Effect of different delivery modes on the short-term strength of the pelvic floor muscle in Chinese primipara

Zhao, Yun; Zou, Li; Xiao, Mei; Tang, Wan; Niu, Hai-yi; Qiao, Fei

doi:10.1186/s12884-018-1918-7

Cited by 15 publications

(13 citation statements)

References 28 publications

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“…The grade 4 means Good, sufficient to elevate the examiner's fingers against light resistance. The grade 5 means Strong, sufficient to elevate the examiner's fingers' against strong resistance (10) Participants were interviewed about any pelvic floor symptoms that had occurred after childbirth using the Pelvic Floor Distress Inventory Questionnaire-Short Form 20 . The items of the questionnaire were classified based on the scores of the components evaluating urinary distress (UDI-6), colorectal and anal distress (CRADI-8) and pelvic organ prolapse distress (POPDI-6).…”

Section: Data Collectionmentioning

confidence: 99%

Short-term effects of delivery methods on postpartum pelvic floor function in primiparas: a retrospective study

Zhang

Wang

et al. 2021

Ann Palliat Med

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Background: The present study sought to investigate the short-term effects of different delivery methods on postpartum pelvic floor function in Chinese primiparas. Methods: Primiparous women who delivered a full-term, cephalic, singleton infant at our hospital between January 1, 2018 and August 15, 2019 were recruited into this study. All women underwent pelvic floor function screening at 6-8 weeks postpartum. Tests included postpartum Pelvic Organ Prolapse Quantification (POP-Q) score, incidence of urinary incontinence, pelvic floor muscle (PFM) strength, and Pelvic Floor Distress Inventory Questionnaire-Short Form 20 (PFDI-20) score.Results: A total of 284 postpartum women were recruited into the study. Of the participants, 147 had undergone vaginal delivery, 37 had undergone intrapartum cesarean delivery (ICD), and 100 had undergone elective cesarean delivery (ECD). Points Aa, Ba, Ap, and Bp showed a greater degree of prolapse in the vaginal delivery group than in the ECD group (P≤0.05). UI was less prevalent in ECD group relative to the vaginal delivery group (P≤0.05). Tonic PFM contraction was weaker in the vaginal delivery group than in the ECD and ICD groups (P≤0.05). Significant differences were also observed between the vaginal delivery group and the ECD group with respect to PFDI-20 scores (P≤0.05).Conclusions: Compared with vaginal delivery, ECD was strongly linked to a lower risk of pelvic organ prolapse (POP) and UI, stronger tonic PFM strength, and lower PFDI-20 scores. ECD confers relatively better protection against pelvic floor dysfunction (PFD) than does ICD.

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Section: Data Collectionmentioning

confidence: 99%

Short-term effects of delivery methods on postpartum pelvic floor function in primiparas: a retrospective study

Zhang

Wang

et al. 2021

Ann Palliat Med

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“…73 Women with history of cesarean delivery have higher pelvic floor muscle (PFM) strengths than vaginal delivery group. 74 There is a multifactorial mechanism about the damage of pelvic floor during vaginal delivery. 72,75 However the cesarean section may reduce the risk of pelvic floor dysfunction but according to the abovementioned evidence comorbidities such as hypertension and diabetes may increase the risk of pelvic floor dysfunction.…”

Section: Obstetric Complicationsmentioning

confidence: 99%

<p>Polycystic Ovary Syndrome and Pelvic Floor Dysfunction: A Narrative Review</p>

