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Strain-dependent relaxation time of viscoelastic soft tissues - Archive ouverte HAL
Communication Dans Un Congrès Année : 2025

Strain-dependent relaxation time of viscoelastic soft tissues

Résumé

Perineal tears occur in about 80 % of vaginal deliveries. During childbirth, the descent of the infant causes repeated stretching of the perineal body. The tissues of the perineum undergo significant elongation, with the stretch maintained until the next pushing effort, which induces an even greater level of stretch—reaching up to 400% elongation. This sequence of stretching and relaxation is repeated several times, potentially causing tissue failure and leading to perineal lacerations, which may result in pelvic floor disorders. Conservative techniques exist to alleviate perineal stretch, such as maneuvers or episiotomy. The latter involves a controlled incision in the perineal body. However, these techniques can sometimes cause more harm than the natural occurrence of tearing, particularly if the risk of deep lacerations during delivery is overestimated. Therefore, it is crucial to develop a non-destructive method for assessing perineal damage to support physicians in making informed decisions during childbirth. To address this, the mechanical response of the perineal body to repeated elongation-relaxation loads was investigated via cyclic pure-shear testing conducted ex vivo on porcine perinea. Analysis of the relaxation phase using Zener model identification revealed that the relaxation times continuously decreased with increased stretching until a discontinuity occurred. This discontinuity appeared to precede visible structural damage (tears) in the sample. These findings suggest that the evolution of the viscoelastic response of the perineal tissue can be measured non-invasively, potentially using relaxed indentation or suction testing. The results are promising for the future development of real-time assessments of the mechanical state of the perineum during childbirth.

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Dates et versions

hal-05362581 , version 1 (13-11-2025)

Identifiants

  • HAL Id : hal-05362581 , version 1

Citer

Sarah Iaquinta, Grégory Chagnon, A. S. Caro-Bretelle. Strain-dependent relaxation time of viscoelastic soft tissues. ESMC 2025 - The 12th European Solid Mechanics Conference, European Society of Mechanics, Jul 2025, Lyon, France. ⟨hal-05362581⟩
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