scholarly journals Does levator trauma ‘heal’?

2012 ◽  
Vol 40 (5) ◽  
pp. 570-575 ◽  
Author(s):  
K. L. Shek ◽  
V. Chantarasorn ◽  
S. Langer ◽  
H. P. Dietz
Keyword(s):  
Levator Trauma

scholarly journals Episiotomy: the biomechanical impact of multiple small incisions during a normal vaginal delivery

2019 ◽  
Vol 9 (5) ◽  
pp. 20190027 ◽  
Author(s):  
Dulce Oliveira ◽  
Maria Vila Pouca ◽  
João Ferreira ◽  
Teresa Mascarenhas
Keyword(s):  
Pelvic Floor ◽  
Pelvic Floor Dysfunction ◽  
Levator Ani ◽  
Symphysis Pubis ◽  
Pelvic Floor Muscles ◽  
Point Of View ◽  
Normal Vaginal Delivery ◽  
Tissue Integrity ◽  
Levator Trauma ◽  
Reaction Forces

Childbirth-related injuries are one of the main causes of pelvic floor dysfunction. To attempt to avoid serious tears during delivery, an episiotomy can be performed. In this study, we intended to investigate the biomechanical performance of the pelvic floor muscles after performing different episiotomies using a physics-based computational model which includes the pelvic floor muscles and the fetus. Previous biomechanical studies have analysed the mechanical effects of single incisions of different lengths; in this study, we intend to analyse the implications of multiple small incisions, evaluating the reaction forces, the stress on the muscles and the loss of tissue integrity sustained by the pelvic floor. The obtained results predict that an episiotomy delivery reduces the likelihood of macroscopic levator trauma by decreasing the stress on the region of insertion of the rectal area of the levator ani in the symphysis pubis . From the mechanical point of view, multiple incisions do not bring benefits compared to larger incisions. However, nothing can be ascertained about the clinical benefit of such an approach.

OC29.03: Does levator trauma ‘heal’?

2011 ◽  
Vol 38 (S1) ◽  
pp. 52-52
Author(s):  
K. Shek ◽  
V. Wong ◽  
S. E. Langer ◽  
H. Dietz
Keyword(s):  
Levator Trauma

Do women notice the impact of childbirth-related levator trauma on pelvic floor and sexual function? Results of an observational ultrasound study

2014 ◽  
Vol 25 (10) ◽  
pp. 1389-1398 ◽  
Author(s):  
Stéphanie Thibault-Gagnon ◽  
Sara Yusuf ◽  
Suzanne Langer ◽  
Vivien Wong ◽  
Ka Lai Shek ◽  
...  
Keyword(s):  
Sexual Function ◽  
Pelvic Floor ◽  
Ultrasound Study ◽  
Levator Trauma ◽  
The Impact

scholarly journals Intrapartum translabial three-dimensional ultrasound visualization of levator trauma

2010 ◽  
Vol 37 (1) ◽  
pp. 88-92 ◽  
Author(s):  
I. Blasi ◽  
I. Fuchs ◽  
R. D'amico ◽  
V. Vinci ◽  
G. B. La Sala ◽  
...  
Keyword(s):  
Three Dimensional ◽  
Levator Trauma

scholarly journals OC29.02: Do women notice the effect of levator trauma?

2011 ◽  
Vol 38 (S1) ◽  
pp. 52-52
Author(s):  
H. Dietz ◽  
S. E. Langer ◽  
K. Shek
Keyword(s):  
Levator Trauma
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