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

Kód výsledku v 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>

Nalezeny alternativní kódy

RIV/00216208:11110/25:10489930

Výsledek na webu

<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>

Jazyk výsledku

angličtina

Název v původním jazyce

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

Popis výsledku v původním jazyce

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.

Název v anglickém jazyce

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

Popis výsledku anglicky

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.

Druh

J_imp - Článek v periodiku v databázi Web of Science

CEP obor

—

OECD FORD obor

30214 - Obstetrics and gynaecology

Projekt

—

Návaznosti

I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace

Rok uplatnění

2025

Kód důvěrnosti údajů

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

Název periodika

European Journal of Obstetrics &amp; Gynecology and Reproductive Biology

ISSN

0301-2115

e-ISSN

1872-7654

Svazek periodika

305

Číslo periodika v rámci svazku

February

Stát vydavatele periodika

IE - Irsko

Počet stran výsledku

5

Strana od-do

142-146

Kód UT WoS článku

001391657600001

EID výsledku v databázi Scopus

2-s2.0-85212208145