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INTRODUCTION
POP prevalence in the general
population ranges from 5-10%, according
to the 3rd International Consultation on
Incontinence Research (ICI). Women's
Health Intiative (WHI) reported that, 41%
of women aged 50-79 years had some kind
of POP around 34% is cystocele, rectocele
as many as 19% and 14% for uterine
prolapse. [1, 2]
Several
epidemiological
studies
reported a population of women who have
POP dominated by white women. Fenner
(2008) stated that white women have twice
the prevalence of POP than black women,
Thom reported that the prevalence of POP
occurred in Hispanic women (36%),
METHODS
This study is a cross sectional analytic
study, avulsion of the levator ani compared
to the size of GH-PB complex research
subjects who met the inclusion criteria and
exclusion criteria are not included.
Research subjects are divided into two
groups, the levator ani avulsion and group
without avulsion of the levator ani.
Inclusion criteria were:
1.
2.
3.
4.
5.
6.
primiparous
Women aged 20-35years
Head spontaneous vaginal delivery
More than 40 days postpartum
Infants birth weight 2500-3500 grams
Body Mass Index between 18 and 30
RESULTS
This research was conducted during May
to July 2014. During this period we
obtained 110 research subjects who meet
the inclusion criteria and no exclusion
criteria included, consisting of 40 subjects
for the group of patients who have avulsed
levator ani and 70 subjects without levator
ani avulsion. Research subjects derived
from primiparous patients who gave birth
Avulsion
(n= 40)
No avulsi
(n= 70 )
25
16
26
15
0,150
3000
1000
2975
1000
0.213
20,9
12,9
21,8
13,1
0.471
We
Found
no
significant
differences for age range for both groups,
p=0.150 (p>0.05), no significant difference
was found for the baby's weight range for
Range
Avulsion
40
6,0
5,0-7,0
Without avulsion
70
5,25
4,0-6,0
0,01*
> 5,5 cm
5,5 cm
Avulsion
21 (52,5 %)
19 (47,5%)
0,002*
Without avulsion
16 (22,9 %)
54 (77,1%)
Note :
X2 =
DISCUSSION
Severalstudies,
including
epidemiological
data,support
the
hypothesis that age is a risk factor for
pelvic organ prolapse with or without
including parity as variables. [31-33]
Studies conducted by Weemhoff, Shek and
Dietz on 375 subjects in which
transperineal ultrasound were performed,
stated that there is a weak correlation
between age of subjects with strength and
pelvic floor muscle morphometry(r =-0.25,
p<0.01). [34] Santoso report on 182
subjects, age ranged from 24 to 27 years is
the highest among all subjects (39,42%),
the mean age of the study subjects was
about 25 years on the levator ani avulsion
group and 27 years in the group without
avulsion of the levator ani, stated that there
was no statistically significant difference
between the two. [35]
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VW,
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Epidemiology of
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W.
Perbandingan
Kejadian Avulsi Otot Levator Ani
Antara Ekstraksi Forseps Dengan
Ekstraksi
Vakum
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Pemeriksaan
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