Abstract
To determine the influence of spontaneous and instrumented vaginal delivery on objective measures of pelvic organ support. Prospective study at a university hospital with two study groups: vaginal spontaneous delivery (n = 26) and vacuum extraction (n = 49). Control group consisted of healthy nulliparous volunteers (n = 20). Participants underwent pelvic organ support evaluation by use of the pelvic organ prolapse quantification (POPQ) examination and postpartum functional cine magnetic resonance imaging (MRI). Significant differences for individual POPQ component measurements were noted for points Aa and Ba, TVL, and GH (spontaneous delivery versus control) and in addition for Ap, Bp, and D (vacuum extraction versus control). Significant differences for MRI measurements were observed for the position of bladder base, bladder neck, posterior fornix of the vagina, anorectal junction, hiatus perimeter and depth of rectocele. Considerable changes in pelvic organ support after vaginal delivery can be demonstrated by a reproducible and reliable clinical classification system (POPQ) and by functional cine magnetic resonance imaging.
References
May 1, 1992·British Journal of Obstetrics and Gynaecology·M P VesseyD Yeates
Aug 1, 1991·Diseases of the Colon and Rectum·K YoshiokaI Sawaragi
Sep 1, 1990·Journal of Obstetric, Gynecologic, and Neonatal Nursing : JOGNN·C M Sampselle
May 1, 1989·Nursing Research·C M SampselleT J Wells
Jul 1, 1995·Diseases of the Colon and Rectum·W E AltringerC S Smith
Dec 1, 1993·Clinical Obstetrics and Gynecology·J O DeLancey
Dec 1, 1996·American Journal of Obstetrics and Gynecology·A F HallR C Bump
Apr 1, 1997·Obstetrics and Gynecology·A L OlsenA L Clark
Mar 22, 1997·BMJ : British Medical Journal·S Jackson, P Smith
May 1, 1997·British Journal of Obstetrics and Gynaecology·J MantM Vessey
Jan 1, 1997·European Radiology·A LienemannM Reiser
Feb 4, 1999·AJR. American Journal of Roentgenology·D D MaglinteJ T Benson
Feb 13, 1999·American Journal of Obstetrics and Gynecology·E C SamuelssonK F Svärdsudd
Jul 9, 1999·AJR. American Journal of Roentgenology·F M KelvinJ T Benson
Aug 3, 2000·Journal of Perinatal Medicine·C Dannecker, C Anthuber
Dec 12, 2000·Radiographics : a Review Publication of the Radiological Society of North America, Inc·H K PannuE K Fishman
Mar 27, 2001·AJR. American Journal of Roentgenology·M UnterwegerR A Kubik-Huch
Mar 13, 2002·Lancet·Jane Feinmann
Citations
May 7, 2010·International Urogynecology Journal·M A T BortoliniM Alarab
Sep 1, 2011·Archives of Gynecology and Obstetrics·Carolin StraussAlexander Strauss
Aug 26, 2006·Current Opinion in Obstetrics & Gynecology·Hans Peter Dietz
Jun 29, 2011·Gynecologic and Obstetric Investigation·I Diez-ItzaC Sarasqueta
Jun 1, 2005·European Journal of Obstetrics, Gynecology, and Reproductive Biology·Samir Hidar, Hédi Khaïri
Jan 4, 2006·American Journal of Obstetrics and Gynecology·Gunilla TegerstedtMargareta Hammarström
Apr 8, 2006·The Journal of Urology·Ju Tae Seo, Joo Myung Kim
Aug 19, 2007·Ultrasound in Obstetrics & Gynecology : the Official Journal of the International Society of Ultrasound in Obstetrics and Gynecology·A K Ornö, H P Dietz
Oct 27, 2009·Current Opinion in Obstetrics & Gynecology·Charlotte Chaliha
Apr 12, 2020·International Urogynecology Journal·Nina KimmichMartina Kreft
Aug 18, 2020·American Journal of Obstetrics and Gynecology·Ingrid E NygaardJanet M Shaw
May 8, 2020·Zeitschrift für Geburtshilfe und Neonatologie·Nina KimmichMartina Kreft
Dec 29, 2021·Neurourology and Urodynamics·Shin KumagaiYasukuni Yoshimura