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Arch Gynecol Obstet. 2007 Aug;276(2):133-8.

Does water delivery affect pelvic floor? Ultrasound evaluation of perineal function.

Author information

1
Ospedale San Martino, Dipartimento di Ginecologia e Ostetricia, University of Genova, Padiglione 1, I piano, Largo R. Benzi, 16100 Genova, Italy mistrangelo.e@libero.it

Abstract

OBJECTIVE:

The aim of the study is to analyse urethral mobility and excursion of the pubo-rectal angle, using perineal ultrasound, after normal vaginal delivery and water delivery.

MATERIALS AND METHODS:

A total of 52 primiparous women were enrolled: 25 who had delivery in water (W Group), 27 who had delivery without using water (NW Group). Every woman underwent perineal ultrasound assessment at 6 months after having given birth. The following parameters were assessed: urethral mobility during Valsalva's manoeuvre, movement of the puborectal sling angle during contraction of the levator ani muscle.

RESULTS:

Data obtained show that the urethral mobility during Valsalva's manoeuvre is higher in the W Group (34.9 degrees) in comparison to the NW Group (29.5 degrees), without statistically significant differences. The excursion of the pubo-rectal sling angle resulted lower in the W Group (8.7 degrees) than in the NW Group (11.0 degrees), without statistically significant differences.

CONCLUSION:

The present study found no statistically differences in pelvic floor, using perineal ultrasound, between water and "non-water" delivery.

PMID:
17285339
DOI:
10.1007/s00404-007-0322-8
[Indexed for MEDLINE]

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