Effects of pregnancy and childbirth on pelvic floor morphology and sexual function in Egyptian women

Evaluation of levator ani muscle integrity in early postpartum period using three dimensional pelvic floor translabial ultrasound, in women after vaginal versus elective or urgent cesarean section, and study of its effects on sexual function in Egyptian women.

Status

Completed

Phases

Unknown

Study type

Observational

Source

ANZCTR

Registry ID

ACTRN12614000904673

Enrollment

120

Registered

2014-08-25

Start date

2013-05-29

Completion date

2014-02-10

Last updated

2022-03-07

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

None listed

Brief summary

To evaluate levator ani morphology following normal vaginal delivery and cesarean section (elective and emergent), using three-dimensional (3D) ultrasound, and to study the effect of mode of delivery on female sexual function.

Interventions

1- transperineal pelvic floor ultrasound applied for the submitted 120 women "primiparae" (40 women after normal vaginal delivery), (40 women after urgent cesarean section), (40 women after elective cesarean section), in early postpartum period (48 to 72) hours postpartum, to evaluate levator ani morphology, according to Edessy Pelvic floor Integrity Score (EPIS), This is a unique scoring system based on trans-perineal ultrasonographic evaluation of levator ani muscle morphology and biometric measures. This scoring system has 4 items (levator hiatus area LHA), (levator ani avulsion side), (levato urethral gap LUG), and (levator ani avulsion size), Score from 0 to= 3 considered severely malfunctioning female pelvic floor. Score from 4 to= 6 considered mildly malfunctioning female pelvic floor. Score > 6 up to 8 considered well-functioning female pelvic floor. 2- answering of the validated female sexual function index (F.S.F.I) three months postpartum period for same cases submitted to ultrasound.

Eligibility

Sex/Gender

All

Age

0 to No maximum

Healthy volunteers

Inclusion criteria

primiparae in early postpartum period (48 hours to72 hours). written consent was taken. easy communicable, reachable women for further requirements.

Exclusion criteria

1. Refused consent. 2. Previous vaginal or cesarean delivery. 3. Severe mental illness. 4. Severe physical handicap or difficulties in communication. 5. Women without postpartum active sexual life or separate from their spouse. 6. Past history of sexual dysfunction.

Outcome results