Association between pelvic floor dysfunction, and clinical and ultrasonographic evaluation in primiparous women: a cross-sectional study

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dc.creatorGlaucia Miranda Varellapereira
dc.creatorZilma Silveira Nogueira Reis
dc.creatorBeatriz Deoti e Silva Rodrigues
dc.creatorKelly Cristine Lacerda Rodrigues Buzatti
dc.creatorMaria Cristina da Cruz
dc.creatorMarilene Vale de Castro Monteiro
dc.date.accessioned2023-07-14T19:22:51Z
dc.date.accessioned2025-09-08T23:20:52Z
dc.date.available2023-07-14T19:22:51Z
dc.date.issued2018-06-14
dc.format.mimetypepdf
dc.identifier.doihttps://doi.org/10.1007/s00404-018-4811-8
dc.identifier.issn09320067
dc.identifier.urihttps://hdl.handle.net/1843/56250
dc.languageeng
dc.publisherUniversidade Federal de Minas Gerais
dc.relation.ispartofArchives of Gynecology and Obstetrics
dc.rightsAcesso Aberto
dc.subjectUltrassonografia
dc.subjectParto
dc.subject.otherVaginal delivery
dc.subject.otherPelvic floor dysfunction
dc.subject.otherUltrasound
dc.subject.otherChildbirth
dc.titleAssociation between pelvic floor dysfunction, and clinical and ultrasonographic evaluation in primiparous women: a cross-sectional study
dc.typeArtigo de periódico
local.citation.epage352
local.citation.spage345
local.citation.volume20
local.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.
local.publisher.countryBrasil
local.publisher.departmentMED - DEPARTAMENTO DE CIRURGIA
local.publisher.departmentMED - DEPARTAMENTO DE CLÍNICA MÉDICA
local.publisher.departmentMED - DEPARTAMENTO DE GINECOLOGIA OBSTETRÍCIA
local.publisher.initialsUFMG
local.url.externahttps://link.springer.com/article/10.1007/s00404-018-4811-8

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