Potential Mechanism ID'd for Impact of Parity on Pelvic Floor

This article originally appeared here.
Share this content:
Potential Mechanism ID'd for Impact of Parity on Pelvic Floor
Potential Mechanism ID'd for Impact of Parity on Pelvic Floor

WEDNESDAY, Sept. 14, 2016 (HealthDay News) -- Parity is associated with increased fiber length in the more proximal coccygeus and iliococcygeus pelvic floor muscles, according to a study published in the September issue of the American Journal of Obstetrics and Gynecology.

Marianna Alperin, M.D., from the University of California in San Diego, and colleagues examined the impact of vaginal deliveries and aging on human cadaveric pelvic floor muscle architecture. They obtained coccygeus, iliococcygeus, and pubovisceralis from younger and older donors, who were vaginally parous and vaginally nulliparous, all of whom had no history of pelvic floor disorders. Validated methods were used to assess architectural parameters.

The researchers found that the key impact of parity was increased fiber length in the more proximal coccygeus and iliococcygeus (P = 0.03 and 0.04, respectively). Across all pelvic floor muscles, aging changes manifested as decreased physiologic cross-sectional area (P < 0.05), which exceeded the age-linked decline in muscle mass. Younger vaginally parous pelvic floor muscles had lower physiologic cross-sectional area compared with younger vaginally nulliparous; the difference did not reach statistical significance. Collagen content of pelvic floor muscles was not altered by parity but increased with aging (P < 0.05).

"Increased fiber length in more proximal pelvic floor muscles likely represents an adaptive response to the chronically increased load placed on these muscles by the displaced apical structures, presumably as a consequence of vaginal delivery," the authors write.

Abstract
Full Text (subscription or payment may be required)

Share this content:

is free, fast, and customized just for you!

Already a member?

Sign In Now »


Sign up for myCME e-newsletters


Drug Lookup

Browse drugs by: BrandGenericDisease


More in Home

ASTRO: No Survival Benefit for Adding EBT to Brachytherapy

ASTRO: No Survival Benefit for Adding EBT to ...

Addition of external beam therapy doesn't improve five-year progression-free survival in prostate cancer

ASTRO: Fewer Side Effects With IMRT in Cervical, Endometrial CA

ASTRO: Fewer Side Effects With IMRT in Cervical, ...

Patients in conventional radiotherapy arm had more high-level adverse events than those in IMRT arm

Many Doctors Reluctant to Reveal Mental Health Issues

Many Doctors Reluctant to Reveal Mental Health Issues

Perceived stigma, fear of career repercussions hinder treatment, study suggests

is free, fast, and customized just for you!

Already a member?

Sign In Now »