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| Name | Class |
|---|---|
| Liuzhou Maternity and Child Healthcare Hospital | OTHER |
| Maternity and Child Health Hospital of Dali | UNKNOWN |
| Zhongshan People's Hospital, Guangdong, China | OTHER |
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It is a prospective cohort study.The primiparas in six geographic regions of China are recruited to observe the natural recovery of pelvic floor muscle. The pelvic floor muscle function is evaluated at 6 weeks,3 months and 12 months after delivery.
The primiparas in six geographic regions of China are recruited to observe the natural recovery of pelvic floor muscle.Evaluation of pelvic floor function is performed at 6 weeks, 3 months, 12 months after delivery. The modified Oxford Grading Scale and Levator ani testing are used to quantify PFM strength through vaginal palpation. Pelvic floor muscles strength, endurance, repetition,vaginal contraction pressure and the knack test are evaluated using a neuromuscular stimulation therapy system of PHENIX (Company: Vivaltis -Electronic Concept Lignon Innovation, Montpellier, France).
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| Measure | Description | Time Frame |
|---|---|---|
| Maximum vaginal contraction pressure | it is measured by manometry, range(80-150cmH2O). The higher values represent better outcomes. | Change from Baseline Maximum Vaginal Contraction Pressure in a year after delivery |
| Measure | Description | Time Frame |
|---|---|---|
| Pelvic floor muscle strength | The modified Oxford Grading Scale is used to quantify PFM strength through vaginal palpation.range(0-5).The higher values represent better outcomes. | change from baseline in a year after delivery |
| Pelvic floor muscle strength(repetition) |
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Inclusion Criteria:
Exclusion Criteria:
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Six geographic regions of China are needed to be covered, and more than 1-2 hospitals in each area should be included. The primipara are recruited while having their routine follow-up 6 weeks after delivery at the outpatient department in local hospitals.
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Zhijing Sun, MD | Contact | 13651314354 | sunzhj2001@sina.com | |
| Lan Zhu, MD | Contact | zhu_julie@vip.sina.com |
| Name | Affiliation | Role |
|---|---|---|
| Lan Zhu, MD | Peking Union Medical College Hospital, Chinese Academy of Medicine Sciences | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Peking Union Medical College Hospital, Chinese Academy of Medicine Sciences | Recruiting | Beijing | Beiing | 100730 | China |
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| The First Affiliated Hospital with Nanjing Medical University |
| OTHER |
| Second Affiliated Hospital of Soochow University | OTHER |
| Maternity and Child Health Hospital of Changsha | UNKNOWN |
| Henan Provincial People's Hospital | OTHER |
| Huaian Maternal and Child Health Care Hospital | OTHER |
| Hunan Provincial Maternal and Child Health Care Hospital | OTHER |
| The Fourth Hospital of Shijiazhuang | OTHER |
| Shenzhen Luohu District Maternity And Child Healthcare Hospital | OTHER |
| Second Affiliated Hospital of Wenzhou Medical University | OTHER |
| Hubei Shiyan People's Hospital | UNKNOWN |
| Changzhi Maternity & Child Health Hospital | OTHER |
| Maternal and Child Health Care Hospital of Xinjiang Uygur Autonomous Region | UNKNOWN |
| The First Hospital of Hebei Medical University | OTHER |
| Shen-Zhen City Maternity and Child Healthcare Hospital | OTHER |
| Dalian Medical University | OTHER |
| Maternity and Child Care Center of QinHuangDao City | UNKNOWN |
| Chengdu Women's and Children's Central Hospital | OTHER |
| Shunyi Maternal and Children's Hospital of Beijing Children's Hospital | UNKNOWN |
| Shandong Provincial Maternal and Child Health Care Hospital | UNKNOWN |
| The People's Hospital of Leshan | OTHER |
| Maternal and Child Health Hospital of Hubei Province | OTHER |
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Levator ani testing is used to quantify PFM strength.range(0-5).The higher values represent better outcomes. |
| change from baseline in a year after delivery |
| Pelvic floor muscle contraction edurance | muscle contractions maintained for 0 s are defined as grade 0, 1 s as grade I, 2 s as grade II, 3 s as grade III, 4 s as grade IV, and 5 s or longer as grade V. Normal muscles can maintain the contraction for 5 s.range(0-5s).The higher values represent better outcomes. | change from baseline in a year after delivery |
| the knack test | a voluntary PFM contraction before or during coughing.That the contraction could be performed represents normal. | change from baseline in a year after delivery |
| vaginal rest pressure | measure when no vaginal contraction by manometry. range(25-50 cmH2O). the lower and the higher values represent abnormal outcomes. | change from baseline in a year after delivery |
| Condition of stress urinary incontinence | Ingelman-Sundberg classification is used according to the clinical symptoms of urinary incontinence, divided into mild, moderate and severe. | change from baseline in a year after delivery |
| pelvic organ prolapse quantification(POP-Q) | POP-Q is measured when maximum valsalva.range(0-4). stage 0 represents normal. | change from baseline in a year after delivery |