Levator ani injury in primiparous women with forceps delivery for fetal distress, forceps for second stage arrest, and spontaneo

Publication year: 2010
Source: International Journal of Gynecology & Obstetrics, In Press, Corrected Proof, Available online 21 July 2010

Rohna, Kearney , Myra, Fitzpatrick , Sandra, Brennan , Michael, Behan , Janis, Miller , ...

 Objective: To compare levator ani muscle injury rates in primiparous women who had a forceps delivery owing to fetal distress with women delivered by forceps for second stage arrest; and to compare these injury rates with a historical control group of women who delivered spontaneously. Methods: Primiparous women who delivered by forceps were recruited retrospectively into 2 groups: forceps for fetal distress with short second stage (25±11minutes; n=19); and forceps delivery for second stage arrest (137±26minutes; n=19). MR images of the levator ani muscles were compared with a historical control group of women from a previous study who had delivered spontaneously (n=129). Results: Major defect...

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