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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The purpose of this study is t o evaluate levator ani morphology following normal vaginal delivery and cesarean section (elective and emergent), using three-dimensional (3D) 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 Childbirth 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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* Other: postpartum female pelvic floor muscle affection
* Other: postpartum sexual function in Egyptian women.


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. 2. Previous vaginal or cesarean delivery. 3. Severe mental illness. 4. Severe physical handicap or difficulties in communication. 5. Women without postpartum active sexual life or separate from their spouse. 6. 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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Design Details

Primary Purpose: Diagnostic
Allocation: Randomized
Intervention Model: Single Group Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Active Comparator: vaginal delivery<br>postpartum female pelvic floor muscle affection postpartum sexual function in Egyptian women. | Other: postpartum female pelvic floor muscle affection<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>Other: postpartum sexual function in Egyptian women.<br>* answering of the validated female sexual function index (F.S.F.I) three months postpartum period for same cases submitted to ultrasound.<br>|
| Active Comparator: elective cesarean section<br>postpartum female pelvic floor muscle affection postpartum sexual function in Egyptian women. | Other: postpartum female pelvic floor muscle affection<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>Other: postpartum sexual function in Egyptian women.<br>* answering of the validated female sexual function index (F.S.F.I) three months postpartum period for same cases submitted to ultrasound.<br>|
| Active Comparator: urgent cesarean section<br>postpartum female pelvic floor muscle affection postpartum sexual function in Egyptian women. | Other: postpartum female pelvic floor muscle affection<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 had worst morbidity after normal vaginal delivery |  | early postpartum period (48 to 72) hours postpartum | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Sexual function of pelvic floor as assessed by the validated female sexual function index questionnaire was impaired in all women after delivery |  | at 3 months after delivery | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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postpartum pelvic floor