Title: Survey on knowledge about pelvic floor muscles and pelvic floor muscle exercises in primiparous pregnant women

Authors: Shrutika Pramod Sawant, Dr Anuradha Sutar

 DOI: https://dx.doi.org/10.18535/jmscr/v7i4.101

Abstract

Introduction: The pelvic floor muscles are a well-defined muscular structure that supports pelvic organs. Pelvic floor dysfunctions include urinary incontinence, prolapse, and sexual problems. The current study evaluated knowledge about pelvic floor muscles and awareness about pelvic floor exercises in primiparous pregnant women above 18 years of age.

Subjects and Methods: In this cross-sectional survey, a validated, 36 item questionnaire was used. Women were interviewed for the questions in the questionnaire. Questionnaire included questions regarding demography, pelvic floor muscles, pelvic floor dysfunction, pelvic floor exercises. Content validity and face validity was done.

Results: Results are calculated by taking average of all the questions. Knowledge of pelvic floor muscles was 48%, knowledge of pelvic floor exercises was 32%, knowledge about sexual dysfunction was 51%. Many of the women knew exact location and function of pelvic floor muscles.

Conclusion: There was significant lack of knowledge about pelvic floor muscles and training among primiparous women. Most of the women thought they are not sufficiently informed this can be a way to reduce dysfunction.

Keywords: Pelvic floor, urinary incontinence, pelvic floor exercises.

References

  1. Hedwig Neels, Wiebranan A et al: Knowledge of PF in nulliparous women.2016
  2. Bortolini MA, Drutz HP: vaginal delivery and pelvic floor dysfunctions- current evidence and implications for future research, Int. Urogynecol. J. PF dys, 2010, 21: 1025-1030
  3. Messer KL, Hines SH, et al.: Self efficacy as a prevention of urinary incontinence clinical trial. Health Educ. Behav, 2007, 34: 942-952
  4. Han D, Ha M: Effect of pelvic floor muscles exercises on pulmonary function. J. Phys. Ther. Sci, 2015, 27: 3233-3235
  5. Park H, Han D: Effect of co-relation between contraction of PF muscles and diphragmatic motion during breathing. J. Phys. Ther. Sci., 2015, 27: 2113-2115
  6. Ozdemir OC, Bakar Y: Effect of parity on PF muscle strength and QOL in women with UI: cross sectional study. J Phys. Ther. Sci, 2015, 27: 2133-2137
  7. Maclennan AH, Taylor AW: Prevalence of PF disorders and their relationship to age, gender, parity and mode of delivery. BJOG, 2000, 107: 1460-1470
  8. Safsford book
  9. Margaret Polden and Jill Mantle. Physiotherapy in Obstretics and Gynaecology. Chapter 1-Anatomy. Postnatal Period.2007,1-21,222-280.
  10. Fonti Y, Giordano R: Postpartum pelvic floor changes- Prenat Med, 2009:3, 57-59
  11. Melville JL, Wagner EJ: Women’s perception about etiology of UI. J. Women’s Health, 2008,17: 1093-1098
  12. Liao YM, Dougherty MC: PF muscle training effect on UI knowledge, attitudes, and severity: Int J. Nurs. Stud.,2006, 43: 29-37
  13. Mason L, Glenn S et al.: Women’s reluctance to seek help for stress incontinence during pregnancy and following childbirth. Midwifery, 2001, 17: 212-221
  14. Cassmore C, Dobbie AE: Guidelines for constructing survey: Fam Med, 2002,34: 281-286
  15. Burns KE, Duffett HM: ACCADEMY group: a guide for design and conduct of self-administered surveys of clinicians, CMAJ 2008, 179:245-252
  16. O’canthin A, Thomas J: “Any other comments?” open question on questionnaire bane or bonus to research? BMC Med Res Methodol,2004, 4:25
  17. Coolen JC, Florisson JM: Evaluation of knowledge and anxiety level of patients visiting colorectal PF clinic. Colorectal Dis, 2006, 8:208-211
  18. Anger JT, UJ: Health literacy and disease understanding among aging women with PF disorders. Female Pelvic Roconstr. Surg. 2012, 18:340-343

Corresponding Author

Shrutika Pramod Sawant

Maeer’s Physiotherapy College, Pune, India

Mobile No. 9869358351, Email: This email address is being protected from spambots. You need JavaScript enabled to view it.