Naz¹,

Tehrani²,

Behroozi-Lak³

et al. 2020

RRU

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Pelvic floor dysfunction is one of the most common disorders in women that is associated with social and economic consequences. In general, this disorder imposes direct and indirect costs on the economy of various societies. This review aimed to investigate pelvic floor dysfunction in women with polycystic ovary syndrome (PCOS). In this narrative review, the published articles on pelvic floor dysfunction were examined in PubMed, Scopus, Web of Sciences and Google Scholar. We searched for terms related to polycystic ovary syndrome and pelvic floor dysfunction. Inclusion criteria of this research were observational, experimental, and review studies. In this investigation, the complications associated with polycystic ovary syndrome were examined as risk factors for pelvic floor dysfunction. In this narrative review, we discuss about changes in hormone levels, obesity and overweight, hormonal medications and complications such as diabetes and metabolic disorders and obstetric complications of PCOS can be involved in the pathophysiology of pelvic floor dysfunctions, including stress urinary incontinence and pelvic organ prolapse in women with PCOS. This review highlights knowledge gaps about protective effect of hyperandrogenism on pelvic floor dysfunction as well as destructive effect of metabolic changes on pelvic floor dysfunction in women with PCOS. Further cohort and prospective studies are recommended in women with PCOS to investigate the concept of pelvic organ dysfunction in these women.

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“…Pelvic floor weakness and urinary incontinence are important issues in women’s health. Vaginal delivery is an independent risk factor for damage to the pelvic floor muscles (PFMs) [ 2 ], and pelvic floor distensibility may cause pelvic floor dysfunction, such as urinary incontinence and pelvic organ prolapse, later in life irrespective of the delivery mode [ 3 ]. PFM training is commonly recommended during pregnancy and postpartum period for the prevention and treatment of incontinence [ 4 ].…”

Section: Introductionmentioning

confidence: 99%

Vaginal palpation versus transabdominal ultrasound in the comprehension of pelvic floor muscle contraction after vaginal delivery: a randomised controlled trial

Ikeda

Mori

2021

BMC Women's Health

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Background Pelvic floor muscles support the pelvic organs and control voiding. The first choice in the repair of pelvic floor function that is damaged during pregnancy and delivery is pelvic floor muscle training, which involves repeated muscle relaxation and contraction. However, as muscle contractions cannot be visualised, it is difficult to assess whether patients understand how to contract them. Therefore, we assessed patients’ comprehension of pelvic floor muscle contraction by comparing two teaching methods, vaginal palpation and transabdominal ultrasound, following vaginal delivery. We hypothesised that vaginal palpation is better than transabdominal ultrasound in this regard. Methods This randomised controlled trial conducted in facilities in Tokyo, Japan between July 2018 and January 2019 included women aged ≥ 20 years at 4–6 weeks after vaginal delivery. The randomisation involved website-based centralised allocation. The primary outcome was a change in bladder base displacement during pelvic floor muscle contraction before and after training, which was measured using transabdominal ultrasound. Participants performed three contractions for 3 s, and the mean value was used for statistical analysis. The secondary outcome was a change in understanding the contraction before and after training, which was measured using a five-point Likert scale questionnaire. Outcomes were analysed using Welch’s t-test. Results Sixty-five participants were randomly allocated to the vaginal palpation group (n = 32) and transabdominal ultrasound group (n = 33). Baseline characteristics were similar between the groups. Changes in bladder base displacement were not significantly different between the groups (p = 0.181). Within-group analyses showed that bladder base displacement was large in both groups after the respective intervention. There were no significant differences in any of the outcomes between the two groups before and after the intervention. Conclusions Vaginal palpation and transabdominal ultrasound might be useful for comprehending pelvic floor muscle contraction after vaginal delivery. Trial registration: UMIN 000032304. Registered 18 April 2018, https://upload.umin.ac.jp/cgi-open-bin/icdr_e/ctr_view.cgi?recptno=R000036820.

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Effect of different delivery modes on the short-term strength of the pelvic floor muscle in Chinese primipara

Cited by 15 publications

References 28 publications

Short-term effects of delivery methods on postpartum pelvic floor function in primiparas: a retrospective study

Short-term effects of delivery methods on postpartum pelvic floor function in primiparas: a retrospective study

<p>Polycystic Ovary Syndrome and Pelvic Floor Dysfunction: A Narrative Review</p>

Vaginal palpation versus transabdominal ultrasound in the comprehension of pelvic floor muscle contraction after vaginal delivery: a randomised controlled trial

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