Urogynecology in obstetrics: impact of pregnancy and delivery on pelvic floor disorders, a prospective longitudinal observational pilot study

Stroeder, Russalina; Radosa, Julia Caroline; Clemens, L; Gerlinger, Christoph; Schmidt, G; Sklavounos, P; Takács, Zoltán; Meyberg-Solomayer, G; Solomayer, Erich‐Franz; Hamza, A

doi:10.1007/s00404-021-06022-w

Cited by 13 publications

(16 citation statements)

References 59 publications

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“…Childbirth is a natural result of pregnancy. Even under physiological conditions, childbirth affects the condition of the muscles and fascia of the abdomen and pelvic oor, leading to their thinning, especially under conditions of impaired broblast functions [16,17].…”

Section: Discussionmentioning

confidence: 99%

Correlation Between the State of the Temporomandibular Joint and Gynecological Status in Women of Reproductive Age

Novikov,

Korostashova,

Korovina

et al. 2023

Preprint

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Introduction The processes of synthesis and degradation of connective tissue are closely related to hormonal fluctuations occurring in the female body at various stages of development. Based on this, it can be assumed that the state of the cartilage and bone tissue of the components of the temporomandibular joint (TMJ) depends on the physiological state of the female body. The objective of this study is to establish correlations between the anamnestic data of gynecological health and the presence of pathologies of the temporomandibular joint in women of reproductive age. Methods For the study, 49 female patients of reproductive age with temporomandibular joint dysfunction (TMJD) were selected. Among the gynecological health history data, we selected the following parameters: hysterectomy, breast cancer, oophorectomy, number of deliveries, number of abortions, number of miscarriages, presence of thyroid gland cyst, presence of ovarian cyst, use of hormonal contraceptives, elevated prolactin level in the blood, hypothyroidism, autoimmune thyroiditis in the anamnesis, mastopathy, rheumatoid arthritis, and uterine fibromatosis. TMJ pathologies were differentiated by magnetic resonance imaging (MRI). The presence of correlation coefficients was checked using the Real Statistics 2019 extension for Microsoft Office Excel by calculating Kendall's tau (τ). Correlation ratios were considered statistically significant at p<0.05. Results Statistically significant correlations between pathologies of the temporomandibular joint and anamnestic data of gynecological status are observed only in relation to childbirth, abortions, ovarian cysts, uterine fibroids and pathologies of the thyroid gland, including hypothyroidism, and autoimmune thyroiditis. Conclusions The presence of the aforementioned pathologies in the anamnesis of a woman of reproductive age can serve as a basis for a detailed study of these processes and their impact on the condition of the temporomandibular joint.

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Section: Discussionmentioning

confidence: 99%

Correlation Between the State of the Temporomandibular Joint and Gynecological Status in Women of Reproductive Age

Novikov,

Korostashova,

Korovina

et al. 2023

Preprint

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“…As NW increases, the possibility of PFDs also increases. Previous studies have shown that excessive NW might harm PFM strength and was an independent risk factor for PFDs [ 49 , 50 ]. Stepwise regression analysis showed that NW rather than the NOF, had a negative effect on PFM strength, including rapid, tonic, and endurance contractions, which was contrary to the results of univariate analysis.…”

Section: Discussionmentioning

confidence: 99%

Risk factors of pelvic floor muscle strength in south Chinese women: a retrospective study

Fang

Huang³

et al. 2022

BMC Pregnancy Childbirth

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Objectives To evaluate pelvic floor muscle strength using surface electromyography and risk factors for pelvic floor muscle strength in the early postpartum period. Methods This retrospective study included 21,302 participants who visited Fujian Maternity and Child Health Hospital from September 2019 to February 2022. All participants were assessed by medical professionals for general information and surface electromyography. Results Univariate analysis indicated that age was inversely related to tonic and endurance contractions. In contrast, all the other variables, including education level, body mass index, neonatal weight, and number of fetuses, had a positive impact on rapid, tonic, and endurance contractions. Likewise, parity was also positively associated with rapid contractions. In addition, compared with vaginal delivery, cesarean section delivery had a protective effect on the amplitude of the three types of contractions. Stepwise regression analysis showed that both age and neonatal weight had a negative linear relationship with the amplitude of rapid, tonic and endurance contractions. In contrast, the amplitude of rapid, tonic and endurance contractions significantly increased as body mass index, parity (≤ 3), education level and gestational weight gain (endurance contractions only) increased. Participants with cesarean section delivery showed positive effects on rapid, tonic, and endurance contractions compared to participants with vaginal delivery. Conclusions We found that age, neonatal weight, vaginal delivery, episiotomy, and forceps delivery were risk factors for pelvic floor muscle strength; in contrast, body mass index, parity (≤ 3) and gestational weight gain had a positive relationship with pelvic floor muscle strength.

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“…Due to increased and prolonged mechanical load and collagen changes, there is a decrease in the strength of the pelvic floor muscles [73]. Hormonal and mechanical changes during pregnancy lead to excessive stretching of ligament structures and pelvic floor muscles [74], connective tissue weakness and impairment of normal pelvic floor muscle function [74,75].…”

Section: Pelvic Floor Musclesmentioning

confidence: 99%

Why We should Recommend Exercise in Pregnancy?

Filipec¹,

Matijević²

2022

Clin. Exp. Obstet. Gynecol.

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Objective: This narrative review is presenting the impact of exercise on pregnant women and fetus and provides current recommendations for exercise in pregnancy. Mechanism: Exercise during pregnancy has a numerous effects on both pregnant woman and her fetus. When recommending exercise during pregnancy, it is necessary to keep in mind the physiological responses of the body's systems during exercise, changes occuring in pregnancy and the influence of this changes on pregnant woman's body as well as on the fetus and fetal responses to exercise during pregnancy. The type, intensity, duration, and frequency of exercise should be adjusted to the level of physical activity of pregnant women and period of pregnancy in order to achieve clinically significant health benefits. Findings in Brief: Exercise in pregnancy is beneficial for both the mother and her fetus and contributes to the prevention of pregnancy-related disorders. It is recommend to exercise 30 minutes daily five days a week with a tendency to increase the exercise each day in order to accumulate 150 to 300 minutes of exercise per week with moderate intensity. Conclusions: Regular exercise leads to specific adaptation processes of the body systems improving the physical and mental health of pregnant women with positive effect on her fetus.

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Urogynecology in obstetrics: impact of pregnancy and delivery on pelvic floor disorders, a prospective longitudinal observational pilot study

Cited by 13 publications

References 59 publications

Correlation Between the State of the Temporomandibular Joint and Gynecological Status in Women of Reproductive Age

Correlation Between the State of the Temporomandibular Joint and Gynecological Status in Women of Reproductive Age

Risk factors of pelvic floor muscle strength in south Chinese women: a retrospective study

Why We should Recommend Exercise in Pregnancy?

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