{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,4,17]],"date-time":"2025-04-17T04:10:34Z","timestamp":1744863034410,"version":"3.40.4"},"reference-count":27,"publisher":"Springer Science and Business Media LLC","issue":"3","license":[{"start":{"date-parts":[[2025,1,9]],"date-time":"2025-01-09T00:00:00Z","timestamp":1736380800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2025,1,9]],"date-time":"2025-01-09T00:00:00Z","timestamp":1736380800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"name":"Municipal Scientific Research Project of Ganzhou Health Commission","award":["2022\u20132-088"],"award-info":[{"award-number":["2022\u20132-088"]}]},{"name":"Science and Technology Project of Jiangxi Provincial Administration of Traditional Chinese Medicine","award":["2022A264"],"award-info":[{"award-number":["2022A264"]}]},{"name":"Science and Technology Project of Jiangxi Provincial Health Commission","award":["202310737"],"award-info":[{"award-number":["202310737"]}]},{"name":"Guiding Science and Technology Project of Ganzhou City","award":["GZ2023ZSF131"],"award-info":[{"award-number":["GZ2023ZSF131"]}]},{"name":"Key Laboratory of the Ministry of Education for the Prevention and Treatment of Cardiovascular and Cerebrovascular Diseases, Gannan Medical University","award":["NX202022"],"award-info":[{"award-number":["NX202022"]}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Int Urogynecol J"],"published-print":{"date-parts":[[2025,3]]},"abstract":"<jats:title>Abstract<\/jats:title>\n          <jats:sec>\n            <jats:title>Introduction and Hypothesis<\/jats:title>\n            <jats:p>The relationship between cesarean section scars and active pelvic floor muscle tone lacks sufficient evidence. This study is aimed at investigating the relationship between the severity of cesarean section scars and active pelvic floor muscle tone in postpartum women.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Methods<\/jats:title>\n            <jats:p>We conducted a prospective cross-sectional study of 604 women at 6\u20138\u00a0weeks postpartum. Active pelvic floor muscle tone was assessed using the Glazer protocol, and scar severity was categorized as no scar, normal scar, and hypertrophic scar. We collected data on demographic and clinical variables, including age, body mass index (BMI), and comorbidities. Linear regression analysis was employed to assess the association between scar severity and active pelvic floor muscle tone, adjusting for potential confounders.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Results<\/jats:title>\n            <jats:p>Compared with the no scar group, the normal scar group exhibited higher levels of active pelvic floor muscle tone (\u03b2\u2009=\u20091.68 and 1.47), and the hypertrophic scar group had the highest levels of active pelvic floor muscle tone (\u03b2\u2009=\u20095.09 and 5.03). Active pelvic floor muscle tone was significantly higher in women with scars than in those without scars. The association remained significant after adjusting for age, BMI, and comorbidities. Moreover, women with hypertrophic scars exhibited higher active pelvic floor muscle tone than those with normal scars.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Conclusions<\/jats:title>\n            <jats:p>Cesarean section scar severity is positively associated with increased active pelvic floor muscle tone in postpartum women. This finding highlights the importance of scar management and targeted pelvic floor rehabilitation to optimize postpartum recovery.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1007\/s00192-024-06023-8","type":"journal-article","created":{"date-parts":[[2025,1,9]],"date-time":"2025-01-09T13:30:18Z","timestamp":1736429418000},"page":"607-613","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Association Between Cesarean Scar and Pelvic Floor Muscle Tone at 6\u20138 Weeks Postpartum"],"prefix":"10.1007","volume":"36","author":[{"given":"Li","family":"Xiao","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nan","family":"Huang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yanbiao","family":"Zhong","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yun","family":"Luo","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1952-101X","authenticated-orcid":false,"given":"Maoyuan","family":"Wang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2025,1,9]]},"reference":[{"key":"6023_CR1","doi-asserted-by":"publisher","first-page":"125","DOI":"10.1016\/j.midw.2017.04.002","volume":"50","author":"J Cappell","year":"2017","unstructured":"Cappell J, Pukall CF. 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