The effects of uterine fundal pressure (Kristeller maneuver) on pelvic floor function after vaginal delivery

Andrea Sartore, Francesco De Seta, Gianpaolo Maso, Giuseppe Ricci, Salvatore Alberico, Massimo Borelli, Secondo Guaschino

Research output: Contribution to journalArticlepeer-review


Purpose: To evaluate the role of uterine fundal pressure during the second stage of labor (Kristeller maneuver) on pelvic floor dysfunction (urinary and anal incontinence, genital prolapse, pelvic floor strength). Methods: 522 primiparous women, enrolled 3 months after vaginal delivery, were divided in two groups: group A (297 women) identifies the women who received Kristeller maneuvers with different indications (e.g. fetal distress, failure to progress, mother exhaustion), group B (225 women) the women without maneuver. Participants were questioned about urogynecological symptoms and examined by Q-tip test, digital test, vaginal perineometry and uroflowmetric stop test score. Results: Mediolateral episiotomies, dyspareunia and perineal pain were significantly higher in Kristeller group, whereas urinary and anal incontinence, genital prolapse and pelvic floor strength were not significantly different between the groups. Conclusions: Kristeller maneuver does not modify puerperal pelvic floor function but increases the rate of episiotomies.

Original languageEnglish
Pages (from-to)1135-1139
Number of pages5
JournalArchives of Gynecology and Obstetrics
Issue number5
Publication statusPublished - Nov 2012


  • Episiotomy
  • Kristeller maneuver
  • Pelvic floor function
  • Puerperium
  • Vaginal delivery

ASJC Scopus subject areas

  • Obstetrics and Gynaecology


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