Effects of Pregnancy and Parturition on Pelvic Floor Morphology and Sexual Function in Egyptian Women.
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Pregnancy, Childbirth and Puerperal Disorders
- Sponsor
- Al-Azhar University
- Enrollment
- 120
- Primary Endpoint
- Sexual function of pelvic floor as assessed by the validated female sexual function index
- Status
- Completed
- Last Updated
- 11 years ago
Overview
Brief Summary
To evaluate levator ani muscle morphology following normal vaginal delivery and cesarean section (elective and emergent), using three-dimensional (3D) transperineal ultrasound, and to study the effect of mode of delivery on female sexual function.
Detailed Description
1. transperineal pelvic floor ultrasound applied for the submitted 120 women "primiparae" (40 women after normal vaginal delivery), (40 women after urgent cesarean section), (40 women after elective cesarean section), in early postpartum period (48 to 72) hours postpartum, to evaluate levator ani morphology. 2. answering of the validated female sexual function index (F.S.F.I) three months postpartum period for same cases submitted to ultrasound.
Investigators
Muhamed Osman
Dr
Al-Azhar University
Eligibility Criteria
Inclusion Criteria
- •primiparae in early postpartum period (48 hours to72 hours). written consent was taken. easy communicable, reachable women for further requirements.
Exclusion Criteria
- •Refused consent.
- •Previous vaginal or cesarean delivery.
- •Severe mental illness.
- •Severe physical handicap or difficulties in communication.
- •Women without postpartum active sexual life or separate from their spouse.
- •Past history of sexual dysfunction.
Outcomes
Primary Outcomes
Sexual function of pelvic floor as assessed by the validated female sexual function index
Time Frame: at 3 months after delivery
Pelvic floor muscle strength as assessed by three/four dimensional translabial pelvic floor ultrasound
Time Frame: early postpartum period (48 to 72) hours postpartum
Secondary Outcomes
- Trauma or avulsion of levator ani muscle as assessed by three/four dimensional translabial pelvic floor ultrasound(6 months after delivery.)
- Sexual function as assessed by the validated female sexual function index(3 months after delivery)