Levator Ani Deficiency and Pelvic Floor Dysfunction 1 Year Postpartum: A Prospective Nested Case-Control Study.

ABSTRACT:

Objective

First, to assess whether levator ani deficiency (LAD) is associated with pelvic floor dysfunction 1 year postpartum, including urinary, vaginal and bowel symptoms; and second, to explore at what cut-off of LAD score such pelvic floor dysfunction arises.

Design

Nested case-control study.

Setting

Örebro University Hospital, Örebro, Sweden.

Population or sample

Primiparous women 1 year after vaginal birth.

Methods

Three-dimensional endovaginal ultrasound assessment of the levator ani muscle; LAD score based on this ultrasound, and validated questions about pelvic floor dysfunction. Logistic regression models were used.

Main outcome measures

Symptoms of pelvic floor dysfunction associated with LAD.

Results

Altogether 190 women were in

SUBMITTER: Jansson MH 

PROVIDER: S-EPMC11879914 | biostudies-literature | 2025 Apr

REPOSITORIES: biostudies-literature