Pelvic floor status during pregnancy as a predictor of pelvic dysfunction and birth outcome
- 作者: Bezmenko A.A.1, Staroverova A.S.1
-
隶属关系:
- S.M. Kirov Military Medical Academy
- 期: 卷 73, 编号 4 (2024)
- 页面: 85-94
- 栏目: Reviews
- URL: https://ogarev-online.ru/jowd/article/view/268543
- DOI: https://doi.org/10.17816/JOWD629250
- ID: 268543
如何引用文章
详细
This literature review presents an analysis of a number of studies that examined the association between pelvic floor health during pregnancy and the development of pelvic dysfunction and birth outcomes. These studies consistently demonstrated that changes in pelvic floor structure and function during pregnancy are associated with an increased risk of developing pelvic disorders such as urinary incontinence and pelvic organ prolapse. Besides, certain pelvic floor characteristics, such as muscle strength, tone, and stretching ability, have been identified as potential predictors of pelvic floor dysfunction during pregnancy and prolonged second-stage labor. The data collected suggest that pelvic floor assessment during pregnancy may provide valuable prognostic information about birth outcomes. Understanding these relationships may lead to improved prenatal care strategies and interventions to optimize pelvic floor function and reduce the incidence of adverse birth outcomes. Further research is required to clarify the specific parameters for evaluating pelvic floor changes that are most indicative of pelvic organ dysfunction and adverse birth outcomes, as well as to assess the efficacy of preventive interventions.
作者简介
Aleksandr Bezmenko
S.M. Kirov Military Medical Academy
Email: bezmenko@yandex.ru
ORCID iD: 0000-0003-2837-1260
SPIN 代码: 8739-9920
MD, Cand. Sci. (Medicine)
俄罗斯联邦, Saint PetersburgAnna Staroverova
S.M. Kirov Military Medical Academy
编辑信件的主要联系方式.
Email: annafrumkin@mail.ru
ORCID iD: 0000-0003-0916-4012
SPIN 代码: 5109-0579
MD
俄罗斯联邦, Saint Petersburg参考
- Tegerstedt G, Maehle-Schmidt M, Nyrén O, Hammarström M. Prevalence of symptomatic pelvic organ prolapse in a Swedish population. Int Urogynecol J Pelvic Floor Dysfunct. 2005;16(6):497–503. doi: 10.1007/s00192-005-1326-1
- Barber MD, Maher C. Epidemiology and outcome assessment of pelvic organ prolapse. Int Urogynecol J. 2013;24(11):1783–1790. doi: 10.1007/s00192-013-2169-9
- Weintraub AY, Glinter H, Marcus-Braun N. Narrative review of the epidemiology, diagnosis and pathophysiology of pelvic organ prolapse. Int Braz J Urol. 2020;46(1):5–14. doi: 10.1590/S1677-5538.IBJU.2018.0581
- Harvey MA, Chih HJ, Geoffrion R, et al. International Urogynecology Consultation Chapter 1 Committee 5: relationship of pelvic organ prolapse to associated pelvic floor dysfunction symptoms: lower urinary tract, bowel, sexual dysfunction and abdominopelvic pain. Int Urogynecol J. 2021;32(10):2575–2594. doi: 10.1007/s00192-021-04941-5
- Good MM, Solomon ER. Pelvic floor disorders. Obstet Gynecol Clin North Am. 2019;46(3):527–540. doi: 10.1016/j.ogc.2019.04.010
- Aigmueller T, Dungl A, Hinterholzer S, et al. An estimation of the frequency of surgery for posthysterectomy vault prolapse. Int Urogynecol J. 2010;21(3):299–302. doi: 10.1007/s00192-009-1033-4
- Wu JM, Vaughan CP, Goode PS, et al. Prevalence and trends of symptomatic pelvic floor disorders in U.S. women. Obstet Gynecol. 2014;123(1):141–148. doi: 10.1097/AOG.0000000000000057
