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.
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.
Study Type
OBSERVATIONAL
Enrollment
120
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.
Pelvic floor muscle strength as assessed by three/four dimensional translabial pelvic floor ultrasound
Time frame: early postpartum period (48 to 72) hours postpartum
Sexual function of pelvic floor as assessed by the validated female sexual function index
Time frame: at 3 months after delivery
Trauma or avulsion of levator ani muscle as assessed by three/four dimensional translabial pelvic floor ultrasound
Time frame: 6 months after delivery.
Sexual function as assessed by the validated female sexual function index
Time frame: 3 months after delivery
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