Archives of Gynecology and Obstetrics

, Volume 276, Issue 2, pp 133–138

Does water delivery affect pelvic floor? Ultrasound evaluation of perineal function

  • Emanuela Mistrangelo
  • Chiara R. Gaggero
  • Chiara Nadalini
  • Sara G. Mancuso
  • Francesca Esposito
  • Sandra Morano
  • Sergio Costantini
Original Article

DOI: 10.1007/s00404-007-0322-8

Cite this article as:
Mistrangelo, E., Gaggero, C., Nadalini, C. et al. Arch Gynecol Obstet (2007) 276: 133. doi:10.1007/s00404-007-0322-8

Abstract

Objective

The aim of the study is to analyse urethral mobility and excursion of the pubo-rectal angle, using perineal ultrasound, after normal vaginal delivery and water delivery.

Materials and methods

A total of 52 primiparous women were enrolled: 25 who had delivery in water (W Group), 27 who had delivery without using water (NW Group). Every woman underwent perineal ultrasound assessment at 6 months after having given birth. The following parameters were assessed: urethral mobility during Valsalva’s manoeuvre, movement of the pubo-rectal sling angle during contraction of the levator ani muscle.

Results

Data obtained show that the urethral mobility during Valsalva’s manoeuvre is higher in the W Group (34.9°) in comparison to the NW Group (29.5°), without statistically significant differences. The excursion of the pubo-rectal sling angle resulted lower in the W Group (8.7°) than in the NW Group (11.0°), without statistically significant differences.

Conclusion

The present study found no statistically differences in pelvic floor, using perineal ultrasound, between water and “non-water” delivery.

Keywords

Water deliveryPelvic floorPerineal ultrasoundUrethral mobility

Copyright information

© Springer-Verlag 2007

Authors and Affiliations

  • Emanuela Mistrangelo
    • 1
  • Chiara R. Gaggero
    • 1
  • Chiara Nadalini
    • 1
  • Sara G. Mancuso
    • 1
  • Francesca Esposito
    • 1
  • Sandra Morano
    • 1
  • Sergio Costantini
    • 1
  1. 1.Ospedale San Martino, Dipartimento di Ginecologia e OstetriciaUniversity of GenovaGenovaItaly