williams

Abstract Background and Purpose. Symphysis pubis pain is a significant problem for some pregnant women. The purpose of this study was to investigate the effects of exercise, advice, and pelvic support belts on the management of symphysis pubis dysfunction during pregnancy. Subjects. Ninety pregnant women with symphysis pubis dysfunction were randomly assigned to 3 treatment groups. Methods. A randomized masked prospective experimental clinical trial was conducted. Specific muscle strengthening exercises and advice concerning appropriate methods for performing activities of daily living were given to the 3 groups, and 2 of the groups were given either a rigid pelvic support belt or a nonrigid pelvic support belt. The dependent variables, which were measured before and after the intervention, were a Roland-Morris Questionnaire score, a Patient-Specific Functional Scale score, and a pain score (101-point numerical rating score). Results. After the intervention, there was a significant reduction in the Roland-Morris Questionnaire score, the Patient-Specific Functional Scale score, and the average and worst pain scores in all groups. With the exception of average pain, there were no significant differences between groups for the other measures. Discussion and Conclusion. The findings indicate that the use of either a rigid or a nonrigid pelvic support belt did not add to the effects provided by exercise and advice.


Injury ◽  
2005 ◽  
Vol 36 (7) ◽  
pp. 827-831 ◽  
Author(s):  
Raghu Raman ◽  
Craig S. Roberts ◽  
Hans-Christoph Pape ◽  
Peter V. Giannoudis

2016 ◽  
Vol 86 (6) ◽  
pp. 1019-1025 ◽  
Author(s):  
Noshi Siddiqui ◽  
Pradeep Tandon ◽  
Alka Singh ◽  
Jitesh Haryani

ABSTRACT Objective: To evaluate dynamic smile in different skeletal patterns and to correlate vertical smile parameters with the underlying causative factors. Materials and Methods: A total of 150 participants ranging in age from 16–25 years were selected and divided into one of three groups—horizontal, average, and vertical skeletal pattern—using the following three cephalometric parameters: SN-MP, FMA, and Jarabak ratio. Videographic records of smile were obtained, and measurements were recorded and analyzed at rest, including upper lip length, and during smile, including maxillary incisal display, interlabial gap, intercommisural width, change in upper lip length, and smile arc. Differences among the three groups were subjected to two-way analysis of variance and post hoc and chi-square tests for smile arc. Correlations between vertical smile variables and vertical skeletal (N-ANS, N-Me) and dental cephalometric measurements (U1 to palatal plane) were also investigated. Results: Vertical parameters were significantly increased in the vertical pattern when compared with the horizontal pattern, ie, upper lip length (P &lt; .01), maxillary incisal display (P &lt; .001), interlabial gap (P &lt; .001), and change in upper lip length (P &lt; .001), whereas intercommisural width was significantly decreased in vertical pattern when compared with the horizontal pattern (P &lt; .001). Flat smile arc was seen more frequently in the horizontal pattern. Positive correlations were found between the N-Me, U1-PP, and change in upper lip length with vertical smile parameters. Conclusions: Different skeletal patterns exhibit their characteristic smile features. Upper lip length is not responsible for increased incisal display during smile. Increased incisal display during smile is more closely associated with upper lip elevation than vertical skeletal and dental factors.


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