دورية أكاديمية

A prospective observational study on the influence of the difficulty of forceps application and the avulsion of the levator ani muscle

التفاصيل البيبلوغرافية
العنوان: A prospective observational study on the influence of the difficulty of forceps application and the avulsion of the levator ani muscle
المؤلفون: José Antonio García-Mejido, Ana Fernández-Palacín, Rocio García-Jimenez, Laura Castro Portillo, Adriana Aquise, José Antonio Sainz Bueno
المصدر: Clinical and Experimental Obstetrics & Gynecology, Vol 49, Iss 3, p 67 (2022)
بيانات النشر: IMR Press, 2022.
سنة النشر: 2022
المجموعة: LCC:Gynecology and obstetrics
مصطلحات موضوعية: 3d transperineal ultrasound, pelvic floor, delivery, levator ani muscle, forceps delivery, Gynecology and obstetrics, RG1-991
الوصف: Background: To compare the rate of levator ani muscle (LAM) avulsion between normal deliveries (ND) and forceps deliveries (FD) and to determine whether the difficulty of forceps application in FD is related to the occurrence of LAM avulsion. Methods: This prospective observational study included 240 primiparous patients (125 ND and 115 FD). FD were classified according to the difficulty of forceps application. The application was considered difficult if the fetal head was in a transverse position or if it was midforceps (head engaged by the leading part was above +2 stations) with the fetal head in the occipito-posterior position; otherwise, the application was considered easy. Ultrasound evaluation was performed 6 months after delivery, and complete avulsion was diagnosed when there was abnormal insertion of the LAM in all three central slices. Results: There were statistically significant differences between the ND and FD groups in the presence of LAM avulsion (15.6% vs. 38.3%; p < 0.0005), with a crude Odds Ratio (OR) of 3.36 and an adjusted OR of 4.219. However, there were no statistically significant differences in the LAM avulsion rates between the easy and difficult application groups (34.2% vs. 45.2%; p: 0.244). Conclusions: FD have higher rates of LAM avulsion than ND, although the difficulty of forceps application does not have an influence on the rates of LAM avulsion.
نوع الوثيقة: article
وصف الملف: electronic resource
اللغة: English
تدمد: 0390-6663
Relation: https://www.imrpress.com/journal/CEOG/49/3/10.31083/j.ceog4903067; https://doaj.org/toc/0390-6663
DOI: 10.31083/j.ceog4903067
URL الوصول: https://doaj.org/article/6265f0a20d8f4321925ff463e2a430c2
رقم الأكسشن: edsdoj.6265f0a20d8f4321925ff463e2a430c2
قاعدة البيانات: Directory of Open Access Journals
الوصف
تدمد:03906663
DOI:10.31083/j.ceog4903067