TY - JOUR
T1 - Pregnancy, labor and delivery
T2 - The pelvic floor injury
AU - Hadi, Efrat
AU - Groutz, Asnat
AU - Gold, Ronen
AU - Lessing, Joseph
AU - Gordon, David
PY - 2004/7
Y1 - 2004/7
N2 - The association between pregnancy, labor and delivery, and pelvic floor injury is well known. Pregnancy itself may be associated with some injury, but the main damage occurs during vaginal delivery. It is well documented that vaginal delivery may cause denervation of the pelvic floor as well as direct injury to muscles and connective tissue. These injuries may lead to the development of stress urinary incontinence, anal incontinence, voiding difficulties, and/or urogenital prolapse. Previous studies showed correlation between various obstetric risk factors and the development of these symptoms, however, there is no consensus regarding the relative contribution of the different parameters. Moreover, the apparently protective effect of cesarean section is questionable. Further studies are required to define obstetric risk factors as well as patients at increased risk. These factors should be taken into consideration in modern obstetric practice.
AB - The association between pregnancy, labor and delivery, and pelvic floor injury is well known. Pregnancy itself may be associated with some injury, but the main damage occurs during vaginal delivery. It is well documented that vaginal delivery may cause denervation of the pelvic floor as well as direct injury to muscles and connective tissue. These injuries may lead to the development of stress urinary incontinence, anal incontinence, voiding difficulties, and/or urogenital prolapse. Previous studies showed correlation between various obstetric risk factors and the development of these symptoms, however, there is no consensus regarding the relative contribution of the different parameters. Moreover, the apparently protective effect of cesarean section is questionable. Further studies are required to define obstetric risk factors as well as patients at increased risk. These factors should be taken into consideration in modern obstetric practice.
KW - Anal incontinence
KW - Labor
KW - Pelvic floor
KW - Pregnancy
KW - Stress urinary incontinence
KW - Urogenital prolapse
KW - Voiding dysfunction
UR - http://www.scopus.com/inward/record.url?scp=3442883452&partnerID=8YFLogxK
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AN - SCOPUS:3442883452
SN - 0017-7768
VL - 143
SP - 525-529+547
JO - Harefuah
JF - Harefuah
IS - 7
ER -