The appearance of levator ani muscle abnormalities in magnetic resonance images after vaginal delivery.
TLDR
Abnormalities in the levator ani muscle are present on MRI after a vaginal delivery but are not found in nulliparas.About:
This article is published in Obstetrics & Gynecology.The article was published on 2003-01-01 and is currently open access. It has received 594 citations till now. The article focuses on the topics: Levator ani & Pelvic floor.read more
Citations
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Journal ArticleDOI
Pelvic organ prolapse
TL;DR: No effective prevention strategy for prolapse has been identified, and considerations include weight loss, reduction of heavy lifting, treatment of constipation, modification or reduction of obstetric risk factors, and pelvic-floor physical therapy.
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Comparison of levator ani muscle defects and function in women with and without pelvic organ prolapse
John O.L. DeLancey,Daniel M. Morgan,Dee E. Fenner,Rohna Kearney,Kenneth E. Guire,Janis M. Miller,Hero K. Hussain,Wolfgang Umek,Yvonne Hsu,James A. Ashton-Miller +9 more
TL;DR: Women with prolapse more often have defects in the levator ani and generate less vaginal closure force during a maximal contraction than controls.
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Levator trauma after vaginal delivery.
Hans Peter Dietz,V. Lanzarone +1 more
TL;DR: Avulsion of the inferomedial aspects of the levator ani from the pelvic sidewall occurred in approximately one third of all women delivered vaginally and was associated with stress incontinence 3 months after childbirth.
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Functional anatomy of the female pelvic floor.
TL;DR: The anatomic structures in the female that prevent incontinence and genital organ prolapse on increases in abdominal pressure during daily activities include sphincteric and supportive systems.
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Obstetric factors associated with levator ani muscle injury after vaginal birth.
TL;DR: Injuries to the levator ani muscles in women after their first vaginal delivery are associated with several obstetric factors indicating difficult vaginal birth and with older age.
References
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The standardization of terminology of female pelvic organ prolapse and pelvic floor dysfunction
Richard C. Bump,Anders Mattiasson,Kari Bø,Linda Brubaker,John O.L. DeLancey,Peter Klarskov,Bob L. Shull,Anthony R. Smith +7 more
TL;DR: A standard system of terminology recently approved by the International Continence Society, the American Urogynecologic Society, and the Society of Gynecologic Surgeons for the description of female pelvic organ prolapse and pelvic floor dysfunction is presented.
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Pelvic floor damage and childbirth: a neurophysiological study.
TL;DR: It is concluded that vaginal delivery causes partial denervation of the pelvic floor (with consequent re‐innervation) in most women having their first baby.
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Epidemiology of genital prolapse : observations from the Oxford Family Planning Association study
TL;DR: The epidemiology of uterovaginal and post‐hysterectomy prolapse and its role in women's health is studied to explore the causes and treatments of prolapse.
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Effect of vaginal delivery on the pelvic floor: A 5‐year follow‐up
TL;DR: Evidence is provided for the hypothesis that pudendal neuropathy due to vaginal delivery persists and may worsen with time and for the effect of childbirth on the pelvic floor striated sphincter musculature.