Modifications de la statique pelvienne et de la laxité ligamentaire pendant la grossesse et le post-partum. Revue de la littérature et perspectives [Changes in pelvic organ mobility and ligamentous laxity during pregnancy and postpartum. Review of literature and prospects]

Details

Serval ID
serval:BIB_323EAA7930A4
Type
Article: article from journal or magazin.
Publication sub-type
Review (review): journal as complete as possible of one specific subject, written based on exhaustive analyses from published work.
Collection
Publications
Title
Modifications de la statique pelvienne et de la laxité ligamentaire pendant la grossesse et le post-partum. Revue de la littérature et perspectives [Changes in pelvic organ mobility and ligamentous laxity during pregnancy and postpartum. Review of literature and prospects]
Journal
Progres en urologie
Author(s)
Gachon B., Desseauve D., Fradet L., Decatoire A., Lacouture P., Pierre F., Fritel X.
ISSN
1166-7087 (Print)
ISSN-L
1166-7087
Publication state
Published
Issued date
06/2016
Peer-reviewed
Oui
Volume
26
Number
7
Pages
385-394
Language
french
Notes
Publication types: Journal Article ; Review
Publication Status: ppublish
Abstract
The role of pregnancy in pelvic floor disorders occurrence remains poorly known. It might exist a link between changes in ligamentous laxity and changes in pelvic organ mobility during this period. Our objective was to conduct a non-systematic review of literature about changes in pelvic organ mobility as well as in ligamentous laxity during pregnancy and postpartum.
From the PubMed, Medline, Cochrane Library and Web of Science database we have selected works which pertains clinical assessment of pelvic organ mobility (pelvic organ prolapse quantification), ultrasound assessment of levator hiatus and urethral mobility, ligamentous laxity assessment during pregnancy and postpartum.
Clinical assessments performed in these works show an increase of pelvic organ mobility and perineal distension during pregnancy followed by a recovery phase during postpartum. Pelvic floor imaging shows an increase of levator hiatus area and urethral mobility during pregnancy then a recovery phase in postpartum. Different authors also report an increase of ligamentous laxity (upper and lower limbs) during pregnancy followed by a decrease phase in postpartum.
Pelvic organ mobility, ligamentous laxity, levator hiatus and urethral mobility change in a similarly way during pregnancy (increase of mobility or distension) and postpartum (recovery).
3.
Keywords
Female, Humans, Ligaments/physiology, Pelvis/physiology, Postpartum Period/physiology, Pregnancy/physiology, Grossesse, Hiatus des muscles élévateurs de l’anus, IRM, Laxité ligamentaire, Levator hiatus, Ligamentous laxity, MRI, Pelvic floor disorders, Pelvic organ mobility, Perineal ultrasound, Post-partum, Postpartum, Pregnancy, Statique pelvienne, Troubles périnéaux, Échographie périnéale
Pubmed
Web of science
Create date
25/10/2018 14:10
Last modification date
20/08/2019 13:17
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