Impact of pushing timing on occult injury of levator ani: secondary analysis of a randomized trial.

ABSTRACT:

Background

Evidence of detachment of the levator ani muscle system is seen more frequently in patients with pelvic floor disorders. It has been suggested that passive descent of the fetus before pushing could be used to decrease operative vaginal delivery and levator ani muscle injury.

Objective

This planned analysis aimed to determine whether immediate or delayed pushing was associated with an increased proportion of injury to the levator ani muscle system after the first delivery among nulliparous women.

Study design

The Optimizing Management of the Second Stage study was a multicenter randomized trial. Nulliparous women with term pregnancies and neuraxial analgesia were randomly assigned at complete cervical dilation to either immediate pushing or delayed pushing f

SUBMITTER: Gregory WT 

PROVIDER: S-EPMC9064971 | biostudies-literature | 2022 May

REPOSITORIES: biostudies-literature