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SAN FRANCISCO -- The first study to measure pelvic organ support throughout pregnancy and at the antepartum visit described normal changes during pregnancy that should be considered when evaluating the impact of delivery on pelvic floor parameters, Dr. Amy L. O'Boyle said.
Pelvic floor injury resulting from childbirth is believed to be an important risk factor for the development of pelvic organ prolapse. The distinction between normal and abnormal pelvic organ support during pregnancy has not been clearly defined by previous studies, which typically measured pelvic floor parameters only once during pregnancy-usually in the third trimester and never before 12 weeks' gestation.
In the current prospective study, 114 nulliparous women underwent pelvic organ support evaluations in each trimester they were seen and at the postpartum visit. By limiting the study to nulliparous pregnant women, the investigators focused on pregnancy rather than labor or delivery as the factor influencing the pelvic floor, she said at the annual meeting of the American Urogynecologic Society.
The women were evaluated using the Pelvic Organ Prolapse Quantification (POPQ) staging system created by the International Continence Society, said Dr. O'Boyle of Madigan Army Medical Center, Tacoma, Wash.
...Source: HighBeam Research, Study measures Pelvic Organ support changes in pregnancy. (Changes...