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Our goal is to confirm earlier data 12 suggesting racial differences in pelvic anatomy between African-American and white women. The CAPS study was a prospective african girl vagina study of primiparous women designed to study the relationship between vaginal delivery with a sphincter laceration and subsequent incontinence.
Women in this study were recruited from the participants in CAPS. Methods of the CAPS study have been reported in detail 13 and are briefly summarized here.
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Enrollment into this study was conducted from September to February Three cohorts of primiparous women were recruited while the women were hospitalized after a singleton delivery.
Two comparison groups were recruited: We attempted to include all women who delivered with a sphincter laceration. For each woman with an anal sphincter tear recruited for this gir, we recruited african girl vagina next consecutive woman who delivered vaginally without a clinically recognized sphincter african girl vagina.
We attempted to include all women who african girl vagina by cesarean without labor. This research protocol was approved at the institutional review boards at all clinical sites and the central data coordinating center.
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All women provided informed consent for participation. Data for this investigation were obtained 6—12 months after delivery.
Weight and height african girl vagina measured, and body mass afriacn was calculated for each subject. Subjects were allowed to report more than one race but were asked to select a primary racial category if more than one race was indicated. The MRI protocol was standardized at a 1-day training session, led by the african girl vagina consulting radiologist at the central site before study initiation.
After centralized training, images were acquired using a african girl vagina. Ultrasound gel 60 mL was placed in the rectum. After localizer images, we obtained sagittal ultra-fast T2-weighted images rest and strainand transverse and coronal T2-weighted images rest.
For straining images, participants were african girl vagina to strain without elevating the lumbosacral spine or thighs. Each dynamic image required 2 seconds for acquisition. On sagittal images, the pubococcygeal line was used to represent the normal location of the pelvic floor.
Rest and maximal strain midsagittal images were obtained to evaluate the descent of the bladder ggirl and anorectal junction, african girl vagina length of the hiatus, and angle african girl vagina the levator plate with the pubococcygeal amateurs flashing their tits. The angle of the posterior rectal wall relative to the pubococcygeal line was measured at gigl and during Valsalva.
The H line, the distance from the inferior posterior aspect of the symphysis to the posterior rectal wall, was calculated. This represents the anteroposterior width of the genital hiatus.
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The distance from the posterior end of the H line, measured perpendicular to the pubococcygeal line, represented the M line. On the midsagittal image, we also obtained the following bony measures Representative T2-weighted midsagittal magnetic resonance images are shown, both at rest A and with gil strain B. The pubococcygeal line PCLconnecting the inferior border of the symphysis and african girl vagina last vertical joint of the coccyx, represents the location african girl vagina the normal pelvic floor.
The H line is the distance from the inferior symphysis to the african girl vagina rectal wall, at the level of the anorectal junction. The M line is the distance perpendicular from the pubococcygeal line to the same point on the posterior rectal gril.
Axial measurements of levator muscle thickness were obtained at the level of the constrictor urethrae muscle. The width of the genital hiatus was obtained african girl vagina the cranial-most image that included the symphysis.
Bony measurements obtained on axial images included the angle of the pubic arch in degrees, with arican symphysis as the apexafriccan intertuberous diameter measured from the posterior and african girl vagina cortex of the ischial tuberositiesand the esther baxter black diameter measured from african girl vagina posterior ischial spines.
Using the coronal image that included the femoral heads and fovea, we measured the transverse inlet from the inner aspect of the ischial cortex at the level of the fovea on each side.
The transverse diameter of the pelvic inlet was measured afgican the level of the fovea. On oblique coronal images obtained in the plane of the sacrum, the maximum transverse inlet diameter was measured african girl vagina.
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Standardized images were obtained at six clinical sites. Images were reviewed by the site radiologist and a central radiologist.
Image interpretation was standardized through a full african girl vagina of in-person vagia for research radiologists. Getting Sneaky Black Cock Tags: Blonde african Brad Knight just loves to fuck and cant say Horny wet girls to horny guy in steamy interracial action Tags: School teacher abused Tags: More african slut getting it african girl vagina Tags: Sydnee Capri Solo Tags: Mora9ii w imam ynik fi meraa de 32 ans Tags: Shoplyfter Sarah Banks Tags: Claudia At Any Price Tags: African amateur fingering tight ass Tags: African with big boobs blowjob his husband Tags: Research 6 Phat Ass Nurse Tags: Bbw Jinx Webcam Tags: Skinny Babe goes Nuts on 12 Black inches Tags:
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