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Cited by 553

The DOI matches its Crossref record; 14 of the 14 references it cites were found in a registry or an index.

Levator Trauma After Vaginal Delivery

Dietz, Hans Peter, Lanzarone, Valeria·2005·Obstetrics & Gynecology

Abstract

OBJECTIVE: To date, the evidence on pelvic floor injury in labor remains sketchy due to a lack of prospective studies comparing pelvic floor imaging before and after childbirth. We intended to define the incidence of major trauma to the pubovisceral muscle. METHODS: A total of 61 nulliparous women were seen at 36-40 weeks of gestation in a prospective observational study. The assessment included an interview and 3-dimensional translabial ultrasound and was repeated 2-6 months postpartum. RESULTS: Fifty women (82%) were seen postpartum. Of the 39 women delivered vaginally, levator avulsion was diagnosed in 14 (36%, 95% confidence interval 21-51%). Among those delivered vaginally, there were associations with higher maternal age (P = .10), vaginal operative delivery (P = .07), and worsened stress incontinence postpartum (P = .02). CONCLUSIONS: Avulsion of the inferomedial aspects of the levator ani from the pelvic sidewall occurred in approximately one third of all women delivered vaginally and was associated with stress incontinence 3 months after childbirth.

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Metadata

Authors
Dietz, H. P., & Lanzarone, V.
Venue
Obstetrics & Gynecology
Published
2005-10
Volume
106
Issue
4
Pages
707-712
ISSN
0029-7844 (ISSN-L)
OpenAlex
W2085332687
Cited by
553
References
14
FWCI
10.70
Type
journal article
Language
en
Open access
closed

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CoChat. (2026). Citation check: Levator Trauma After Vaginal Delivery. https://app.cochat.ai/papers/10.1097/01.aog.0000178779.62181.01
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Dietz, H. P., & Lanzarone, V. (2005). Levator Trauma After Vaginal Delivery. Obstetrics & Gynecology. https://doi.org/10.1097/01.aog.0000178779.62181.01

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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.