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DOI: 10.1055/s-0044-1788988
Knowledge and Awareness of Pelvic Floor Disorders and Rehabilitation in Postpartum Women: An Observational Study
Authors
Abstract
Background The prevalence of pelvic floor disorders (PFDs) is considerably high, yet, only a handful of women seek help as most of them accept it as a consequence of pregnancy, childbirth, and as a part of aging process. Pelvic floor physiotherapy is considered primary treatment for management of PFDs. Inadequate knowledge is a major obstacle in seeking appropriate treatment. The present study intends to evaluate the knowledge and awareness of PFDs and rehabilitation in postpartum women.
Methodology The study comprised of 316 postpartum women from a tertiary care center in Belagavi district. Data was collected through an interviewer-administered questionnaire about PFDs and questions to assess awareness of pelvic floor physiotherapy.
Outcome Measures Australian Pelvic Floor Questionnaire which comprises of 42 questions, divided in 4 domains, about bladder, bowel, prolapse, and sexual function was used along with 6 self-designed questions about pelvic floor physiotherapy, to evaluate the knowledge of PFDs and rehabilitation.
Results The statistical analysis was done using the SPSS software version 26. The prevalence of PFDs was 63.6% with bladder component affected in 54.11%, bowel in 26.8%, prolapse symptoms in 2.21%, and sexual function in 22% postpartum women. They lacked knowledge regarding PFDs and rehabilitation with 84.4% considering the symptoms as normal and only 5.69% aware about pelvic floor physiotherapy.
Conclusion The study concludes that there is a high prevalence of PFDs and a substantial lack of knowledge and awareness regarding PFDs and its rehabilitation.
Keywords
pelvic floor disorders - pelvic floor rehabilitation - Australian Pelvic Floor Questionnaire - postpartum womenPublication History
Article published online:
03 September 2024
© 2024. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)
Thieme Medical and Scientific Publishers Pvt. Ltd.
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References
- 1 Grimes WR, Stratton M. Pelvic Floor Dysfunction. In: StatPearls [Internet]. Treasure Island, FL: StatPearls Publishing; 2022
- 2 Neels H, Tjalma WAA, Wyndaele JJ, De Wachter S, Wyndaele M, Vermandel A. Knowledge of the pelvic floor in menopausal women and in peripartum women. J Phys Ther Sci 2016; 28 (11) 3020-3029
- 3 Snyder K, Mollard E, Bargstadt-Wilson K, Peterson J. “We don't talk about it enough”: perceptions of pelvic health among postpartum women in rural communities. Womens Health (Lond Engl) 2022; 18: 17 455057221122584
- 4 Tim S, Mazur-Bialy AI. The most common functional disorders and factors affecting female pelvic floor. Life (Basel) 2021; 11 (12) 1397
- 5 Wallace SL, Miller LD, Mishra K. Pelvic floor physical therapy in the treatment of pelvic floor dysfunction in women. Curr Opin Obstet Gynecol 2019; 31 (06) 485-493
- 6 Baessler K, O'Neill SM, Maher CF, Battistutta D. An interviewer-administered validated female pelvic floor questionnaire for community-based research. Menopause 2008; 15 (05) 973-977
- 7 Vijaylakshmi R, Kanchana S. Prevalence of pelvic floor dysfunction among women in South India. Int J Nurs Educ 2019; 11 (04) 171-175
- 8 Gaddam R, Gangadharan K, Shivaraju P, Basappa PK. Prevalence of pelvic floor dysfunction in women attending obstetrics and gynaecology OPD at PES Institute of Medical Sciences and Research, Kuppam. Int J Reprod Contracept Obstet Gynecol 2020; 9 (12) 5087-5094
- 9 Rao KB. Prevalence of pelvic floor dysfunction among married women of Udupi Taluk, Karnataka, India. J Womens Health Care 2015; 4 (03) x
- 10 Rohilla DM, Tyagi DS. Prevalence of pelvic floor dysfunction in postpartum women. Indian Obstet Gynaecol 2020; 10 (02) 13-17
- 11 Hou Y, Tong B. Three-year follow-up of a self-administered Australian pelvic floor questionnaire validated in Chinese pregnant and postpartum women. Int Urogynecol J 2022; 33 (11) 3077-3084
- 12 Dietz HP, Scoti F, Subramaniam N, Friedman T, Shek KL. Impact of subsequent pregnancies on pelvic floor functional anatomy. Int Urogynecol J 2018; 29 (10) 1517-1522
- 13 Chen B, Wen Y, Yu X, Polan ML. Elastin metabolism in pelvic tissues: is it modulated by reproductive hormones?. Am J Obstet Gynecol 2005; 192 (05) 1605-1613
- 14 Kim S, Harvey MA, Johnston S. A review of the epidemiology and pathophysiology of pelvic floor dysfunction: do racial differences matter?. J Obstet Gynaecol Can 2005; 27 (03) 251-259
- 15 Dehghan F, Haerian BS, Muniandy S, Yusof A, Dragoo JL, Salleh N. The effect of relaxin on the musculoskeletal system. Scand J Med Sci Sports 2014; 24 (04) e220-e229
- 16 Morino S, Ishihara M, Umezaki F, Hatanaka H, Yamashita M, Aoyama T. Pelvic alignment changes during the perinatal period. Plos One 2019; 14 (10) e0223776
- 17 Gutzeit O, Levy G, Lowenstein L. Postpartum female sexual function: risk factors for postpartum sexual dysfunction. Sex Med 2020; 8 (01) 8-13
- 18 Sayasneh A, Pandeva I. Postpartum sexual dysfunction: a literature review of risk factors and role of mode of delivery. BJMP 2010; 3: 316-320
- 19 Zuchelo LTS, Bezerra IMP, Da Silva ATM. et al. Questionnaires to evaluate pelvic floor dysfunction in the postpartum period: a systematic review. Int J Womens Health 2018; 10: 409-424
