Current approaches to diagnosing damages to the pelvic floor structures during childbirth

Apolikhina I.A., Chochueva A.S., Gus A.I., Ignatyeva A.A., Bychkona A.E.

National Medical Research Center of Obstetrics, Gynecology, and Perinatology named after Academician V.I. Kulakov, Ministry of Health of Russia, Moscow 117997, Ac. Oparina str. 4, Russia
The authors analyzed current approaches to diagnosing pelvic floor damages during childbirth. Analysis of the data available in the literature showed that damage to the puborectalis muscle is the most common consequence of vaginal delivery. Current diagnostic principles, such as perineal 2D/3D ultrasound, significantly extend the possibilities of examination in female patients with pelvic floor damages, allowing for objectifying the process of examination and treatment. aking into account the efficiency of the given approaches to diagnosing birth trauma, they should be introduced into practical health care.

Keywords

birth traumatism
pelvic floor dysfunction
pelvic organ prolapse
urinary incontinence
2D/3D ultrasound

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Received 08.12.2017

Accepted 22.12.2017

About the Authors

Inna A. Apolikhina, MD, Head of the Department of Aesthetic Gynecology and Rehabilitation, National Medical Research center of Obstetrics, Gynecology and Perinatology named after Academician V.I. Kulakov, Ministry of Health of Russia. 117997, Russia, Moscow, Ac. Oparina str. 4. E-mail: i_apolikhina@oparina4.ru
Adalina S. Chochueva, resident of the National Medical Research center of Obstetrics, Gynecology and Perinatology named after Academician V.I. Kulakov,
Ministry of Health of Russia. 117997, Russia, Moscow, Ac. Oparina str. 4. E-mail: adalina_chochueva@mail.ru
Alexander I. Gus, MD, Head of the Department of Ultrasound and Functional Diagnostics, National Medical Research center of Obstetrics, Gynecology and Perinatology named after Academician V.I. Kulakov, Ministry of Health of Russia. 117997, Russia, Moscow, Ac. Oparina str. 4. E-mail: a_gus@oparina4.ru
Alla A. Ignatyeva, Ph.D., head of the 2nd obstetric physiological department, National Medical Research center of Obstetrics, Gynecology and Perinatology named
after Academician V.I. Kulakov, Ministry of Health of Russia. 117997, Russia, Moscow, Ac. Oparina str. 4. E-mail: a_ignateva@oparina4.ru
Anastasia E. Bychkova, doctor of the department of aesthetic gynecology and rehabilitation, National Medical Research center of Obstetrics, Gynecology and Perinatology named after Academician V.I. Kulakov, Ministry of Health of Russia. 117997, Russia, Moscow, Ac. Oparina str. 4. E-mail: a_bychkova@oparina4.ru

For citations: Apolikhina I.A., Chochueva A.S., Gus A.I., Ignatyeva A.A., Bychkona A.E. Current approaches to diagnosing damages to the pelvic floor structures during childbirth. Akusherstvo i Ginekologiya/Obstetrics and Gynecology. 2018; (7): 20-5. (in Russian)
https://dx.doi.org/10.18565/aig.2018.7.20-25

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