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The medial pubococcygeus muscles undergo the largest stretch of any levator ani muscles during vaginal birth. They are therefore at the greatest risk for stretch-related injury.
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Kuo-Cheng Lien
Brian Mooney
John O. L. DeLancey
Obstetrics and Gynecology
University of Michigan
Beijing Obstetrics and Gynecology Hospital
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Lien et al. (Thu,) studied this question.
www.synapsesocial.com/papers/69dbd8d8e6ab964fb0837107 — DOI: https://doi.org/10.1097/01.aog.0000109207.22354.65