The Relationship Between Changes in Anterior Point B (BA) and Baby Birth Weight in Normal Delivery
(1) Resident of Obstetrics and Gynecology, Faculty of Medicine, Andalas University, Dr. M. Djamil Central General Hospital Padang
(2) Sub Division of Urogynecology, Obstetrics and Gynecology Department, Faculty of Medicine, Andalas University, Dr. M. Djamil Central General Hospital Padang
(*) Corresponding Author
DOI: https://doi.org/10.25077/aoj.4.1.7-12.2020
Abstract
Background : Pelvic organ prolapse (POP), also known as urogenital prolapse, is a decrease in pelvic organs which causes protrusion of the vagina, uterus or both. Determination of POP is seen from anterior vaginal wall prolapse (cystocele), uteri (urethrocele) and posterior vaginal wall (rectocele). In identifying the incidence of POP can be seen by knowing anatomic abnormalities, especially cytoceles, based on the degree measured by the Prevalence Organ Prolapse Quantification (POPQ) system. In the cystocele the POPQ assessment is focused on the anterior B point (Ba), which is the point that is in the anterior vaginal wall, between the Aa point and the anterior fornix.
Objectives : determine the relationship between changes in anterior point B with the birth weight of infants in normal labor.
Method: This study was conducted with a cross sectional comparative study method in the obgin polyclinic Prof. dr. Hanafiah Batusangkar from September to December 2017. The number of samples was 74 people with 37 people in the group with an anterior point B change> 3 cm and 37 people in the group with an anterior point B change <3 cm. Data analysis using SPSS version 22, theresults of statistical tests were significant if p <0.05.
Results: There was a relationship between age (p = 0.041) and parity (p = 0.047) with changes in anterior B point (BA) in normal labor and women who gave birth to birth weight. 3500 gram babies had 2.7 times the chance to experience changes in anterior B points (BA) of> 3 cm.
Conclusion: this study is that there is a relationship between birth weight of babies with anterior point B changes.
Keywords: Pelvic Organ Prolap, Prevalence Organ Prolapse Quantification (POPQ), Anterior Point BFull Text:
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Wu MJ, Vaughan CP, Goode PS. Prevalence and Trends of Symptomatic Pelvic Floor disorder in U.S. Women. Obstet Gynecol. 2014;123 suupl 141-48.
Weenberg A-L, Altman D, Lundholm C, Klint A, Lliadou A, Peeker R. Genetic influences are important for most but not all lower urinary tract symptoms; a population-based survey in a cohort of adult Swedish twins. Eur Urol. (2011); 59 suupl 1032-38.
Slieker-Ten Hove MC, Pool-Goudzawaard AL, Eijkemans MJ, Steegers TRP, Burger CW, Vierhout ME. Symptomatic pelvic organ prolapse and possible risk factors in a general population. Am J Obstet Gynecol. (2009); 200 suupl 184.e1-e7.
Borolini, M.A.T., Drutz, H.P., Lovatsis, D., Alarab, M.Vaginal Delivery and Pelvic Floor Dysfunction: Current Evidence and Implication for Future Research. Germany: Springer. 2010.
Sung VW, Hampton BS. Epidemiology of Pelvic Floor Dysfunction. Obstetrics and Gynecology Clinics of NA. 2009;36(3):421–443.
Gyhagen M, Åkervall S, Milsom I. Clustering of pelvic floor disorders 20 years after one vaginal or one cesarean birth. Int Urogynecol J. 2015;26(8):1115–1121
Minassian VA, Yan XS, Lichtenfeld MJ, Sun H, Stewart WF. The iceberg of health care utilization in women with urinary incontinence. Int Urogynecol J. 2012;23(8):1087–1093.
Brown HW, Wexner SD, Lukacz ES. Factors Associated With Care Seeking Among Women With Accidental Bowel Leakage. Female Pelvic Medicine & Reconstructive Surgery. 2013;19(2):66–71.
Cartwright R, Mangera A, Tikkinen KAO, et al. Systematic Review and Meta-analysis of Candidate Gene Association Studies of Lower Urinary Tract Symptoms in Men. European Urology. 2014;66(4):752–768.
Waetjen LE, Xing G, Johnson WO, Melnikow J, Gold EB. Factors Associated With Seeking Treatment for Urinary Incontinence During the Menopausal Transition. Obstetrics & Gynecology. 2015;125(5):1071–1079.
Handa VL, Pierce CB, Muñoz A, Blomquist JL. Longitudinal changes in overactive bladder and stress incontinence among parous women. Neurourol Urodyn. 2014;34(4):356–361.
Chen C, Smith LJ, Pierce CB, Blomquist JL, Handa VL. Do Symptoms of Pelvic Floor Disorders Bias Maternal Recall of Obstetrical Events Up to 10 Years After Delivery Female Pelvic Medicine & Reconstructive Surgery. 2015;21(3):129–134.
Guzmán Rojas R, Wong V, Shek KL, Dietz HP. Impact of levator trauma on pelvic floor muscle function. Int Urogynecol J. 2013;25(3):375–380.
Miller JM, Low LK, Zielinski R, Smith AR, DeLancey JOL, Brandon C. Evaluating maternal recovery from labor and delivery: bone and levator ani injuries. American Journal of Obstetrics and Gynecology. 2015;213(2):188.e1–188.e11.
Nygaard I. New directions in understanding how the pelvic floor prepares for and recovers from vaginal delivery. American Journal of Obstetrics and Gynecology. 2015;213(2):121–122.
Orejuela F, Shek K, Dietz H.The time factor in the assessment of prolapse and levator ballooning. . Int Urogynecol J in print. 2011
Van Veelen GA, Schweitzer KJ, van Hoogenhuijze NE, van der Vaart CH. Association between levator hiatal dimensions on ultrasound during first pregnancy and mode of delivery. Ultrasound inObstetrics & Gynecology. 2015;45(3):333–338.
Subak LL, King WC, Belle SH, et al. Urinary Incontinence Before and After Bariatric Surgery. JAMAIntern Med. 2015;175(8):1378–1310.
Wu JM, Matthews CA, Conover M, Pate V, Jonsson Funk M. Lifetime Risk of Stress Urinary Incontinence or Pelvic Organ Prolapse Surgery. Obstetrics & Gynecology. 2014; 123 (6) : 1201-1206.
Ward RM, Velez Edwards DR, Edwards T, Giri A, Jerome RN, Wu JM. Genetic epidemiology of pelvic organ prolapse: a systematic review. American Journal of Obstetrics and Gynecology. 2014;211(4):326–335.
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