ArticleInternational urogynecology journal2015
Biomechanical pregnant pelvic system model and numerical simulation of childbirth: impact of delivery on the uterosacral ligaments, preliminary results.
Article in International urogynecology journal, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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Who cites it
9 citing papers in PubMed.
- Machine Learning Prediction of Vaginal Tissue Tears Using Finite Element Simulations Informed by Planar Biaxial Testing.Annals of biomedical engineering · 2026Article
- Computational modeling of vacuum-assisted delivery: biomechanics of maternal soft tissues.Biomechanics and modeling in mechanobiology · 2025Article
- Finite element modeling in obstetrics and gynecology: advances, applications, and challenges.Frontiers in medicine · 2025Review
- On the uncertainty quantification of the active uterine contraction during the second stage of labor simulation.Medical & biological engineering & computing · 2024Article
- Parametric Solid Models of the At-Term Uterus From Magnetic Resonance Images.Journal of biomechanical engineering · 2024Article
- Multiphysics and multiscale modeling of uterine contractions: integrating electrical dynamics and soft tissue deformation with fiber orientation.Medical & biological engineering & computing · 2024Article
- Fast soft-tissue deformations coupled with mixed reality toward the next-generation childbirth training simulator.Medical & biological engineering & computing · 2023Article
- Comparative anatomy on 3-D MRI of the urogenital sinus and the periurethral area before and during the second stage of labor during childbirth.Surgical and radiologic anatomy : SRA · 2018Article
- Pregnancy impact on uterosacral ligament and pelvic muscles using a 3D numerical and finite element model: preliminary results.International urogynecology journal · 2018Article
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Authors and funding
7 authors.
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Abstract
introduction and hypothesisWe created a pregnant woman pelvic model to perform a simulation of delivery to understand the pathophysiology of urogenital prolapse by studying the constraints on the pelvic components (muscles, ligaments, pelvic organs) during childbirth. These simulations will also provide valuable tools to understand and teach obstetrical mechanics.
methodsWe built a numerical model of the pelvic system from a term pregnant woman, using the finite element method on a mesh built from magnetic resonance images of a nulliparous pregnant woman. Mechanical properties of pelvic tissues already determined by the team were adapted to account for pregnancy.
resultsThe system allows delivery to be simulated. When a fetal head at the 50th percentile for the term goes through the pelvic system, uterosacral ligaments undergo a deformation of around 30 %. Uterosacral ligaments are the major pelvic sustaining structures, their lesion may be a potential cause of urogenital prolapse. We built a model of childbirth as a function of pregnancy term by varying volumes of fetal head and uterus. The impact on uterosacral ligaments is higher when the fetal head is larger.
conclusionsOur modelling is rather complete considering that it involves many organs including ligaments. It allows us to analyse the effect of childbirth on uterosacral ligaments and to understand how they impact on pelvic statics. First results are promising, but optimisation and future simulations will be needed. We also plan to simulate various delivery scenarios (cephalic, breech presentation, instrumental extraction), which will be useful to study perineal lesions and also to teach obstetrical mechanics.
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