Levator ani muscle avulsion during childbirth: a risk prediction model

To establish the incidence of levator ani muscle (LAM) avulsion in primiparous women and to develop a clinically applicable risk prediction model.

[1]  H. Dietz,et al.  Biometry of the pubovisceral muscle and levator hiatus by three‐dimensional pelvic floor ultrasound , 2005, Ultrasound in obstetrics & gynecology : the official journal of the International Society of Ultrasound in Obstetrics and Gynecology.

[2]  R Core Team,et al.  R: A language and environment for statistical computing. , 2014 .

[3]  H. Dietz,et al.  The Effect of Childbirth on Hiatal Dimensions , 2009, Obstetrics and gynecology.

[4]  D. G. Altman,et al.  Statistical aspects of prognostic factor studies in oncology. , 1994, British Journal of Cancer.

[5]  H. Dietz,et al.  Minimal criteria for the diagnosis of avulsion of the puborectalis muscle by tomographic ultrasound , 2011, International Urogynecology Journal.

[6]  Drorith Hochner-Celnikier,et al.  Fetal head circumference and length of second stage of labor are risk factors for levator ani muscle injury, diagnosed by 3-dimensional transperineal ultrasound in primiparous women. , 2009, American journal of obstetrics and gynecology.

[7]  R. Thakar,et al.  Recruitment of pregnant women in research , 2013, Journal of obstetrics and gynaecology : the journal of the Institute of Obstetrics and Gynaecology.

[8]  Hans Peter Dietz,et al.  Levator Trauma After Vaginal Delivery , 2005, Obstetrics and gynecology.

[9]  H. Dietz,et al.  Can levator avulsion be predicted antenatally? , 2010, American journal of obstetrics and gynecology.

[10]  H. Dietz,et al.  Intrapartum risk factors for levator trauma , 2010, BJOG : an international journal of obstetrics and gynaecology.

[11]  R. Thakar,et al.  Inter‐rater reliability of assessment of levator ani muscle strength and attachment to the pubic bone in nulliparous women , 2013, Ultrasound in obstetrics & gynecology : the official journal of the International Society of Ultrasound in Obstetrics and Gynecology.

[12]  H. L. Gainey Post-partum observation of pelvic tissue damage , 1943 .

[13]  E. Steyerberg,et al.  Prognosis Research Strategy (PROGRESS) 2: Prognostic Factor Research , 2013, PLoS medicine.

[14]  Hans Peter Dietz,et al.  Avulsion of the pubovisceral muscle associated with large vaginal tear after normal vaginal delivery at term , 2007, The Australian & New Zealand journal of obstetrics & gynaecology.

[15]  Daniel B. Mark,et al.  TUTORIAL IN BIOSTATISTICS MULTIVARIABLE PROGNOSTIC MODELS: ISSUES IN DEVELOPING MODELS, EVALUATING ASSUMPTIONS AND ADEQUACY, AND MEASURING AND REDUCING ERRORS , 1996 .

[16]  James A Ashton-Miller,et al.  Obstetric Factors Associated With Levator Ani Muscle Injury After Vaginal Birth , 2006, Obstetrics and gynecology.

[17]  M. J. Norušis,et al.  PASW Statistics 18 Advanced Statistical Procedures Companion , 2010 .

[18]  C N Hudson,et al.  Anal-sphincter disruption during vaginal delivery. , 1993, The New England journal of medicine.

[19]  James A. Ashton-Miller,et al.  Levator Ani Muscle Stretch Induced by Simulated Vaginal Birth , 2004, Obstetrics and gynecology.

[20]  K. Choy,et al.  Prevalence of levator ani muscle injury in Chinese women after first delivery , 2012, Ultrasound in obstetrics & gynecology : the official journal of the International Society of Ultrasound in Obstetrics and Gynecology.

[21]  H. Dietz Quantification of major morphological abnormalities of the levator ani , 2007, Ultrasound in obstetrics & gynecology : the official journal of the International Society of Ultrasound in Obstetrics and Gynecology.

[22]  K. Bø,et al.  Morphological Changes After Pelvic Floor Muscle Training Measured by 3-Dimensional Ultrasonography: A Randomized Controlled Trial , 2010, Obstetrics and gynecology.

[23]  Mathias Prokop,et al.  Correlating signs and symptoms with pubovisceral muscle avulsions on magnetic resonance imaging. , 2013, American journal of obstetrics and gynecology.

[24]  H. Dietz,et al.  Modelling the likelihood of levator avulsion in a urogynaecological population , 2010, The Australian & New Zealand journal of obstetrics & gynaecology.

[25]  E. Steyerberg,et al.  Prognosis Research Strategy (PROGRESS) 3: Prognostic Model Research , 2013, PLoS medicine.

[26]  H. Dietz,et al.  Levator trauma is associated with pelvic organ prolapse , 2008, BJOG : an international journal of obstetrics and gynaecology.

[27]  John O L DeLancey,et al.  The Appearance of Levator Ani Muscle Abnormalities in Magnetic Resonance Images After Vaginal Delivery , 2003, Obstetrics and gynecology.

[28]  R. Thakar,et al.  Obstetric levator ani muscle injuries: current status , 2012, Ultrasound in obstetrics & gynecology : the official journal of the International Society of Ultrasound in Obstetrics and Gynecology.

[29]  J. Feyereisl,et al.  Pubococcygeus–puborectalis trauma after forceps delivery: evaluation of the levator ani muscle with 3D/4D ultrasound , 2009, International Urogynecology Journal.

[30]  H. Dietz,et al.  The prevalence of major abnormalities of the levator ani in urogynaecological patients , 2006, BJOG : an international journal of obstetrics and gynaecology.