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Effect of vaginal delivery on the pelvic floor: A 5-year follow-up

Snooks, S J, Swash, M, Mathers, S E, Henry, M M·1990·Journal of British Surgery

Abstract

We have studied the pelvic floor musculature and its innervation in 14 of 24 (58 per cent) multiparous women who had been recruited into a study of the effect of childbirth on the pelvic floor as part of a prospective investigation that began in 1983. These 24 women had all delivered by the vaginal route without forceps assistance. Five of the 14 had developed clinical symptoms of stress incontinence 5 years later; two of them had had a further uncomplicated vaginal delivery during this time. There was manometric and neurophysiological evidence of weakness because of partial denervation of the pelvic floor striated sphincter musculature, with pudendal neuropathy, which was more marked in those women with incontinence. These findings provide direct evidence for the hypothesis that pudendal neuropathy due to vaginal delivery persists and may worsen with time.

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Metadata

Authors
Snooks, S. J., Swash, M., Mathers, S. E., & Henry, M. M.
Venue
Journal of British Surgery
Published
1990-12-01
Volume
77
Issue
12
Pages
1358-1360
ISSN
  • 0007-1323 (ISSN-L)
  • 1365-2168
OpenAlex
W2024429673
Cited by
610
References
0
FWCI
5.74
Type
journal article
Language
en
Open access
closed

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CoChat. (2026). Citation check: Effect of vaginal delivery on the pelvic floor: A 5-year follow-up. https://app.cochat.ai/papers/10.1002/bjs.1800771213
The paper
Snooks, S. J., Swash, M., Mathers, S. E., & Henry, M. M. (1990). Effect of vaginal delivery on the pelvic floor: A 5-year follow-up. Journal of British Surgery. https://doi.org/10.1002/bjs.1800771213

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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).

Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.