- Slieker-ten Hove MC, Pool-Goudzwaard AL, Eijkemans MJ, et al. Prediction model and prognostic index to estimate clinically relevant pelvic organ prolapse in a general female population. Int Urogynecol J Pelvic Floor Dysfunct. 2009;20(9):1013–1021. doi: 10.1007/s00192-009-0903-0
- Wu JM, Hundley AF, Fulton RG, et al. Forecasting the prevalence of pelvic floor disorders in U.S. Women: 2010 to 2050. Obstet Gynecol. 2009;114(6):1278–1283. doi: 10.1097/AOG.0b013e3181c2ce96
- Kira E.F., Bejenar V.F., Kira K.E., Bezmenko A.A., et all. History of the development of urogynecology in Russia. Journal of Obstetrics and Women’s Diseases. 2011;60(1):145–153. (In Russ.) EDN: NUIXWD doi: 10.17816/JOWD89365
- Çetindağ EN, Dökmeci F, Çetinkaya ŞE, et al. Changes of pelvic organ prolapse and pelvic floor dysfunction throughout pregnancy in singleton primigravidas: a prospective cohort study. Eur J Obstet Gynecol Reprod Biol. 2021;264:141–149. doi: 10.1016/j.ejogrb.2021.07.023
- O’Boyle AL, O’Boyle JD, Calhoun B, et al. Pelvic organ support in pregnancy and postpartum. Int Urogynecol J Pelvic Floor Dysfunct. 2005;16(1):69–72. doi: 10.1007/s00192-004-1210-4
- Reimers C, Siafarikas F, Stær-Jensen J, et al. Risk factors for anatomic pelvic organ prolapse at 6 weeks postpartum: a prospective observational study. Int Urogynecol J. 2019;30(3):477–482. doi: 10.1007/s00192-018-3650-2
- Rogers RG, Leeman LM, Migliaccio L, et al. Does the severity of spontaneous genital tract trauma affect postpartum pelvic floor function? Int Urogynecol J Pelvic Floor Dysfunct. 2008;19(3):429–435. doi: 10.1007/s00192-007-0458-x
- Reimers C, Stær-Jensen JE, Siafarikas F, et al. Association between vaginal bulge and anatomical pelvic organ prolapse during pregnancy and postpartum: an observational study. Int Urogynecol J. 2018;29(3):441–448. doi: 10.1007/s00192-017-3407-3
- Wijma J, Potters AE, de Wolf BT, et al. Anatomical and functional changes in the lower urinary tract following spontaneous vaginal delivery. BJOG. 2003;110(7):658–663.
- Raz S, Zeigler M, Caine M. The effect of progesterone on the adrenergic receptors of the urethra. Br J Urol. 1973;45(2):131–135. doi: 10.1111/j.1464-410x.1973.tb12129.x
- Waltzer WC. The urinary tract in pregnancy. J Urology. 1981;125(3):271–276. doi: 10.1016/s0022-5347(17)55008-9
- Miodrag A, Castleden CM, Vallance TR. Sex hormones and the female urinary tract. Drugs. 1988;36(4):491–504. doi: 10.2165/00003495-198836040-00006
- Smith P, Heimer G, Norgren A, et al. Localization of steroid hormone receptors in the pelvic muscles. Eur J Obstet Gynecol Reprod Biol. 1993;50(1):83–85. doi: 10.1016/0028-2243(93)90169-d
- Robinson D, Toozs-Hobson P, Cardozo L. The effect of hormones on the lower urinary tract. Menopause Int. 2013;19(4):155–162. doi: 10.1177/1754045313511398
- Molinet Coll C, Martínez Franco E, Altimira Queral L, et al. Hormonal influence in stress urinary incontinence during pregnancy and postpartum. Reprod Sci. 2022;29(8):2190–2199. doi: 10.1007/s43032-022-00946-7
- Sangsawang B, Sangsawang N. Stress urinary incontinence in pregnant women: a review of prevalence, pathophysiology, and treatment. Int Urogynecol J. 2013;24(6):901–912. doi: 10.1007/s00192-013-2061-7
- Cardozo L, Cutner A. Lower urinary tract symptoms in pregnancy. Br J Urol. 1997;80 Suppl 1:14-23.
