What question did this study set out to answer?

To evaluate the impact of childbirth on pudendal nerve function and determine the obstetric variables associated with pelvic floor nerve damage.

January 1, 1994BJOG An International Journal of Obstetrics & Gynaecology

Pudendal nerve damage during labour: prospective study before and after childbirth*

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Authors

ASAbdul H. SultanSt George's, University of London MKMichael A. KammUniversity of Rome Tor Vergata CHC. N. HudsonRoyal College of Obstetricians and Gynaecologists

Discussion

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Implication

Prospective study reveals pudendal nerve conduction delay and perineal descent following vaginal delivery, highlighting obstetric risks to pelvic floor integrity.

Key Points

To evaluate the impact of childbirth on pudendal nerve function and determine the obstetric variables associated with pelvic floor nerve damage.
Conducted a prospective study of 128 pregnant women beyond 34 weeks of gestation at an antenatal hospital clinic.
Measured bilateral pudendal nerve terminal motor latencies (PNTML) and perineal plane antenatally, at 6 to 8 weeks postpartum, and at 6 months in a subgroup (n = 22).
Vaginal delivery caused significant bilateral PNTML prolongation in primiparae (n = 57; right: 1.91 ± 0.19 ms antenatal vs 2.00 ± 0.22 ms postnatal; left: 1.96 ± 0.21 ms vs 2.06 ± 0.24 ms; P < 0.0001) and multiparae (n = 32; P < 0.01), with greater damage observed on the left side (P = 0.03).
Perineal descent during straining increased after vaginal delivery (P < 0.001); elective caesarean section (n = 7) showed no change, whereas caesarean during labour lengthened left PNTML (1.94 ± 0.13 ms vs 2.08 ± 0.29 ms, P < 0.01).
Higher birth weight and prolonged active second stage correlated with increased PNTML; 8 of 12 women reassessed at 6 months recovered normal nerve latencies.

Cite This Study

Sultan et al. (1994) studied this question.

synapsesocial.com/papers/6a8242fdf07048b4a7ac9522 https://doi.org/10.1111/j.1471-0528.1994.tb13005.x

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January 1, 1994BJOG An International Journal of Obstetrics & Gynaecology

Pudendal nerve damage during labour: prospective study before and after childbirth*

View Full Paper

Ask AI

Bookmark

Authors

ASAbdul H. SultanSt George's, University of London MKMichael A. KammUniversity of Rome Tor Vergata CHC. N. HudsonRoyal College of Obstetricians and Gynaecologists

Discussion

Member takes

Implication

Prospective study reveals pudendal nerve conduction delay and perineal descent following vaginal delivery, highlighting obstetric risks to pelvic floor integrity.

Key Points

To evaluate the impact of childbirth on pudendal nerve function and determine the obstetric variables associated with pelvic floor nerve damage.
Conducted a prospective study of 128 pregnant women beyond 34 weeks of gestation at an antenatal hospital clinic.
Measured bilateral pudendal nerve terminal motor latencies (PNTML) and perineal plane antenatally, at 6 to 8 weeks postpartum, and at 6 months in a subgroup (n = 22).
Vaginal delivery caused significant bilateral PNTML prolongation in primiparae (n = 57; right: 1.91 ± 0.19 ms antenatal vs 2.00 ± 0.22 ms postnatal; left: 1.96 ± 0.21 ms vs 2.06 ± 0.24 ms; P < 0.0001) and multiparae (n = 32; P < 0.01), with greater damage observed on the left side (P = 0.03).
Perineal descent during straining increased after vaginal delivery (P < 0.001); elective caesarean section (n = 7) showed no change, whereas caesarean during labour lengthened left PNTML (1.94 ± 0.13 ms vs 2.08 ± 0.29 ms, P < 0.01).
Higher birth weight and prolonged active second stage correlated with increased PNTML; 8 of 12 women reassessed at 6 months recovered normal nerve latencies.

Cite This Study

Sultan et al. (1994) studied this question.

synapsesocial.com/papers/6a8242fdf07048b4a7ac9522 https://doi.org/10.1111/j.1471-0528.1994.tb13005.x

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