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dc.contributor.authorKrause, Hannah G
dc.contributor.authorWong, Vivien
dc.contributor.authorNg, Shu-Kay
dc.contributor.authorTan, Gaik Imm
dc.contributor.authorGoh, Judith TW
dc.date.accessioned2019-10-10T03:01:27Z
dc.date.available2019-10-10T03:01:27Z
dc.date.issued2019
dc.identifier.issn0004-8666
dc.identifier.doi10.1111/ajo.12990
dc.identifier.urihttp://hdl.handle.net/10072/388244
dc.description.abstractBackground: While pelvic floor ultrasound is commonly utilised in high-resource locations, our understanding of pelvic floor characteristics in women suffering with obstetric fistula and unrepaired fourth degree obstetric tears in low-resource areas is limited. Aims: This study aimed to assess the pelvic floor ultrasound characteristics of Ugandan women suffering with obstetric fistula, unrepaired fourth degree obstetric tears and pelvic organ prolapse, and determine whether obstructed labour resulting in obstetric fistula causes more levator muscle defects compared to parous women without a history of obstructed labour. Materials and Methods: This was a prospective study in western Uganda assessing 82 women with obstetric fistula, unrepaired fourth degree obstetric tears and pelvic organ prolapse with a pelvic floor ultrasound scan. Results: Demographic characteristics were significantly different, with women suffering pelvic organ prolapse being older and more parous. Hiatal area on Valsalva was significantly smaller in the obstetric fistula group (mean 21.45 cm2) compared to non-obstetric fistula group (unrepaired fourth degree obstetric tears and pelvic organ prolapse; mean 30.44 cm2); a mean difference of 9.0 cm2 (95% CI: 5.4–12.6 cm2, P < 0.001). Overall, levator muscle defects were significantly more common in women with obstetric fistula (66.7%) compared to the non-obstetric fistula group (44.7%) with P = 0.048; however, there were no significant differences in complete levator muscle defects between obstetric fistula (28.6%) and non-obstetric fistula (23.7%). Conclusions: Increased hiatal area on Valsalva was noted in the non-obstetric fistula group compared to women with obstetric fistula; however, there were no differences in proportions of complete levator muscle defects.
dc.description.peerreviewedYes
dc.languageEnglish
dc.publisherWiley
dc.relation.ispartofpagefrom585
dc.relation.ispartofpageto589
dc.relation.ispartofissue4
dc.relation.ispartofjournalAustralian and New Zealand Journal of Obstetrics and Gynaecology
dc.relation.ispartofvolume59
dc.subject.fieldofresearchPaediatrics and Reproductive Medicine
dc.subject.fieldofresearchPublic Health and Health Services
dc.subject.fieldofresearchcode1114
dc.subject.fieldofresearchcode1117
dc.subject.keywordsScience & Technology
dc.subject.keywordsLife Sciences & Biomedicine
dc.subject.keywordsObstetrics & Gynecology
dc.subject.keywordsobstetric anal sphincter injury
dc.subject.keywordsobstetric fistula
dc.titlePelvic floor ultrasound findings in Ugandan women with obstetric fistula, unrepaired fourth degree obstetric tear, and pelvic organ prolapse
dc.typeJournal article
dc.type.descriptionC1 - Articles
dcterms.bibliographicCitationKrause, HG; Wong, V; Ng, S-K; Tan, GI; Goh, JTW, Pelvic floor ultrasound findings in Ugandan women with obstetric fistula, unrepaired fourth degree obstetric tear, and pelvic organ prolapse, Australian and New Zealand Journal of Obstetrics and Gynaecology, 2019, 59 (4), pp. 585-589
dcterms.dateAccepted2019-04-20
dc.date.updated2019-10-10T02:57:40Z
gro.hasfulltextNo Full Text
gro.griffith.authorGoh, Judith T.
gro.griffith.authorNg, Shu Kay Angus
gro.griffith.authorKrause, Hannah


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