- Falkert A, Willmann A, Endress E, et al. Three-dimensional ultrasound of pelvic floor: is there a correlation with delivery mode and persisting pelvic floor disorders 18-24 months after first delivery? Ultrasound Obstet Gynecol. 2013;41(2):204–209. doi: 10.1002/uog.11214
- Phipps H, Charlton S, Dietz HP. Can antenatal education influence how women push in labour? Aust N Z J Obstet Gynaecol. 2009;49(3):274–278. doi: 10.1111/j.1479-828X.2009.00984.x
- Hextall A, Bidmead J, Cardozo L, et al. The impact of the menstrual cycle on urinary symptoms and the results of urodynamic investigation. BJOG. 2001;108(11):1193–1196. doi: 10.1111/j.1471-0528.2003.00280.x
- Francis WJ. The onset of stress incontinence. J Obstet Gynaecol Br Emp. 1960;67:899–903. doi: 10.1111/j.1471-0528.1960.tb09243.x
- Chaliha C, Bland JM, Monga A, et al. Pregnancy and delivery: a urodynamic viewpoint. BJOG. 2000;107(11):1354–1359. doi: 10.1111/j.1471-0528.2000.tb11647.x
- Meyer S, Schreyer A, De Grandi P, et al. The effects of birth on urinary continence mechanisms and other pelvic-floor characteristics. Obstet Gynecol. 1998;92(4 Pt 1):613–618. doi: 10.1016/s0029-7844(98)00248-8
- Torella M, De Franciscis P, Russo C, et al. Stress urinary incontinence: usefulness of perineal ultrasound. Radiol Med. 2014;119(3):189–194. doi: 10.1007/s11547-013-0317-4
- Sendag F, Vidinli H, Kazandi M, et al. Role of perineal sonography in the evaluation of patients with stress urinary incontinence. Aust N Z J Obstet Gynaecol. 2003;43(1):54–57. doi: 10.1046/j.0004-8666.2003.00012.x
- Pregazzi R, Sartore A, Bortoli P, et al. Perineal ultrasound evaluation of urethral angle and bladder neck mobility in women with stress urinary incontinence. BJOG. 2002;109(7):821–827. doi: 10.1111/j.1471-0528.2002.01163.x
- Onofriescu M, Nemescu D. Evaluation of patients with stress urinary incontinence by perineal ultrasound. Ultrasound Obstet Gynecol. 2005;26(4):460. doi: 10.1002/uog.2545
- Al-Saadi WI. Transperineal ultrasonography in stress urinary incontinence: The significance of urethral rotation angles. Arab J Urol. 2016;14(1):66–71. doi: 10.1016/j.aju.2015.11.003
- Yang JM, Huang WC. Discrimination of bladder disorders in female lower urinary tract symptoms on ultrasonographic cystourethrography. J Ultrasound Med. 2002;21(11):1249–1255. doi: 10.7863/jum.2002.21.11.1249
- Peschers UM, Fanger G, Schaer GN, et al. Bladder neck mobility in continent nulliparous women. BJOG. 2001;108(3):320–324. doi: 10.1111/j.1471-0528.2001.00066.x
- King JK, Freeman RM. Is antenatal bladder neck mobility a risk factor for postpartum stress incontinence? Br J Obstet Gynaecol. 1998;105(12):1300–1307. doi: 10.1111/j.1471-0528.1998.tb10009.x
- Toozs-Hobson P, Balmforth J, Cardozo L, et al. The effect of mode of delivery on pelvic floor functional anatomy. Int Urogynecol J Pelvic Floor Dysfunct. 2008;19(3):407–416. doi: 10.1007/s00192-007-0455-0
- van Veelen A, Schweitzer K, van der Vaart H. Ultrasound assessment of urethral support in women with stress urinary incontinence during and after first pregnancy. Obstet Gynecol. 2014;124(2 Pt 1):249–256. doi: 10.1097/AOG.0000000000000355
- Lanzarone V, Dietz HP. Three-dimensional ultrasound imaging of the levator hiatus in late pregnancy and associations with delivery outcomes. Aust N Z J Obstet Gynaecol. 2007;47(3):176–180. doi: 10.1111/j.1479-828X.2007.00714.x
- van Veelen GA, Schweitzer KJ, van Hoogenhuijze NE, et al. Association between levator hiatal dimensions on ultrasound during first pregnancy and mode of delivery. Ultrasound Obstet Gynecol. 2015;45(3):333–338. doi: 10.1002/uog.14649
