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Please use this identifier to cite or link to this item: http://hdl.handle.net/1843/56250
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dc.creatorGlaucia Miranda Varellapereirapt_BR
dc.creatorZilma Silveira Nogueira Reispt_BR
dc.creatorBeatriz Deoti e Silva Rodriguespt_BR
dc.creatorKelly Cristine Lacerda Rodrigues Buzattipt_BR
dc.creatorMaria Cristina da Cruzpt_BR
dc.creatorMarilene Vale de Castro Monteiropt_BR
dc.date.accessioned2023-07-14T19:22:51Z-
dc.date.available2023-07-14T19:22:51Z-
dc.date.issued2018-06-14-
dc.citation.volume20pt_BR
dc.citation.spage345pt_BR
dc.citation.epage352pt_BR
dc.identifier.doihttps://doi.org/10.1007/s00404-018-4811-8pt_BR
dc.identifier.issn09320067pt_BR
dc.identifier.urihttp://hdl.handle.net/1843/56250-
dc.description.resumoPurpose: Disorders related to pelvic floor include urinary incontinence (UI), anal incontinence, pelvic organ prolapse, sexual dysfunction and pelvic pain. Because pelvic floor dysfunctions (PFD) can be diagnosed clinically, imaging techniques serve as auxiliary tools for establishing an accurate diagnosis. The objective is to evaluate the PFD in primiparous women after vaginal delivery and the association between clinical examination and three-dimensional ultrasonography (3DUS).Methods: A cross-sectional study was conducted in a in tertiary maternity. All primiparous women with vaginal deliveries that occurred between January 2013 and December 2015 were invited. Women who attended the invitation underwent detailed anamnesis, questionnaire application, physical examination and endovaginal and endoanal 3DUS. Crude and adjusted predictor factors for PFD were analyzed. Results Fifty women were evaluated. Sexual dysfunction was the most prevalent PFD (64.6%). When associated with clinical features and PFD, oxytocin use increased by approximately four times the odds of UI (crude OR 4.182, 95% CI 1.149–15.219). During the multivariate analysis, the odds of UI were increased in forceps use by approximately 11 times (adjusted OR 11.552, 95% CI 11.155–115.577). When the clinical and obstetrical predictors for PFD were associated with 3DUS, forceps increased the odds of lesion of the pubovisceral muscle and anal sphincter diagnosed by 3DUS by sixfold (crude OR 6.000, 95% CI 1.172–30.725), and in multivariate analysis forceps again increased the odds of injury by approximately 7 times (adjusted OR 7.778, 95% CI 1.380–43.846).Conclusion: Sexual dysfunction was the most frequent PFD. The use of forceps in primiparous women was associated with a greater chance of UI and pelvic floor muscle damage diagnosed by 3DUS.pt_BR
dc.format.mimetypepdfpt_BR
dc.languageengpt_BR
dc.publisherUniversidade Federal de Minas Geraispt_BR
dc.publisher.countryBrasilpt_BR
dc.publisher.departmentMED - DEPARTAMENTO DE CIRURGIApt_BR
dc.publisher.departmentMED - DEPARTAMENTO DE CLÍNICA MÉDICApt_BR
dc.publisher.departmentMED - DEPARTAMENTO DE GINECOLOGIA OBSTETRÍCIApt_BR
dc.publisher.initialsUFMGpt_BR
dc.relation.ispartofArchives of Gynecology and Obstetrics-
dc.rightsAcesso Abertopt_BR
dc.subjectVaginal deliverypt_BR
dc.subjectPelvic floor dysfunctionpt_BR
dc.subjectUltrasoundpt_BR
dc.subjectChildbirthpt_BR
dc.subject.otherUltrassonografiapt_BR
dc.subject.otherPartopt_BR
dc.titleAssociation between pelvic floor dysfunction, and clinical and ultrasonographic evaluation in primiparous women: a cross-sectional studypt_BR
dc.typeArtigo de Periódicopt_BR
dc.url.externahttps://link.springer.com/article/10.1007/s00404-018-4811-8pt_BR
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