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https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3877300/
Stress urinary incontinence and pelvic organ prolapse are strongly associated with vaginal childbirth and parity. The exact mechanism of injury associating vaginal delivery with pelvic floor disorders is not known, but is likely multifactorial, potentially including mechanical and neurovascular injury to the pelvic floor.Author: Hafsa U Memon, Victoria L Handa
https://www.contemporaryobgyn.net/obstetrics-gynecology-womens-health/vaginal-delivery-and-pelvic-floor-outcomes-levator-ani-injury
Levator ani injury occurs in 3 of 10 vaginal deliveries and often results in pelvic floor dysfunction including pelvic organ prolapse and incontinence. Understanding the mechanism of injury to the muscle of the levator ani is imperative to minimizing injury with delivery.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3279110/
Genital tract trauma and pelvic floor muscle injury Pregnancy is associated with a decrease in perineal muscle strength and endurance compared with the previous state. The degree to which women improved or did not improve perineal muscle function after birth was related to perineal trauma at delivery.
http://www.mybladdermd.com/wp-content/uploads/2012/12/Effects-of-childbirth-on-the-pelvic-floor1.pdf
The majority of childbirth injuries to the pelvic floor occur after the first vaginal delivery. Cesarean sections performed after the onset of labor may not protect the pelvic floor. Elective cesarean section is the only true primary preven-tion strategy for childbirth injuries to the pelvic floor.
https://www.londonwomenscentre.co.uk/conditions/childbirth-injury
Anal Incontinence. Less frequently, childbirth can cause injury to the pelvic floor that is so severe that it may affect the muscles around the back passage or anus. This muscle complex, called the anal sphincter, is responsible for preventing loss of stool (faeces) or wind (flatus) from the back passage.
https://www.yourpelvicfloor.org/conditions/maternal-pelvic-floor-trauma/
Vaginal delivery (spontaneous or assisted) is the single risk factor most likely to cause maternal pelvic floor trauma. The first delivery tends to be associated with the greatest amount of damage. However, some women can identify the specific pregnancy or delivery that seemed to have the greatest adverse impact on their pelvic floor function.
https://www.medicalnewstoday.com/articles/326584
Oct 08, 2019 · The pelvic floor muscles sit at the bottom of the pelvis and support pelvic organs, such as the urinary bladder. Pelvic floor dysfunction can …
https://pelvicphysiotherapy.com/childbirth-injury/
The pelvic floor is susceptible to injury during childbirth. Childbirth can be traumatic and can result in muscle tears and tears in the ligamentous and fascial supports. This can ultimately result in either bladder or bowel symptoms, or pelvic organ prolapse. Episiotomy scars should resolve within a few weeks to being mobile and non-painful.
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