Open AccessComparison of the Levator Hiatal Area
Author(s) -
Muhammad E Juniarto,
Fernandi Moegni
Publication year - 2017
Publication title -
indonesian journal of obstetrics and gynecology
Language(s) - English
Resource type - Journals
eISSN - 2338-7335
pISSN - 2338-6401
DOI - 10.32771/inajog.v4i4.450
Subject(s) - medicine , avulsion , valsalva maneuver , obstetrics , obstetrics and gynaecology , gynecology , pregnancy , surgery , blood pressure , biology , genetics
Objective: To determine the relationship of the levator hiatal area
among nulliparous, primiparous, and multiparous women so that
we can assess the prevalence of avulsion.
Method: A cross-sectional study design was used by evaluating the
transperineal ultrasound results of all nulliparous, primiparous, and
multiparous women in the Obstetrics and Gynecology Clinic of
Dr. Cipto Mangunkusumo hospital from May to December 2015. We
analyzed the data through SPSS using one way ANOVA to compare
the levator hiatal dimension among the groups of women during
Valsava maneuver and at rest.
Result: There were significant differences in levator hiatal area
among nulliparous, primiparous, and multiparous women during
Valsalva maneuver and at rest, which the mean (SD) was 22.26
(5.45) cm2 (p=0.028) and 10.70 (2.26) cm2 (p=0.012), respectively.
Levator ani muscle avulsion was occurred in 1 out of 46 (2.2%)
women from the primiparous and multiparous group.
onclusion: There are significant differences in levator hiatal area
during Valsalva and at rest among the groups.
[Indones J Obstet Gynecol 2016; 4-4: 208-211]
Keywords: avulsion, levator hiatal area, multiparous, nulliparous,
primiparous