Interethnic variations in pelvic floor thickness in relation to bony
dimensions in South African women: on computed tomography scans
Abstract
Objective. To explore the relationship between pelvic floor
thickness and bony pelvic outlet, in nulliparous and multiparous women
of black and white South African (SA) ethnic group groups.
Design. Quantitative retrospective analysis of computerised
tomography (CT) scans. Setting. Academic Hospital and
University in Pretoria, SA. Population/sample. Black and white
women of SA ethnic groups. Methods. A total of 125 CT scans
were sampled from a tertiary hospital in Pretoria South Africa, where 50
belonged to SA white women and 75 to SA black women. The data was
reconstructed with Mevislab software to measure pelvic floor thicknesses
and bony parameters. Statistical analyses were performed using
Paleontological Statistics Comparisons (PAST). Main outcome
measures. Variations were observed in pelvic floor thicknesses and bony
parameters measured in SA women, which varied according to ethnic group,
age and parity. Results. Greater bony dimensions (except
anteroposterior pelvic outlet) were found in white compared to black
women. A thicker pelvic floor was noted in black compared to white
women. Some bony dimensions increased with parity. Pelvic floor
thickness became thinner with increasing parity and age in both ethnic
groups. Conclusion. There existed an interethnic variation in
pelvic floor thickness and bony dimensions, where white women presented
with thinner pelvic floor and greater bony pelvic dimensions when
compared to black women.