How does the type of delivery affect pelvic floor structure? Magnetic resonance imaging parameter-based anatomical study

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dc.contributor.authorŞenkaya, Ayşe Rabia
dc.contributor.authorİsmailoğlu, Eren
dc.contributor.authorArı, Sabahattin Anıl
dc.contributor.authorKaraca, İbrahim
dc.date.accessioned2023-03-22T19:47:28Z
dc.date.available2023-03-22T19:47:28Z
dc.date.issued2023
dc.departmentBelirleneceken_US
dc.description.abstractObjectives: The aim of this study is to examine the effects of delivery type and birth weight on pelvic floor structure using muscle defects, uterus-vagina angles and landmarks in pelvic magnetic resonance imaging (MRI). Material and methods: This is a retrospective study. Pelvic MR images of 38 vaginal deliveries and 62 cesarean section patients who met the study criteria were analyzed. Pubococcygeal line, H line, M line were marked on MR images, uterus cervix, cervix upper vagina, upper and middle vagina, middle and lower vagina angles, urogenital hiatus width, levator hiatus width, obturator internus muscle area, levator ani defect was measured. The urinary incontinence and pelvic organ prolapse examination findings were recorded. The patients' age, body mass index (BMI), parity, delivery type, maximum birth weight questions were asked. The data of both groups were compared. Results: Uterocervical angle and levator ani muscle defect was significantly higher in the vaginal delivery group (p < 0.001). In the vaginal delivery group, a significant positive correlation was found between the parity and the levator ani muscle defect (r = 0.552), (p = 0.000). A significant negative correlation was found between the parity and the uterocervical angle (r = -0.337), (p = 0.039). A significant negative correlation was found between maximum birth weight and cervix upper vagina angle (r = -0.365) (p = 0.024). In the vaginal delivery group, a negative significant correlation was found between birth weight and obturator internus muscle area (r = -0.378), (p = 0.019). Conclusions: These results show that cesarean section exposes the pelvic floor to less trauma and suggest that cesarean section may protect the pelvic floor.en_US
dc.identifier.doi10.5603/GP.a2022.0140
dc.identifier.endpage63en_US
dc.identifier.issn0017-0011
dc.identifier.issn2543-6767
dc.identifier.issue1en_US
dc.identifier.pmid36477780en_US
dc.identifier.scopus2-s2.0-85147536346en_US
dc.identifier.scopusqualityQ3en_US
dc.identifier.startpage57en_US
dc.identifier.urihttps://doi.org/10.5603/GP.a2022.0140
dc.identifier.urihttps://hdl.handle.net/20.500.14034/724
dc.identifier.volume94en_US
dc.identifier.wosWOS:000928478300001en_US
dc.identifier.wosqualityN/Aen_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherVia Medicaen_US
dc.relation.journalGinekologia Polskaen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectbirth weighten_US
dc.subjectcesarean sectionen_US
dc.subjectparityen_US
dc.subjectpelvic flooren_US
dc.subjectvaginal deliveryen_US
dc.titleHow does the type of delivery affect pelvic floor structure? Magnetic resonance imaging parameter-based anatomical studyen_US
dc.typeArticleen_US

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