Evidence map›Paper›PMID 37535132›Full record

ArticleArchives of gynecology and obstetrics2024

In vivo measurement of the elastic properties of pelvic floor muscles in pregnancy using shear wave elastography.

Bertrand Gachon, Xavier Fritel, Fabrice Pierre, Antoine Nordez

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Article in Archives of gynecology and obstetrics, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

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4 · The record

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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

4 authors.

Bertrand GachonDepartment of Obstetrics and Gynecology, Poitiers University Hospital, Poitiers University, Poitiers, France. bertrand.gachon@gmail.com.ORCID http://orcid.org/0000-0002-5772-6828
Xavier FritelDepartment of Obstetrics and Gynecology, Poitiers University Hospital, Poitiers University, Poitiers, France.
Fabrice PierreDepartment of Obstetrics and Gynecology, Poitiers University Hospital, Poitiers University, Poitiers, France.
Antoine NordezNantes Université, Movement-Interactions-Performance, MIP, UR4334, 44000, Nantes, France.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveWe aimed to investigate changes in the elastic properties of levator ani muscle (LAM) and external anal sphincter (EAS) during pregnancy using shear wave elastography (SWE). Our secondary objective was to examine the association between the elastic properties of pelvic floor muscles (PFM) and perineal tears at childbirth.

methodsThis was a prospective monocentric study, including nulliparous women. Three visits were planned (14-18, 24-28, and 34-38 weeks) with a SWE assessment of the LAM and EAS at rest and during Valsalva maneuver. Then, we collected data about the delivery's characteristics. Assessments were performed using an Aixplorer V12

resultsForty-seven women were considered. Forty-five women had vaginal delivery of which 38 (84.4%) had perineal tears. We did not report any significant changes in the elastic properties of PFM during pregnancy. Women with an intact perineum at delivery had a stiffer EAS at Valsalva maneuver in late pregnancy (27.0 kPa vs. 18.2 kPa; p < 0.005).

conclusionsThere were no significant changes in the elastic properties of the PFM in pregnancy. Stiffer EAS in late pregnancy appears to be associated with a lower incidence of perineal tears.

Indexed as

Elasticity Imaging TechniquesPelvic FloorPerineumAdultAnal CanalDelivery, ObstetricElasticityFemaleHumansPregnancyProspective StudiesValsalva ManeuverYoung AdultChildbirthExternal anal sphincterObstetric anal sphincter injuryPerineal traumaShear wave elastography

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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.