Postnatal pelvic floor muscle stiffness measured by vaginal elastometry in women with obstetric anal sphincter injury: a pilot study.

ResearchSpace/Manakin Repository

Show simple item record Anumba, Dilly OC en Gillespie, Siobhán en Jha, Swati en Abdi, Shahram en Kruger, Jennifer en Taberner, Andrew en Nielsen, Poul en Li, Xinshan en 2020-01-12T23:04:38Z en 2020-03 en
dc.identifier.issn 0937-3462 en
dc.identifier.uri en
dc.description.abstract INTRODUCTION AND HYPOTHESIS:Vaginal childbirth is associated with pelvic floor muscle (PFM) damage in a third of women. The biomechanics prediction, detection and management of PFM damage remain poorly understood. We sought in this pilot study to determine whether quantifying PFM stiffness postnatally by vaginal elastometry, in women attending a perineal trauma clinic (PTC) within 6 months of obstetric anal sphincter injury, correlates with their antecedent labour characteristics, pelvic floor muscle damage, or urinary/bowel/sexual symptoms, to inform future definitive prospective studies. METHODS:In this pilot study, we measured postnatal PFM stiffness by vaginal elastometry in 54 women. A subset of participants (n = 14) underwent magnetic resonance imaging (MRI) to define any levator ani (LA) muscle defects from vaginal childbirth. We investigated the association of PFM stiffness with demographics, labour and delivery characteristics, clinical features and MRI evidence of LA damage. RESULTS:Raised maternal BMI was associated with reduced pelvic floor stiffness (r = -0.4; p < 0.01). Higher stiffness values were associated with forceps delivery for delayed second stage of labour (n = 14) vs non-forceps vaginal delivery (n = 40; 630 ± 40 N/m vs 500 ± 30 N/m; p < 0.05), and a non-significant trend towards longer duration of the second stage of labour. Women with urinary, bowel or sexual symptoms (n = 37) demonstrated higher pelvic floor stiffness values than those without (570 ± 30 N/m vs 450 ± 40 N/m; p < 0.05). CONCLUSIONS:A history of delayed second stage of labour and forceps delivery was associated with higher PFM stiffness values in the postnatal period. Whether high pelvic muscle stiffness antenatally is a risk factor for instrumental vaginal delivery and LA avulsion is unknown. en
dc.format.medium Print-Electronic en
dc.language eng en
dc.relation.ispartofseries International urogynecology journal en
dc.rights Items in ResearchSpace are protected by copyright, with all rights reserved, unless otherwise indicated. Previously published items are made available in accordance with the copyright policy of the publisher. en
dc.rights.uri en
dc.title Postnatal pelvic floor muscle stiffness measured by vaginal elastometry in women with obstetric anal sphincter injury: a pilot study. en
dc.type Journal Article en
dc.identifier.doi 10.1007/s00192-019-04136-z en
pubs.issue 3 en
pubs.begin-page 567 en
pubs.volume 31 en
dc.rights.holder Copyright: The author en
pubs.end-page 575 en
pubs.publication-status Published en
dc.rights.accessrights en
pubs.subtype research-article en
pubs.subtype Journal Article en
pubs.elements-id 789233 en Bioengineering Institute en ABI Associates en Engineering en Engineering Science en Science en Science Research en Maurice Wilkins Centre (2010-2014) en
dc.identifier.eissn 1433-3023 en
pubs.record-created-at-source-date 2019-12-06 en
pubs.dimensions-id 31802165 en

Full text options

Full text for this item is not available in ResearchSpace.

Find Full text

This item appears in the following Collection(s)

Show simple item record


Search ResearchSpace

Advanced Search