Document Detail

The effect of pregnancy and childbirth on pelvic floor muscle function.
MedLine Citation:
PMID:  21789660     Owner:  NLM     Status:  Publisher    
INTRODUCTION AND HYPOTHESIS: The effect of pregnancy and mode of delivery on pelvic floor muscle function (PFMF) is unclear. Our aim was to prospectively evaluate the effect of pregnancy and childbirth on PFMF. METHODS: Subjective (Oxford scale) and objective (perineometry) assessments of PFMF were performed at 20 and 36 weeks gestation and at 14 weeks and 12 months after delivery. The resting pressure (RP) and the maximum squeeze pressure (MSP) were recorded. RESULTS: Four hundred three women (182 nulliparous and 221 multiparous) were recruited. Two hundred ninety-four (73%) delivered vaginally and 92 (23%) by caesarean section. RP and MSP improved significantly (p < 0.01) during pregnancy. After childbirth, a significant decrease in PFMF was demonstrated, which recovered completely by 1 year in majority of women. CONCLUSIONS: There appears to be a physiological increment in PFMF during pregnancy. The pelvic floor weakens temporarily after childbirth but contractility appears to recover by 1 year irrespective of the mode of delivery.
Ksena Elenskaia; Ranee Thakar; Abdul Hameed Sultan; Inka Scheer; Andrew Beggs
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2011-7-26
Journal Detail:
Title:  International urogynecology journal and pelvic floor dysfunction     Volume:  -     ISSN:  1433-3023     ISO Abbreviation:  -     Publication Date:  2011 Jul 
Date Detail:
Created Date:  2011-7-26     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9514583     Medline TA:  Int Urogynecol J Pelvic Floor Dysfunct     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Croydon University Hospital, 530 London Road, Croydon, CR7 7YE, UK.
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