Skip to main content
SpringerLink
Log in

Mechanisms of Pelvic Floor Trauma During Vaginal Delivery

  • Chapter
Pelvic Floor Disorders

Abstract

Delivery is a crucial event in a woman’s life, a landmark in personal fulfillment and biological affirmation. Nevertheless, the physical consequences of vaginal childbirth are important and may vary from mild subclinical conditions to significant severe pathologies either immediately or in the long term. Systematic, exact research has focused on the main risks for pelvic floor damage, providing a theoretical background that can help to eliminate all avoidable damage, aid early detection, define the extent of the effects, and promptly cure these conditions.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 219.00
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Drutz HP, Alarab M. Pelvic organ prolapse: demographics and future growth prospects. Int Urogynec J 2006;17(suppl 1):S6–S9.

    Article  Google Scholar 

  2. Mant J, Painter R, Vessey M. Epidemiology of genital prolapse: observations from the Oxford Family Planning Association Study. Br J Obstet Gynaecol 1997;104:579–585.

    CAS  PubMed  Google Scholar 

  3. Rogers RG. Postpartum genitourinary changes. Urol Clin N Am 2007;34:13–21.

    Article  Google Scholar 

  4. Cardozo L, Cutner A. Lower urinary tract symptoms in pregnancy. Br J Urol 1997;80:14–23.

    PubMed  Google Scholar 

  5. Stanton SL, Kerr-Wilson R, Harris GV. The incidence of urological symptoms in normal pregnancy. Br J Obstet Gynecol 1980;87:897–900.

    CAS  Google Scholar 

  6. Thorp JM Jr, Norton PA, Wall LL et al. Urinary incontinence in pregnancy and the puerperium: a prospective study. Am J Obstet Gynecol 1999;8:266–273.

    Article  Google Scholar 

  7. Foldspang A, Mommsen S, Djurhuus JC. Prevalent urinary incontinence as a correlate of pregnancy, vaginal childbirth and obstetric techniques. Am J Public Health 1999;89:209–212.

    Article  CAS  PubMed  Google Scholar 

  8. Beck RP, Hsu N. Pregnancy, childbirth and the menopause related to the development of stress incontinence. Am J Obstet Gynecol 1965;91:820–823.

    CAS  PubMed  Google Scholar 

  9. Snooks SJ, Swash M, Mathers SE et al. Effect of vaginal delivery on the pelvic floor: a five-year follow-up. Br J Surg 1990;2:1358–1360.

    Article  Google Scholar 

  10. Allen RE, Hosker GL, Smith AR, Warrell DW. Pelvic floor damage and childbirth: a neurophysiological study. Br J Obstet Gynecol 1990;97:770–779.

    CAS  Google Scholar 

  11. Sultan AH, Kamm MA, Hudson CM. Pudendal nerve damage during labour: prospective study before and after childbirth. Br J Obstet Gynecol 1994;1:22–28.

    Google Scholar 

  12. Dandolu F, Chatwani A, Harmanli O et al. Risk factors for obstetrical anal sphincter lacerations. Int Urogynecol J 2007;16:304–307.

    Article  Google Scholar 

  13. Sultan AH, Kamm MA, Hudson CM. Anal sphincter disruption during vaginal delivery. N Eng J Med 1993;23:1956–1957.

    Google Scholar 

  14. Ryhammer AM, Laurberg S, Hermann AP. Long term effect of vaginal deliveries on anorectal function in normal perimenopausal women. Dis Colon Rectum 1996;39:852–859.

    Article  CAS  PubMed  Google Scholar 

  15. Rizk DEE, Abadir MN, Thomas LB et al. Determinants of the length of episiotomy or spontaneous posterior perineal laceration in vaginal birth. Int Urogynecol J 2005;16:395–400.

    Article  Google Scholar 

  16. Thranov I, Kringelbach AM, Melchior E et al. Postpartum symptoms. Episiotomy or tear at vaginal delivery. Acta Obstet Gynecol Scand 1990;99:260–262.

    Google Scholar 

  17. Richter HE. Caesarean delivery on maternal request versus planned vaginal delivery: impact on development of pelvic organ prolapse. Semin Perinatol 2006;30:272–275.

    Article  PubMed  Google Scholar 

  18. Toozs-Hobson P, Balmforth JB, Cardozo L et al. The effect of mode of delivery on pelvic floor functional anatomy. Int Urogynecol J 2008;19:407–416.

    Article  Google Scholar 

  19. Patel DA, Xu X, Thomason AD et al. Childbirth and pelvic floor dysfunction: assessment of prevention opportunities at delivery. Am J Obstet Gynecol 2006;195:23–28.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Urogynecology Unit, Department of Obstetrics and Gynecology, University of Brescia, Brescia, Italy

    Gianfranco Minini MD, Silvia Zanelli MD, Patrizia Inselvini MD, Marcello Caria MD, Sara Grosso MD & Davide Quaresmini MD

Authors
  1. Gianfranco Minini MD
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Silvia Zanelli MD
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Patrizia Inselvini MD
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Marcello Caria MD
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Sara Grosso MD
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. Davide Quaresmini MD
    View author publications

    You can also search for this author in PubMed Google Scholar

Editor information

Editors and Affiliations

  1. Pelvic Floor Unit and Colorectal Service 1st Department of General Surgery, Regional Hospital, Treviso, Italy

    Giulio Aniello Santoro (Head) (Head)

  2. Department of Pediatric Radiology Children’s Teaching Hospital, Skubiszewski Medical University of Lublin, Lublin, Poland

    Andrzej Paweł Wieczorek

  3. Diagnostic Imaging, Princess Grace Hospital, London, UK

    Clive I. Bartram

Rights and permissions

Reprints and permissions

Copyright information

© 2010 Springer-Verlag Italia

About this chapter

Cite this chapter

Minini, G., Zanelli, S., Inselvini, P., Caria, M., Grosso, S., Quaresmini, D. (2010). Mechanisms of Pelvic Floor Trauma During Vaginal Delivery. In: Santoro, G.A., Wieczorek, A.P., Bartram, C.I. (eds) Pelvic Floor Disorders. Springer, Milano. https://doi.org/10.1007/978-88-470-1542-5_16

Download citation

  • DOI: https://doi.org/10.1007/978-88-470-1542-5_16

  • Publisher Name: Springer, Milano

  • Print ISBN: 978-88-470-1541-8

  • Online ISBN: 978-88-470-1542-5

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation