Evidence map›Paper›PMID 27525694›Full record

ArticleInternational urogynecology journal2016

Can pelvic floor dysfunction after vaginal birth be prevented?

Denise Howard, Michel Makhlouf

Registry-linked trialAbstract readEditorial
PubMed Publisher
In one paragraph

Article in International urogynecology journal, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04431102 (The Effects of the Pilates Method on Pelvic Floor Injuries During Pregnancy and Childbirth), which is not on this map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04431102 nacompletednot on this mapstarted 2018, after this paper: background citation

The Effects of the Pilates Method on Pelvic Floor Injuries During Pregnancy and Childbirth: A Quasi-experimental Study

TypeinterventionalSponsorUniversity of HuelvaRan2018 to 2019Enrolled72ConditionsPregnancy, Perineum, Injury, Pilates MethodArmsPILATES METHOD
3 · Its place in the literature

Who cites it

6 citing papers in PubMed.

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  6. Observational
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

2 authors.

Denise HowardDepartment of Obstetrics and Gynecology, Sidra Medical and Research Center, Doha, Qatar. dhoward@sidra.org.ORCID http://orcid.org/0000-0002-8235-5723
Michel MakhloufDepartment of Obstetrics and Gynecology, Sidra Medical and Research Center, Doha, Qatar.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introduction and hypothesisSignificant breakthroughs in our understanding of pelvic floor dysfunction have occurred in the past two decades. The next step is to translate this understanding into effective preventative and early intervention strategies to minimize maternal morbidity from vaginal birth. We have learned enough to chart a course toward prevention.

methodsThis article outlines some major advances in understanding the pathophysiology of pelvic floor dysfunction and suggests strategies for future prevention research.

resultsVaginal birth is the primary risk factor for the development of pelvic floor disorders and this is compounded by forceps use. Age, race, and genetics are also risk factors. Steps to prevent or minimize the development of pelvic floor problems include moderating forceps use and utilizing risk assessment tools to offer cesarean delivery to those at greatest risk.

conclusionThese actions would represent one giant step forward in advancing the practice of obstetrics into the modern age of personalized medicine.

Indexed as

FemaleHumansParturitionPelvic Floor DisordersRisk FactorsAnal incontinenceLevator ani injuryPelvic floor dysfunctionPelvic organ prolapsePreventionUrinary incontinence

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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.