ArticleOpen journal of obstetrics and gynecology2014
Predicting Birth-Related Levator Ani Tear Severity in Primiparous Women: Evaluating Maternal Recovery from Labor and Delivery (EMRLD Study).
Article in Open journal of obstetrics and gynecology, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 2 of them syntheses that pooled it.
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Who cites it
25 citing papers in PubMed, 2 syntheses or guidelines pooled it, 44 citations in OpenAlex.
- Management of levator ani avulsion: a systematic review and narrative synthesis.Archives of gynecology and obstetrics · 2023Pooled it
- Delivery mode and the risk of levator muscle avulsion: a meta-analysis.International urogynecology journal · 2019Pooled it
- Association between enlarged genital hiatus and prolapse with overactive bladder 1 year after vaginal delivery.American journal of obstetrics and gynecology · 2025Article
- Assessment of lower urinary tract symptoms 6 weeks after delivery and the relationship of pelvic floor muscle function.Frontiers in global women's health · 2024Article
- The RISE FOR HEALTH study: Methods for in-person assessment and biospecimen collection.Neurourology and urodynamics · 2023Article
- Comprehensive pelvic muscle assessment: Developing and testing a dual e-Learning and simulation-based training program.Neurourology and urodynamics · 2023Article
- Effects of the Oxytocin Hormone on Pelvic Floor Muscles in Pregnant Rats.Medicina (Kaunas, Lithuania) · 2023Article
- Postpartum sedentary behaviour and pelvic floor support: A prospective cohort study.Journal of sports sciences · 2023Article
- On the management of maternal pushing during the second stage of labor: a biomechanical study considering passive tissue fatigue damage accumulation.American journal of obstetrics and gynecology · 2022Article
- Pelvic Floor Support and Symptoms 1 Year Postpartum in Relation to Excess Body Habitus Before, During and After First Vaginal Birth.Female pelvic medicine & reconstructive surgery · 2022Article
- Aspects of Pelvic Floor Protection in Spontaneous Delivery - a Review.Geburtshilfe und Frauenheilkunde · 2022Article
- Relative and Maximal Intra-abdominal Pressure and Postpartum Pelvic Floor Outcomes in Primiparas Delivered Vaginally.Female pelvic medicine & reconstructive surgery · 2022Article
- Obstetric anal sphincter injury following previous vaginal delivery.International urogynecology journal · 2021Article
- Prediction model for obstetric anal sphincter injury using machine learning.International urogynecology journal · 2021Article
- Obstetric anal sphincter injury in adolescent mothers.BMC pregnancy and childbirth · 2021Article
- Trajectories of Pelvic Floor Symptoms and Support After Vaginal Delivery in Primiparous Women Between Third Trimester and 1 Year Postpartum.Female pelvic medicine & reconstructive surgery · 2021Article
- Association Between Measures of Trunk Recovery 5 to 10 Weeks Postpartum and Pelvic Floor Support and Symptoms 1 Year Postpartum in Primiparas Delivered Vaginally.Female pelvic medicine & reconstructive surgery · 2021Article
- Early postpartum physical activity and pelvic floor support and symptoms 1 year postpartum.American journal of obstetrics and gynecology · 2021Article
- Do Measures of Muscular Fitness Modify the Effect of Intra-abdominal Pressure on Pelvic Floor Support in Postpartum Women?Female pelvic medicine & reconstructive surgery · 2021Article
- Applying concepts of life course theory and life course epidemiology to the study of bladder health and lower urinary tract symptoms among girls and women.Neurourology and urodynamics · 2020Article
Corrections and comments
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Authors and funding
6 authors at 2 institutions in 1 country.
Funding
Abstract
objectiveTo determine which maternal characteristics or birth events independently predict severity of levator ani muscle (LA) tears at first vaginal birth in a longitudinal/observational investigation in a tertiary care hospital. SAMPLE: Ninety primiparas with at least one at risk for LA tear inclusion factor at vaginal birth: maternal age ≥ 33 years, second stage ≥ 150 minutes, macrosomia, instrumented delivery, and/or anal sphincter laceration were studied.
methodsMagnetic Resonance Imaging (MRI) was obtained early postpartum (mean ± sd 48.9 ± 21.6 days) to identify LA tear. Severity of LA muscle fiber loss was graded on an ordinal scale of: "0" as no loss, "1" as <50% unilateral loss, "2" as ≥50% unilateral or <50% bilateral loss, and "3" as ≥50% bilateral loss. Data were analyzed using proportional odds modeling. Inclusion factors were explored as predictors of LA tear severity and at analysis episiotomy, time spent actively pushing, epidural, and oxytocin were also considered. The main outcome measures of interest included grading of severity of LA muscle fiber loss on an ordinal scale.
resultsRespective counts/percentages of women within each 0 thru 3 ordered category of LA tear severity were: "0" = 58(64%), "1" = 9(10%), "2" = 15(17%), and "3" = 8(9%). Estimates and 95% CI for significant demographic or obstetric univariate predictors of LA tear severity level were age, OR 1.093 (CI 1.012 - 1.180),
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.