ArticleAmerican journal of obstetrics and gynecology2015
Evaluating maternal recovery from labor and delivery: bone and levator ani injuries.
Article in American journal of obstetrics and gynecology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 42 papers.
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Who cites it
42 citing papers in PubMed, 84 citations in OpenAlex.
- Postpartum pelvic floor muscle training, levator ani avulsion and levator hiatus area: a randomized trial.International urogynecology journal · 2023Trial
- Self-Perceived Improvement in Bladder Health After Viewing a Novel Tutorial on Knack Use: A Randomized Controlled Trial Pilot Study.Journal of women's health (2002) · 2020Trial
- On Lingering Pelvic Floor Musculoskeletal Injuries in the Postpartum Athlete: Are We Adequately Addressing Them?Sports health · 2026Article
- Assessment of the Impact of Vaginal Delivery on the Levator Ani Muscle Using Intravoxel Incoherent Motion MRI.International urogynecology journal · 2026Article
- Differential expression of vaginal microenvironment cytokines in relation to delivery modes and their impact on postpartum pelvic floor recovery.Frontiers in global women's health · 2026Review
- Knowledge, attitudes, and predictors of urinary incontinence and overactive bladder as components of lower urinary tract symptoms among female healthcare professionals.Frontiers in global women's health · 2026Article
- Assessing Postpartum Levator Ani Muscle Recovery: A Feasibility Study on Automated Texture Analysis in Transvaginal Ultrasound.Ultrasound in medicine & biology · 2025Article
- Pelvic floor support changes in postpartum pelvic organ prolapse with involvement of single and multiple compartments.BMC pregnancy and childbirth · 2025Article
- Pelvic floor muscle function differs between postmenopausal women with and without stress urinary incontinence: An experimental parallel-controlled study.Experimental and therapeutic medicine · 2025Article
- Correlation between albumin levels during the third trimester and the risk of postpartum levator ani muscle rupture.Open medicine (Warsaw, Poland) · 2025Article
- Up for the tackle? The pelvic floor and rugby. A review.European journal of sport science · 2024Review
- Postpartum Changes in Levator Plate Shape and Genital Hiatus Size After Vaginal Delivery.International urogynecology journal · 2024Article
- The Impact of Exercising on Pelvic Symptom Severity, Pelvic Floor Muscle Strength, and Diastasis Recti Abdominis After Pregnancy: A Longitudinal Prospective Cohort Study.Physical therapy · 2024Article
- Effect of nonsteroidal anti-inflammatory drugs on pelvic floor muscle regeneration in a preclinical birth injury rat model.American journal of obstetrics and gynecology · 2024Article
- Pelvic floor injury during vaginal birth is life-altering and preventable: what can we do about it?American journal of obstetrics and gynecology · 2024Review
- Twisted orientation of the muscle bundles in the levator ani functional parts in women: Implications for pelvic floor support mechanism.Journal of anatomy · 2024Article
- 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
- Comprehensive pelvic muscle assessment: Developing and testing a dual e-Learning and simulation-based training program.Neurourology and urodynamics · 2023Article
- The RISE FOR HEALTH study: Methods for in-person assessment and biospecimen collection.Neurourology and urodynamics · 2023Article
- Recovery of pelvic floor muscle strength and endurance 6 and 12 months postpartum in primiparous women-a prospective cohort study.International urogynecology journal · 2022Article
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Authors and funding
6 authors at 2 institutions in 1 country.
Funding
Abstract
objectiveWe sought to describe occurrence, recovery, and consequences of musculoskeletal (MSK) injuries in women at risk for childbirth-related pelvic floor injury at first vaginal birth. STUDY
designEvaluating Maternal Recovery from Labor and Delivery is a longitudinal cohort design study of women recruited early postbirth and followed over time. We report here on 68 women who had birth-related risk factors for levator ani (LA) muscle injury, including long second stage, anal tears, and/or older maternal age, and who were evaluated by MSK magnetic resonance imaging at both 7 weeks and 8 months' postpartum. We categorized magnitude of injury by extent of bone marrow edema, pubic bone fracture, LA muscle edema, and LA muscle tear. We also measured the force of LA muscle contraction, urethral pressure, pelvic organ prolapse, and incontinence.
resultsIn this higher-risk sample, 66% (39/59) had pubic bone marrow edema, 29% (17/59) had subcortical fracture, 90% (53/59) had LA muscle edema, and 41% (28/68) had low-grade or greater LA tear 7 weeks' postpartum. The magnitude of LA muscle tear did not substantially change by 8 months' postpartum (P = .86), but LA muscle edema and bone injuries showed total or near total resolution (P < .05). The magnitude of unresolved MSK injuries correlated with magnitude of reduced LA muscle force and posterior vaginal wall descent (P < .05) but not with urethral pressure, volume of demonstrable stress incontinence, or self-report of incontinence severity (P > .05).
conclusionPubic bone edema and subcortical fracture and LA muscle injury are common when studied in women with certain risk factors. The bony abnormalities resolve, but levator tear does not, and is associated with levator weakness and posterior-vaginal wall descent.
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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.