Impact of pregnancy and vaginal delivery on the passive and active mechanics of the rat vagina

Ann Biomed Eng. 2011 Jan;39(1):549-58. doi: 10.1007/s10439-010-0153-9. Epub 2010 Sep 8.

Abstract

Remodeling of vaginal extracellular matrix and smooth muscle likely plays a critical role in reducing the risk of maternal injury during vaginal delivery by altering the mechanical properties to increase distension and reduce stress. Long-Evans rats were divided into five groups to examine the passive mechanical and active contractile properties throughout pregnancy and postpartum: virgin (n=17), mid-pregnant (Day 14-16, n=12), late-pregnant (Day 20-22, n=14), immediate postpartum (0-2 h after delivery, n=14), and 4 week postpartum (n=15). Longitudinal sections of vaginal tissue were loaded to failure uniaxially for passive mechanical or active contractile properties were examined. For passive mechanics, the tangent modulus decreased 45% by mid-pregnancy and immediately postpartum (p<0.001). The ultimate strain continuously increased up to 43% higher than virgin animals (p=0.007) in the immediate postpartum group. For active mechanics, the maximal contractile force was 36-56% lower through immediate postpartum animals, and was significantly more sensitive to K+ throughout pregnancy and postpartum (p=0.003). The changes observed in the passive and active properties of the rat vagina are consistent with what would be expected from a tissue that is remodeling to maximize its ability to distend at the time of vaginal delivery to facilitate passage of the fetus with minimal injury.

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • Animals
  • Delivery, Obstetric*
  • Elastic Modulus / physiology
  • Female
  • Muscle Contraction / physiology*
  • Muscle, Smooth / physiology*
  • Pregnancy
  • Pregnancy, Animal / physiology*
  • Rats
  • Rats, Long-Evans
  • Stress, Mechanical
  • Tensile Strength
  • Vagina / physiology*