American Journal of Obstetrics & Gynecology
Volume 201, Issue 5 , Pages 529.e1-529.e6 , November 2009

Change in urethral sphincter neuromuscular function during pregnancy persists after delivery

Presented at the 35th Annual Scientific Meeting of the Society of Gynecologic Surgeons, New Orleans, LA, March 30-April 1, 2009.

  • Alison C. Weidner, MD

      Affiliations

    • Division of Urogynecology and Pelvic Reconstructive Surgery, Department of Obstetrics and Gynecology, Duke University Medical Center, Durham, NC
    • ,
  • Mary M.T. South, MD

      Affiliations

    • Division of Urogynecology and Pelvic Reconstructive Surgery, Department of Obstetrics and Gynecology, Duke University Medical Center, Durham, NC
    • ,
  • Donald B. Sanders, MD

      Affiliations

    • Division of Neurology, Department of Medicine, Duke University Medical Center, Durham, NC
    • ,
  • Sandra S. Stinnett, DrPH

      Affiliations

    • Department of Biostatistics and Bioinformatics, Duke University Medical Center, Durham, NC

Received 30 December 2008 ,Revised 20 May 2009 ,Accepted 8 July 2009.

References 

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  2. Snooks SJ, Badenoch DF, Tiptaft RC, Swash M. Perineal nerve damage in genuine stress urinary incontinence (An electrophysiological study). Br J Urol. 1985;57:422–426
  3. Damaser MS, Whitbeck C, Chichester P, Levin RM. Effect of vaginal distension on blood flow and hypoxia of urogenital organs of the female rat. J Appl Physiol. 2005;98:1884–1890
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  7. South MT, Stinnett SS, Sanders DB, Weidner AC. Levator ani denervation and reinnervation six months after childbirth. Am J Obstet Gynecol. 2009;200:519.e1–519.e7
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  11. Hansen SL, Clark SL, Foster JC. Active pushing versus passive fetal descent in the second stage of labor: a randomized controlled trial. Obstet Gynecol. 2002;99:29–34
  12. Howard D, DeLancey JOL, Tunn R, Ashton-Miller JA. Racial differences in the structure and function of the stress urinary continence mechanism. Obstet Gynecol. 2000;95:713–717
  13. Sampselle CM, Miller JM, Mims BL, Delancey JO, Ashton-Miller JA, Antonakos CL. Effect of pelvic muscle exercise on transient incontinence during pregnancy and after birth. Obstet Gynecol. 1998;91:406–412

 Cite this article as: Weidner AC, South MMT, Sanders DB, et al. Change in urethral sphincter neuromuscular function during pregnancy persists after delivery. Am J Obstet Gynecol 2009;201:529.e1-6.

 Supported by NIH Grant HD38661-05 and the Charles Hammond Research Fund.

 Reprints not available from the authors.

PII: S0002-9378(09)00786-8

doi: 10.1016/j.ajog.2009.07.022

American Journal of Obstetrics & Gynecology
Volume 201, Issue 5 , Pages 529.e1-529.e6 , November 2009

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