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Der Einfluß der Geburt auf die Funktion des Beckenbodens

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Book cover Der Beckenboden der Frau

Zusammenfassung

Der Beckenboden als muskuläre Struktur ist nicht zu vergleichen mit einem quergestreiften Muskel im herkömmlichen Sinne. Für quergestreifte Skelettmuskulatur sind phasische, schnell und effektiv kontrahierbare Fasern („fast twitch“) charakteristisch. Das Diaphragma pelvis (M. levator ani) besteht aber zu mehr als 90% aus sogenannten Slow-twitch-Fasern, die eine dauerhafte Kontraktion bewirken und kaum ermüden (Gosling et al. 1983).

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Literatur

  • Allen R, Hosker GL, Smith ARB, Warell DW (1990) Pelvic floor damage and childbirth: a neurophysiological study. Br J Obstet Gynaecol 97:770–779

    Article  PubMed  CAS  Google Scholar 

  • Beck RP, Hsu N (1965) Pregnancy, childbirth, and the menopause related to the development of stress incontinence. Am J Obstet Gynecol 91:820–823

    PubMed  CAS  Google Scholar 

  • Clow WM (1975) Effect of posture on bladder and urethral function in normal pregnancy. Urol Int 30:9–15

    Article  PubMed  CAS  Google Scholar 

  • Debus-Thiede G, Hesse U, Mayr B, Schüßler B (1990) NMRI of the pelvic floor — a preliminary report. Neurourol Urodyn 9:392

    Google Scholar 

  • Deindl FM, Vodusek DB, Hesse U, Lukanovic A, Schüßler B (1991) Pelvic floor activity patterns in parous women. Neurourol Urodyn 10:384–385

    Google Scholar 

  • Dimpfl Th, Hesse U, Schüßler B (1991) Geburtshilfliches Management und postpartale Streßinkontinenz. Gyncomp 1:20

    Google Scholar 

  • Francis WJA (1960) Disturbances of blader function in relation to pregnancy. J Obstet Gynaecol Brit Empire 67:353–366

    Article  CAS  Google Scholar 

  • Frimberger J (1991) Behandlung der weiblichen Streßharninkontinenz mit einem individuellen pelvic floor reeducation Programm: Klinische, urodynamische und radiologische Ergebnisse. Dissertation, Ludwig-Maximilians-Universität, München

    Google Scholar 

  • Gosling JA, Dixon JS, Humpherson JR (1983) Functional anatomy of the urinary tract. Churchill Livingstone, pp 4–12

    Google Scholar 

  • Hirsch HA (1989) Episiotomie und Dammriß. Thieme, Stuttgart

    Google Scholar 

  • Iosif S (1981) Stress incontinence during pregnancy and in Puerperium. Int J Gynecol Obstet 19:13–20

    Article  CAS  Google Scholar 

  • Jeffcoate TNA (1960) Functional disturbances of the female bladder and the urethra. Lecture delivered on the 17th November 1960 in the University of Edinburgh, pp 28–47

    Google Scholar 

  • Lahodny J (1991) Gynäkologische Anatomie und Pathophysiologic In: Vaginale Inkontinenz- und Deszensuschirurgie. Enke, S 6–7

    Google Scholar 

  • Le Coutour X, Jouffroy C, Beuscart R, Renaud R (1984) Influence de la grossesse et de l’accouchement sur la fonction de cloture cervico-uretrale. II. Etude retrospective des consequences tardives du traumatisme obstetrical (Effect of pregnancy and delivery on the function of the cervico-urethral closure. II. Retrospective study on late consequences of obstetrical trauma). J Gynecol Obstet Biol Reprod (Paris) 13:775–9

    Google Scholar 

  • Pigné A, Cotelle O, Kuntz D, Turlan J, Barrat J (1984) Interet de la reeducation perineale dans le postpartum. (The importance of perineal rehabilitation following delivery). Acta Urol Belg 52:255–260

    PubMed  Google Scholar 

  • Plevnik S (1985) New method for testing and strengthening of pelvic floor muscles. Proceedings 15th Annual Meeting, International Continence Society, London, pp 267–268

    Google Scholar 

  • Richter K, Hausegger K, Lissner J, Kümper HJ, Koch J, Macketanz B (1974) Die Dochtmethode. Eine vervollkommnete Art der Kolpozystorektographie. Geburtsh Frauenheilkd 34:711

    CAS  Google Scholar 

  • Schüßler B, Hesse U, Dimpfl Th, Anthuber C (1988) Epidural anaesthesia and avoidance of postpartum stress urinary incontinence. Lancet 1:762

    Article  Google Scholar 

  • Snooks SJ, Swash M, Setchell M, Henry MM (1984) Injury to innervation of pelvic floor sphincter musculature in childbirth, Lancet 2:546–550

    Article  PubMed  CAS  Google Scholar 

  • Stanton SL, Kerr-Wilson R, Harris VG (1980) The incidence of urological symptoms in normal pregnancy. Br J Obstet Gynaecol 87:897–900

    Article  PubMed  CAS  Google Scholar 

  • Ullery JC (1953) Stress incontinence in the female. Grune & Stratton, New York

    Google Scholar 

  • Van Geelen JM, Lemmens WA, Eskes TK, Martin CB Jr (1982) The urethral pressure profile in pregnancy and after delivery in healthy nulliparous women. Am J Obstet Gynecol 144:636–649

    PubMed  Google Scholar 

  • Youssef AF (1960) Gynaecological urology. Charles Thomas, Springfield

    Google Scholar 

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© 1992 Springer-Verlag Berlin Heidelberg

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Schüßler, B., Dimpfl, T., Hepp, H. (1992). Der Einfluß der Geburt auf die Funktion des Beckenbodens. In: Bender, H.G., Distler, W. (eds) Der Beckenboden der Frau. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-77034-0_8

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  • DOI: https://doi.org/10.1007/978-3-642-77034-0_8

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-77035-7

  • Online ISBN: 978-3-642-77034-0

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