Pelvic dysfunction in women as a consequence of anatomical and functional changes of the pelvic floor during pregnancy and a reflection of adaptation to childbirth: A review

The review describes hormonal and biochemical changes during pregnancy that have a multifaceted effect on the structure and function of the pelvic floor and are an adaptive mechanism for stretching during the baby's passage through the birth canal. It has been shown that the onset of pelvic dys...

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Main Authors: Aleksandr A. Bezmenko, Anna S. Staroverova
Format: Article
Language:Russian
Published: IP Berlin A.V. 2024-12-01
Series:Гинекология
Subjects:
Online Access:https://gynecology.orscience.ru/2079-5831/article/viewFile/629239/pdf
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author Aleksandr A. Bezmenko
Anna S. Staroverova
author_facet Aleksandr A. Bezmenko
Anna S. Staroverova
author_sort Aleksandr A. Bezmenko
collection DOAJ
description The review describes hormonal and biochemical changes during pregnancy that have a multifaceted effect on the structure and function of the pelvic floor and are an adaptive mechanism for stretching during the baby's passage through the birth canal. It has been shown that the onset of pelvic dysfunctions during pregnancy is a reflection of the stages of connective tissue remodeling. Pregnancy, as an additional factor affecting pelvic floor function, may be a trigger for pelvic organ prolapse. In pregnant women with insufficient adaptation of the pelvic floor, injuries during childbirth are more common, and disorders of remodeling the connective tissue components lead to pelvic organ prolapse and subsequent pelvic dysfunction. The mechanism of impaired pelvic floor connective tissue remodeling during pregnancy remains unclear and requires further research.
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id doaj-art-431658ab84a147f2bf0e08efaaa51af0
institution Kabale University
issn 2079-5696
2079-5831
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publishDate 2024-12-01
publisher IP Berlin A.V.
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series Гинекология
spelling doaj-art-431658ab84a147f2bf0e08efaaa51af02025-01-21T20:47:28ZrusIP Berlin A.V.Гинекология2079-56962079-58312024-12-0126432633010.26442/20795696.2024.4.20301579601Pelvic dysfunction in women as a consequence of anatomical and functional changes of the pelvic floor during pregnancy and a reflection of adaptation to childbirth: A reviewAleksandr A. Bezmenko0https://orcid.org/0000-0003-2837-1260Anna S. Staroverova1https://orcid.org/0000-0003-0916-4012Kirov Military Medical AcademyKirov Military Medical AcademyThe review describes hormonal and biochemical changes during pregnancy that have a multifaceted effect on the structure and function of the pelvic floor and are an adaptive mechanism for stretching during the baby's passage through the birth canal. It has been shown that the onset of pelvic dysfunctions during pregnancy is a reflection of the stages of connective tissue remodeling. Pregnancy, as an additional factor affecting pelvic floor function, may be a trigger for pelvic organ prolapse. In pregnant women with insufficient adaptation of the pelvic floor, injuries during childbirth are more common, and disorders of remodeling the connective tissue components lead to pelvic organ prolapse and subsequent pelvic dysfunction. The mechanism of impaired pelvic floor connective tissue remodeling during pregnancy remains unclear and requires further research.https://gynecology.orscience.ru/2079-5831/article/viewFile/629239/pdfremodelingconnective tissuepelvic floorpregnancy
spellingShingle Aleksandr A. Bezmenko
Anna S. Staroverova
Pelvic dysfunction in women as a consequence of anatomical and functional changes of the pelvic floor during pregnancy and a reflection of adaptation to childbirth: A review
Гинекология
remodeling
connective tissue
pelvic floor
pregnancy
title Pelvic dysfunction in women as a consequence of anatomical and functional changes of the pelvic floor during pregnancy and a reflection of adaptation to childbirth: A review
title_full Pelvic dysfunction in women as a consequence of anatomical and functional changes of the pelvic floor during pregnancy and a reflection of adaptation to childbirth: A review
title_fullStr Pelvic dysfunction in women as a consequence of anatomical and functional changes of the pelvic floor during pregnancy and a reflection of adaptation to childbirth: A review
title_full_unstemmed Pelvic dysfunction in women as a consequence of anatomical and functional changes of the pelvic floor during pregnancy and a reflection of adaptation to childbirth: A review
title_short Pelvic dysfunction in women as a consequence of anatomical and functional changes of the pelvic floor during pregnancy and a reflection of adaptation to childbirth: A review
title_sort pelvic dysfunction in women as a consequence of anatomical and functional changes of the pelvic floor during pregnancy and a reflection of adaptation to childbirth a review
topic remodeling
connective tissue
pelvic floor
pregnancy
url https://gynecology.orscience.ru/2079-5831/article/viewFile/629239/pdf
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AT annasstaroverova pelvicdysfunctioninwomenasaconsequenceofanatomicalandfunctionalchangesofthepelvicfloorduringpregnancyandareflectionofadaptationtochildbirthareview