Périnée et Grossesse [Pelvic floor and pregnancy] - Inserm - Institut national de la santé et de la recherche médicale Access content directly
Journal Articles Gynécologie Obstétrique & Fertilité Year : 2010

Périnée et Grossesse [Pelvic floor and pregnancy]


Congenital factor, obesity, aging, pregnancy and childbirth are the main risk factors for female pelvic floor disorders (urinary incontinence, anal incontinence, pelvic organ prolapse, dyspareunia). Vaginal delivery may cause injury to the pudendal nerve, the anal sphincter, or the anal sphincter. However the link between these injuries and pelvic floor symptoms is not always determined and we still ignore what might be the ways of prevention. Of the many obstetrical methods proposed to prevent postpartum symptoms, episiotomy, delivery in vertical position, delayed pushing, perineal massage, warm pack, pelvic floor rehabilitation, results are disappointing or limited. Caesarean section is followed by less postnatal urinary incontinence than vaginal childbirth. However this difference tends to disappear with time and following childbirth. Limit the number of instrumental extractions and prefer the vacuum to forceps could reduce pelvic floor disorders after childbirth. Ultrasound examination of the anal sphincter after a second-degree perineal tear is useful to detect and repair infra-clinic anal sphincter lesions. Scientific data is insufficient to justify an elective cesarean section in order to avoid pelvic floor symptoms in a woman without previous disorders.
Fichier principal
Vignette du fichier
POINT_DE_VUE_D_expert_GOF_2010.pdf (365.81 Ko) Télécharger le fichier
Origin Files produced by the author(s)

Dates and versions

inserm-00486397 , version 1 (25-05-2010)



Xavier Fritel. Périnée et Grossesse [Pelvic floor and pregnancy]. Gynécologie Obstétrique & Fertilité, 2010, 38 (5), pp.332-46. ⟨10.1016/j.gyobfe.2010.03.008⟩. ⟨inserm-00486397⟩
3436 View
6702 Download



Gmail Mastodon Facebook X LinkedIn More