Abstract
Vaginal birth may be considered the primum movens leading to an increased risk in developing pelvic floor dysfunctions (e.g. pelvic organs prolapse and urinary incontinence) and chronic pelvic pain. During the second stage of labour, physiological modification, involving activation and stretch on pelvic floor muscles and nerves, may cause damage on pelvic structures. Additionally, knowledge on activation and stretch of pelvic floor muscles may be paramount in improving parturition-related outcomes, thus reducing the length of labour and birth-related trauma on vulvo-vaginal structures. However, owing to the difficulties in addressing these features in vivo, data on this issue are far too clear. In this chapter, computerized models to study the effects of vaginal birth on pelvic floor structures are presented. We displayed current evidence on this new technology, underlying applicability, limitation and further prospective.
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Declercq E, Cunningham DK, Johnson C, Sakala C (2008) Mothers’ reports of postpartum pain associated with vaginal and cesarean deliveries: results of a national survey. Birth 35:16–24
Serati M, Bogani G, Sorice P, Braga A, Torella M, Salvatore S, Uccella S, Cromi A, Ghezzi F. Robot-assisted sacrocolpopexy for pelvic organ prolapse: a systematic review and meta-analysis of comparative studies. Eur Urol. 2014;66:303–18
Parente MP, Natal Jorge RM, Mascarenhas T, Silva-Filho AL (2010) The influence of pelvic muscle activation during vaginal delivery. Obstet Gynecol 115:804–808
Lien KC, Morgan DM, Delancey JO, Ashton-Miller JA (2005) Pudendal nerve stretch during vaginal birth: a 3D computer simulation. Am J Obstet Gynecol 192:1669–1676
Parente MP, Natal Jorge RM, Mascarenhas T, Fernandes AA, Silva-Filho AL (2010) Computational modeling approach to study the effects of fetal head flexion during vaginal delivery. Am J Obstet Gynecol 203:217.e1–217.e6
Lien KC, Mooney B, DeLancey JO, Ashton-Miller JA (2004) Levator ani muscle stretch induced by simulated vaginal birth. Obstet Gynecol 103:31–40
Parente MP, Natal Jorge RM, Mascarenhas T, Fernandes AA, Martins JA (2009) The influence of the material properties on the biomechanical behavior of the pelvic floor muscles during vaginal delivery. J Biomech 42:1301–1306
Li X, Kruger JA, Nash MP, Nielsen PM (2010) Effects of nonlinear muscle elasticity on pelvic floor mechanics during vaginal childbirth. J Biomech Eng 132:111010
Allen RH, Cha SL, Kranker LM, Johnson TL, Gurewitsch ED (2007) Comparing mechanical fetal response during descent, crowning, and restitution among deliveries with and without shoulder dystocia. Am J Obstet Gynecol 196:539.e1–539.e5
Hoyte L, Damaser MS, Warfield SK, Chukkapalli G, Majumdar A, Choi DJ, Trivedi A, Krysl P (2008) Quantity and distribution of levator ani stretch during simulated vaginal childbirth. Am J Obstet Gynecol 199:198.e1–198.e5
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© 2016 Springer International Publishing Switzerland
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Serati, M., Bogani, G. (2016). A Computerized Model of Pelvic Floor Muscles Physiology During Delivery. In: Riva, D., Minini, G. (eds) Childbirth-Related Pelvic Floor Dysfunction. Springer, Cham. https://doi.org/10.1007/978-3-319-18197-4_3
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DOI: https://doi.org/10.1007/978-3-319-18197-4_3
Publisher Name: Springer, Cham
Print ISBN: 978-3-319-18196-7
Online ISBN: 978-3-319-18197-4
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