Publication details
Vliv vybraných rozměrů struktur pánevního dna na průběh porodu - přehled literatury
| Title in English | Impact of selected dimensions of pelvic floor structures on the process of delivery - a review of the literature |
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| Authors | |
| Year of publication | 2026 |
| Type | Peer-reviewed scientific article |
| Magazine / Source | Ceska Gynekologie-Czech Gynaecology |
| MU Faculty or unit | |
| Citation | |
| web | Vliv vybraných rozměrů struktur pánevního dna na průběh porodu – přehled literatury |
| Doi | https://doi.org/10.48095/cccg2026148 |
| Keywords | pelvic fl oor; pregnancy; delivery; ultrasonography; caesarean section; vacuum extraction |
| Description | Muscular and connective tissue structures of the pelvic fl oor play a crucial role throughout a woman's life, exerting signifi cant infl uence on the course of childbirth. Injury to these soft tissues during delivery can substantially aff ect a woman's postpartum quality of life. In recent years, research has increasingly focused on evaluating pelvic fl oor structures prior to labor to determine whether functional or anatomical changes contribute to the labor process and its outcomes. Transperineal ultrasound has emerged as a promising tool for objectively assessing the preparedness of pelvic fl oor musculature for vaginal delivery. This paper summarizes current scientifi c evidence on the use of transperineal ultrasound in the assessment of selected dimensions of pelvic fl oor structures and their impact on labor progression. Several studies have demonstrated that signifi cantly reduced dimensions of the genital hiatus are signifi cantly associated with an increased risk of operative delivery and a prolonged second stage of labor. In the future, transperineal ultrasound may help identify women with an elevated risk of delivery-related complications. Such identifi cation could support individualized strategies to mitigate these risks or guide the selection of the most appropriate mode of delivery, considering other clinical and obstetric factors. However, at present, pelvic fl oor assessment via transperineal ultrasound cannot be considered as a standalone marker for determining optimal delivery strategy. Childbirth remains a multifactorial process, and pelvic fl oor morphology represents only one of many variables infl uencing its course. Further research is needed to validate the clinical utility of this method and to establish its role in obstetric decision-making. |