Reducing pelvic floor injury by induction of labor.

ABSTRACT:

Introduction and hypothesis

We hypothesized that elective induction of labor (eIOL) at 39 weeks is protective of levator ani muscle injury (LAMI) and is associated with decreased pelvic symptoms at 6 weeks postpartum compared to expectant management of labor.

Methods

Prospective cohort pilot study of uncomplicated, primiparous women with a singleton, vertex gestation enrolled immediately post-vaginal delivery (VD). Subjects were dichotomized into two groups based on labor management: eIOL without complication defined by the ARRIVE trial versus spontaneous VD between 39 weeks^0/7 and 42 weeks^5/7 or no indication for IOL prior to 40 weeks^5/7. The primary outcome was LAMI at 6 weeks postpartum as evidenced by any of the following ultrasound measu

SUBMITTER: Burkett LS 

PROVIDER: S-EPMC9383672 | biostudies-literature | 2022 Dec

REPOSITORIES: biostudies-literature