Effects of Pregnancy and Childbirth on Pelvic Floor Morphology and Sexual Function in Egyptian Women

Study Overview
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Brief Summary
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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.

Detailed Description
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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. answering of the validated female sexual function index (F.S.F.I) three months postpartum period for same cases submitted to ultrasound.

Official Title
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Effects of Pregnancy and Parturition on Pelvic Floor Morphology and Sexual Function in Egyptian Women.

Conditions
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Pregnancy, Childbirth and Puerperal Disorders

Intervention / Treatment
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* Radiation: transperineal pelvic floor ultrasound


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: primiparae in early postpartum period (48 hours to72 hours). written consent was taken. easy communicable, reachable women for further requirements. Exclusion Criteria: Refused consent. Previous vaginal or cesarean delivery. Severe mental illness. Severe physical handicap or difficulties in communication. Women without postpartum active sexual life or separate from their spouse. Past history of sexual dysfunction.
Sexes Eligible for Study
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Female

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Group 1<br>(40 women after normal vaginal delivery) submitted to transperineal pelvic floor ultrasound 48-72 hours postpartum. | Radiation: transperineal pelvic floor ultrasound<br>* 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.<br>|
| Group 2<br>(40 women after urgent cesarean section) submitted to transperineal pelvic floor ultrasound 48-72 hours postpartum. | Radiation: transperineal pelvic floor ultrasound<br>* 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.<br>|
| Group 3<br>(40 women after elective cesarean section) submitted to transperineal pelvic floor ultrasound 48-72 hours postpartum. | Radiation: transperineal pelvic floor ultrasound<br>* 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.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Pelvic floor muscle strength as assessed by three/four dimensional translabial pelvic floor ultrasound |  | early postpartum period (48 to 72) hours postpartum | 
| Sexual function of pelvic floor as assessed by the validated female sexual function index |  | at 3 months after delivery | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Trauma or avulsion of levator ani muscle as assessed by three/four dimensional translabial pelvic floor ultrasound |  | 6 months after delivery. | 
| Sexual function as assessed by the validated female sexual function index |  | 3 months after delivery |