Levator co-activation is a significant confounder of pelvic organ descent on Valsalva maneuver.
Objective A Valsalva maneuver is used clinically and on imaging in order to determine female pelvic organ prolapse. We have examined the Potential confounding effect of levator co-activation at the time of a Valsalva maneuver and the impact of repetition with biofeedback instruction. Methods Fifty nulliparous women at 36-38 weeks' gestation received 3D/4D translabial ultrasound investigation in th