EP36.11: Postpartum pelvic floor dysfunction assessed on 3D rotational ultrasound: a prospective study on women with first‐ and second‐degree perineal tears and episiotomy

Leombroni, Martina; Buca, D.; Liberati, Marco; Falò, Eleonora; Rizzo, Giuseppe; Khalil, Asma; Manzoli, Lamberto; Flacco, Maria Elena; D’Antonio, F.

doi:10.1002/uog.21849

Cited by 2 publications

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“…Dietz reported that this method lacks clear anatomical reference points, resulting in poor repeatability. Sultan et al used high‐frequency 3D‐EVUS using a 2050 probe with a 9–16 MHz 360° rotational scanner, which is unavailable at all locations 27,28 …”

Section: Commentmentioning

confidence: 99%

Transvaginal Two‐Dimensional Ultrasound Evaluation as a Screening Tool for Levator ani Muscle Avulsion in Postpartum Women

Wang

2022

J of Ultrasound Medicine

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Objectives-To evaluate the agreement between two-dimensional transvaginal ultrasound (2D-TVUS) and transperineal tomographic ultrasound imaging on three-dimensional (3D) volume in diagnosing levator ani muscle (LAM) avulsion of postpartum women. Furthermore, we tested the repeatability of the 2D-TVUS in measuring the LAM thickness.Methods-A retrospective study was performed using the data sets from postpartum women. One doctor measured the thickness of the LAM on the images at the attachment to the arcus tendinous levator ani and the middle part using the 2D-TVUS ultrasound data sets of postpartum women. These women were examined twice, at 42-56 days and 3-6 months postpartum. Intra-observer repeatability was expressed using intraclass correlation coefficients (ICCs). The other doctor judged whether there was avulsion in the LAM on the 2D-TVUS and transperineal tomography imaging on the 3D volume. The inter-method agreement was determined using Cohen's kappa coefficient (k).Results-Thickness measurements of the middle part and attachment of the LAM by 2D-TVUS showed excellent and good intra-observer repeatability (ICC 0.84; 95% CI, 0.76-0.88, and ICC 0.74; 95% CI, 0.67-0.84, respectively). The overall agreement was 92% (Cohen's kappa was 0.79) between 2D-TVUS and transperineal tomographic imaging. Compared to transperineal tomographic imaging in the diagnosis of LAM avulsion, the diagnostic sensitivity of 2D-TVUS was 91.7%, the specificity was 92.1%.Conclusions-The 2D-TVUS technique, a simple and reproducible method for assessing LAM avulsion, may be helpful as a screening tool for LAM avulsion of postpartum women.

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Section: Commentmentioning

confidence: 99%

Transvaginal Two‐Dimensional Ultrasound Evaluation as a Screening Tool for Levator ani Muscle Avulsion in Postpartum Women

Wang

2022

J of Ultrasound Medicine

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“…We found that SSL > 1 h was 4.10 times higher than SSL < 1 h for primary maternal of abnormal SPBN. Reports on the effects of episiotomy and perineal tear on pelvic floor function are not completely consistent (18,19). But most studies believe that the use of episiotomy during vacuum-assisted delivery or forcepsassisted delivery of primipara women can reduce perineal tear or OASIS (20, 21).…”

Section: Delivery Characteristicsmentioning

confidence: 99%

Three-dimensional ultrasound assessment of risk factors for cystocele and Green classification in primipara

Yin

Xie

et al. 2022

Front. Med.

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Background and aimsThe present study aimed to analyze the effects of factors on cystocele and the Green classification.Materials and methodsWe conducted a cross-sectional study on 357 primiparous women examined at our hospital from January 2019 to May 2021. The following data were recorded: maternal characteristics, neonatal characteristics, and factors of childbirth. It was added to the multivariate logistic regression model to determine the independent predictors of the cystocele and the Green classification.ResultsA total of 242 women had cystocele, including 71 women with Green type I cystocele, 134 women with Green type II cystocele, and 37 women with Green type III cystocele. In multivariate logistic regression analysis, body mass index (BMI) at delivery was associated with cystocele, while BMI at delivery and the second stage of labor (SSL) > 1 h were independently with the distance from the symphysis pubis to the bladder neck (SPBN) abnormal (P < 0.05). BMI at examination was associated with the large retrovesical angle (RVA) (P < 0.05). BMI at delivery and the fetal right occiput anterior position (ROA) were independently associated with the distance from the symphysis pubis to the posterior wall of the bladder (SPBP) abnormal (P < 0.05), while epidural anesthesia (EDA) was the protective factor (P < 0.05).ConclusionPrimipara women should strive to avoid exposure to modifiable risk factors such as controlling weight during pregnancy, reducing weight after delivery, and shortening SSL to reduce the occurrence of cystocele.

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EP36.11: Postpartum pelvic floor dysfunction assessed on 3D rotational ultrasound: a prospective study on women with first‐ and second‐degree perineal tears and episiotomy

Cited by 2 publications

References 0 publications

Transvaginal Two‐Dimensional Ultrasound Evaluation as a Screening Tool for Levator ani Muscle Avulsion in Postpartum Women

Transvaginal Two‐Dimensional Ultrasound Evaluation as a Screening Tool for Levator ani Muscle Avulsion in Postpartum Women

Three-dimensional ultrasound assessment of risk factors for cystocele and Green classification in primipara

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