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- W3030569475 abstract "Objective To investigate the influence of different modes of delivery on primiparae's pelvic floor structure and function change.Methods 250 cases delivering through caesarean section (C-section group) and 250 cases delivering vaginally (natural labor group) were chosen,then their pelvic floors were checked by three-dimensional uhrasonography 6-8 weeks after the delivery.The signs of anterior,middle,and posterior pelvic prolapse were observed and the bladder neck down distance and the urethral transfer angle were measured during Valsalva maneuver.The changes were observed and the areas of levator hiatal were measured when the patients was in rest,Shrinkage anal maneuver,and Valsalva maneuver.Results More cases occurred more severe pelvic organ prolapse in the natural labor group than in the C-section group (P ＜ 0.05).During Valsalva maneuver,the bladder neck down distance was longer and the urethral teansfer angle was larger in the natural labor group than in the C-section group (P ＜ 0.05).When the patients were in rest,Shrinkage anal maneuver,and Valsalva maneuver,the areas of levator hiatal were larger in the natural labor group than in the C-section group (P ＜ 0.05).Conclusions Natural labor is more harmful to primiparae's pelvic floor structure and function than C-section.Three-dimensional ultrasonography is a simple and objective method for postpartum pelvic floor dysfunction screening and worth being generalized.Key words: Three-dimensional ultrasonography; Delivery mode; Primipara; Pelvic organ prolapse; Levator hiatal" @default.
- W3030569475 created "2020-06-05" @default.
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- W3030569475 date "2014-05-15" @default.
- W3030569475 modified "2023-09-23" @default.
- W3030569475 title "Three-dimensional ultrasonography for evaluating pelvic floor structure and function change after delivery through different modes in primiparae" @default.
- W3030569475 doi "https://doi.org/10.3760/cma.j.issn.1007-1245.2014.10.033" @default.
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