No registrations found.
ID
Source
Brief title
Health condition
Zwangerschap / Pregnancy
Bevalling / Delivery
Niet vorderende uitdrijving / Failure to progress
Spierherstel / Muscle regeneration
Sponsors and support
University Medical Centre Utrecht
University Medical Centre Utrecht
Intervention
Outcome measures
Primary outcome
Mean echogenicity of the puborectalis muscle (MEP) at 12 weeks gestation in the different delivery groups (vaginal delivery versus secondary Caesarean section due to failure of progress).
Secondary outcome
Mean echogenicity of the cervix, myometrium and vastus lateralis muscle at 12 weeks gestation in the two groups. Mean echogenicity and distribution of different echogenicity of the puborectalis muscle and the change in echogenicity during recovery/regeneration after vaginal delivery.
Study objective
The mean echogenicity of the puborectalis muscle in nulliparous women at 12 weeks gestation is lower in women delivering by Caesarean section due to failure to progress compared to women delivering vaginally.
Study design
Ultrasound assessment at 12 weeks pregnancy.
Twenty patients will undergo intensive postpartum follow-up 1 day, 1 week, 2 weeks, 3 weeks, 4 weeks, 6 weeks, 12 weeks, (16 weeks), 18 weeks and 24 weeks after delivery.
Intervention
Performing ultrasound assessment of the pelvic floor, cervix, myometrium and vastus lateralis muscle at 12 weeks gestation. Twenty patients of the UMCU (UVC/WKZ) will have intensive follow-up after vaginal delivery to assess regeneration after delivery trauma.
University Medical Centre Utrecht, room F05.1.26
Heidelberglaan 100
Utrecht 3584 CX
The Netherlands
+31887550927
M.K.vandeWaarsenburg@umcutrecht.nl
University Medical Centre Utrecht, room F05.1.26
Heidelberglaan 100
Utrecht 3584 CX
The Netherlands
+31887550927
M.K.vandeWaarsenburg@umcutrecht.nl
Inclusion criteria
-Nulliparous women
-Singleton pregnancy
-Good knowledge of Dutch language
-Signed informed consent
Exclusion criteria
-Age <18 years
-History of pelvic organ prolapse or incontinence surgery
-History of surgery in the uterus (indication for Caesarean section)
-Connective tissue disease
-Not allowed to do a maximum Valsalva maneuver because of cardiac or pulmonary disease
Design
Recruitment
Followed up by the following (possibly more current) registration
Other (possibly less up-to-date) registrations in this register
No registrations found.
In other registers
| Register | ID |
|---|---|
| NTR-new | NL4754 |
| NTR-old | NTR4882 |
| CCMO | NL49202.041.14 |
| OMON | NL-OMON50211 |