Impact of the type of vaginal assisted delivery on the pelvic floor and OASI - Ultrasound study

Result code in IS VaVaI

<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00064165%3A_____%2F25%3A10489930" target="_blank" >RIV/00064165:_____/25:10489930 - isvavai.cz</a>

Alternative codes found

RIV/00216208:11110/25:10489930

Result on the web

<a href="https://verso.is.cuni.cz/pub/verso.fpl?fname=obd_publikace_handle&handle=FQUK15M_-p" target="_blank" >https://verso.is.cuni.cz/pub/verso.fpl?fname=obd_publikace_handle&handle=FQUK15M_-p</a>

DOI - Digital Object Identifier

<a href="http://dx.doi.org/10.1016/j.ejogrb.2024.12.023" target="_blank" >10.1016/j.ejogrb.2024.12.023</a>

Result language

angličtina

Original language name

Impact of the type of vaginal assisted delivery on the pelvic floor and OASI - Ultrasound study

Original language description

Objective: To assess the prevalence of pelvic floor and anal sphincter trauma in women after assisted vaginal delivery. Methods: Retrospective study on 201 primiparous women after assisted vaginal delivery, control group 43 women after normal vaginal delivery. 4D translabial ultrasound examination of the levator ani and the anal sphincter was performed according to standard methodology at least 3 months postpartum. Ultrasound classification of trauma was performed by two independent evaluators blinded to clinical data. A third evaluator was asked to confirm findings in case of discrepancy. Results: The LAM avulsion rate for normal delivery was 20.9%, for forceps 60%, for vacuum extraction 21.7% Odds ratio for forceps vs. NVD was 4.32 (1.69, 11.01), for vacuum vs. NVD 0.98 (0.409, 2.327). Ultrasound OASI rate was 33.3% for Forceps and 30.50% for Vacuum. This equated to an OR of 1.78 (0.85 - 3.10) for Forceps and 1.62 (0.85-3.10) for Vacuum relative to NVD. Conclusions: Our data confirm forceps as the major risk factor for levator avulsion. Forceps also implies a nonsignificantly higher risk of OASI compared to NVD.

Czech name

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Czech description

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Type

J_imp - Article in a specialist periodical, which is included in the Web of Science database

CEP classification

—

OECD FORD branch

30214 - Obstetrics and gynaecology

Project

—

Continuities

I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace

Publication year

2025

Confidentiality

S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Name of the periodical

European Journal of Obstetrics &amp; Gynecology and Reproductive Biology

ISSN

0301-2115

e-ISSN

1872-7654

Volume of the periodical

305

Issue of the periodical within the volume

February

Country of publishing house

IE - IRELAND

Number of pages

5

Pages from-to

142-146

UT code for WoS article

001391657600001

EID of the result in the Scopus database

2-s2.0-85212208145