2015
DOI: 10.1111/1471-0528.13432
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Change in pelvic organ support during pregnancy and the first year postpartum: a longitudinal study

Abstract: Summary Objective To describe changes in pelvic organ support from mid pregnancy until 1 year postpartum among nulliparous pregnant women, and to examine whether delivery route affects changes in pelvic organ support.Design Prospective cohort study. Setting Akershus University Hospital in Norway.Population A cohort of 300 nulliparous pregnant women included at mid-pregnancy.Methods Pelvic organ support assessed at 21 and 37 weeks of gestation, and again at 6 weeks, 6 months, and 12 months postpartum, by the us… Show more

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Cited by 52 publications
(52 citation statements)
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“…Continuing exclusion criteria were premature delivery prior to 32 weeks of gestation and stillbirth. The women included in the cohort have been shown to be comparable to the total population of nulliparous pregnant women who delivered at the hospital during the inclusion period (n=2621) with regards to age, body mass index (BMI), fetal birth weight and delivery route, but more women in the study sample had university or college education (75.3% compared with 50.8%, P<0.001) (17). The study participants were predominantly of Caucasian ethnicity (96%).…”
Section: Methodsmentioning
confidence: 99%
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“…Continuing exclusion criteria were premature delivery prior to 32 weeks of gestation and stillbirth. The women included in the cohort have been shown to be comparable to the total population of nulliparous pregnant women who delivered at the hospital during the inclusion period (n=2621) with regards to age, body mass index (BMI), fetal birth weight and delivery route, but more women in the study sample had university or college education (75.3% compared with 50.8%, P<0.001) (17). The study participants were predominantly of Caucasian ethnicity (96%).…”
Section: Methodsmentioning
confidence: 99%
“…The clinical examinations were performed at mid pregnancy and at 6 weeks postpartum by two trained gynecologists blinded to previous findings and the obstetric history of the participants. POP-Q was done according to standardized methods previously described in detail (17). Transperineal 3D ultrasound describing LHarea and major LAM injuries was done according to the methods described by Dietz defining major LAM injuries by a defect in the muscle evident in at least three consecutive tomographic slices at and/or above the plane of minimal hiatal dimension (22).…”
Section: Methodsmentioning
confidence: 99%
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“…Guidelines regarding exercise for postpartum women recommend a gradual commencement or return to physical activity as soon as medically safe (1). Concerns have been raised, however, that starting exercise early in the postpartum period may negatively impact on the already stretched and weakened pelvic floor muscles (PFM) (2)(3)(4). Transperineal ultrasound has shown changes in pelvic organ support and an increase in the area surrounding the pelvic openings (levator hiatus area) during both pregnancy and following vaginal delivery, which suggests reduced support to the pelvic organs (3,4).…”
Section: Introductionmentioning
confidence: 99%