- Siafarikas F, Stær-Jensen J, Hilde G, et al. Levator hiatus dimensions in late pregnancy and the process of labor: a 3- and 4-dimensional transperineal ultrasound study. Am J Obstet Gynecol. 2014;210(5):484.e1–484.e4847. doi: 10.1016/j.ajog.2014.02.021
- Ornö AK, Dietz HP. Levator co-activation is a significant confounder of pelvic organ descent on Valsalva maneuver. Ultrasound Obstet Gynecol. 2007;30(3):346–350. doi: 10.1002/uog.4082
- Raimondo D, Youssef A, Mabrouk M, et al. Pelvic floor muscle dysfunction on 3D/4D transperineal ultrasound in patients with deep infiltrating endometriosis: a pilot study. Ultrasound Obstet Gynecol. 2017;50(4):527–532. doi: 10.1002/uog.17323
- Raimondo D, Cocchi L, Raffone A, et al. Pelvic floor dysfunction at transperineal ultrasound and chronic constipation in women with endometriosis. Int J Gynaecol Obstet. 2022;159(2):505–512. doi: 10.1002/ijgo.14088
- Del Forno S, Arena A, Pellizzone V, et al. Assessment of levator hiatal area using 3D/4D transperineal ultrasound in women with deep infiltrating endometriosis and superficial dyspareunia treated with pelvic floor muscle physiotherapy: randomized controlled trial. Ultrasound Obstet Gynecol. 2021;57(5):726–732. doi: 10.1002/uog.23590
- Youssef A, Brunelli E, Fiorentini M, et al. The correlation between levator ani co-activation and fetal head regression on maternal pushing at term. J Matern Fetal Neonatal Med. 2022;35(25):9654–9660. doi: 10.1080/14767058.2022.2050363
- Naqvi M, Jaffe EF, Goldfarb IT, et al. Prolonged second stage of labor and anal sphincter injury in a contemporary cohort of term nulliparas. Am J Perinatol. 2022;39(9):937–943. doi: 10.1055/s-0040-1718878
- Abbas RA, Qadi YH, Bukhari R, et al. Maternal and neonatal complications resulting from vacuum-assisted and normal vaginal deliveries. Cureus. 2021;13(5). doi: 10.7759/cureus.14962
- Hagen S, Glazener C, McClurg D, et al. Pelvic floor muscle training for secondary prevention of pelvic organ prolapse (PREVPROL): a multicentre randomised controlled trial. Lancet. 2017;389(10067):393–402. doi: 10.1016/S0140-6736(16)32109-2
- Hagen S, Stark D. Conservative prevention and management of pelvic organ prolapse in women. Cochrane Database Syst Rev. 2011;(12). doi: 10.1002/14651858.CD003882.pub4
- Woodley SJ, Boyle R, Cody JD, et al. Pelvic floor muscle training for prevention and treatment of urinary and faecal incontinence in antenatal and postnatal women. Cochrane Database Syst Rev. 2017;12(12). doi: 10.1002/14651858.CD007471.pub3
- Pelaez M, Gonzalez-Cerron S, Montejo R, et al. Pelvic floor muscle training included in a pregnancy exercise program is effective in primary prevention of urinary incontinence: a randomized controlled trial. Neurourol Urodyn. 2014;33(1):67–71. doi: 10.1002/nau.22381
- King JK, Freeman RM. Is antenatal bladder neck mobility a risk factor for postpartum stress incontinence? Br J Obstet Gynaecol. 1998;105(12):1300–1307. doi: 10.1111/j.1471-0528.1998.tb10009.x
- Ferrero S, Alessandri F, Racca A, et al. Treatment of pain associated with deep endometriosis: alternatives and evidence. Fertil Steril. 2015;104(4):771–792. doi: 10.1016/j.fertnstert.2015.08.031
- Salvesen KA, Mørkved S. Randomised controlled trial of pelvic floor muscle training during pregnancy. BMJ. 2004;329(7462):378–380. doi: 10.1136/bmj.38163.724306.3A
- Phipps H, Charlton S, Dietz HP. Can antenatal education influence how women push in labour? Aust N Z J Obstet Gynaecol. 2009;49(3):274–278. doi: 10.1111/j.1479-828X.2009.00984.x
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