Zwangerschap / Pregnancy Bevalling / Delivery Niet vorderende uitdrijving / Failure to progress Spierherstel / Muscle regeneration
Conditions
Interventions
Performing ultrasound assessment of the pelvic floor, cervix, myometrium and vastus lateralis muscle at 12 weeks gestation. Twenty patients of the UMCU (UVC/WKZ) will have intensive follow-up after va
Sponsors
Prof. Dr. C.H. van der Vaart, gynaecologist
University Medical Centre Utrecht
Eligibility
Inclusion criteria
Inclusion criteria: -Nulliparous women -Singleton pregnancy -Good knowledge of Dutch language -Signed informed consent
Exclusion criteria
Exclusion criteria: -Age <18 years -History of pelvic organ prolapse or incontinence surgery -History of surgery in the uterus (indication for Caesarean section) -Connective tissue disease -Not allowed to do a maximum Valsalva maneuver because of cardiac or pulmonary disease
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Mean echogenicity of the puborectalis muscle (MEP) at 12 weeks gestation in the different delivery groups (vaginal delivery versus secondary Caesarean section due to failure of progress). | — |
Secondary
| Measure | Time frame |
|---|---|
| Mean echogenicity of the cervix, myometrium and vastus lateralis muscle at 12 weeks gestation in the two groups. Mean echogenicity and distribution of different echogenicity of the puborectalis muscle and the change in echogenicity during recovery/regeneration after vaginal delivery. | — |
Contacts
Public ContactM.K. Waarsenburg, van de
Outcome results
None listed