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Korean Journal of Obstetrics & Gynecology 2000;43(2):179-183.
Published online January 1, 2001.
The comparison of the defecation physiology between postpartum and postoperative women by defecogram and pudendal nerve terminal motor latency.
Eun Seop Song, Sei Ryun Kim, Ji Hyeun Park, Kwan Young Oh, Seong Ook Hwang, Young Koo Lim, Mun Hwan Lim, Byoung Ick Lee, Jong Wha Kim
Abstract
OBJECTIVE
To understand the difference of defecation physiology between postpartum and postoperative women. METHODS: Between July 1998 to April 1999, we performed defecogram and pudendal nerve motor latency to 31 women, who were 8 postoperative women, 9 post cesarean-section state women, and 14 normal vaginal delivery-state women. RESULTS: According to the defecogram results, only squeezing angles of the anorectal angle were significantly increased(96.0 vs 72.3, 74.9 degree) in normal vaginal delivery-state women compared to post cesarean-section state and postoperative women, but rest and evacuation angles were not. And to pudendal nerve latency, there were no statistically significant difference. CONCLUSION: We concluded that the pudendal plexus was damaged during labor, therefore its ability to control puborectalis muscle was damaged. So, the anorectal angles of squeezing of postpartum women were significantly increased, compared to those of post cesarean section women or postoperative women.
Key Words: Postpartum state, Defecogram, Pudendal nerve motor latency
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