Journal
INTERNATIONAL JOURNAL OF WOMENS HEALTH
Volume 14, Issue -, Pages 1149-1159Publisher
DOVE MEDICAL PRESS LTD
DOI: 10.2147/IJWH.S361755
Keywords
pregnancy; pelvic floor dysfunction; ultrasound; transperineal
Categories
Funding
- Scientific Research Fund of the Wenzhou Science and Technology Division [Y20180755]
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Transperineal pelvic floor ultrasound can evaluate the changes in pelvic floor tissue structure and function between pregnant and non-pregnant women. This method provides a high-resolution view of the pelvic floor changes during pregnancy, offering a theoretical basis for the early diagnosis and prevention of female pelvic floor dysfunction.
Objective: To evaluate the changes of pelvic floor tissue structure and function between pregnant and non-pregnant women from the view of transperineal pelvic floor ultrasound.Methods: Thirty-eight cases of women with a second singleton pregnancy and thirty-two cases of women with a first singleton pregnancy underwent transperineal pelvic floor ultrasound, and their results were compared with forty-two cases of healthy nonpregnant women.Results: The differences of bladder neck descent (BND), rectal ampulla distance and levator hiatus area (LHA) among the three groups were statistically significant (P<0.05), and the differences of BND, rectal ampulla distance, LHA between the women with a second singleton pregnancy group and non-pragnent group were statistically significant (P<0.05). The BND, retrovesical angle at rest (RVA-R) and retrovesical angle underwent Valsalva maneuver (RVA-V) in the group of stress urinary incontinence (SUI) during pregnancy were larger than those in non-SUI group, with significant difference (P<0.05), especially BND and RVA-V (P = 0.00).Conclusion: Transperineal pelvic floor ultrasound has a high resolution of pelvic floor structure and function changes during pregnancy, and can dynamically evaluate pelvic floor function, providing a theoretical basis for early diagnosis and prevention of female pelvic floor dysfunction (FPFD) in subsequent pregnancies.
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