The Level of Knowledge of Pelvic Floor Dysfunction After Delivery in Women who Attended to a Tertiary Center

被引:3
|
作者
Ekin, Murat [1 ]
Kaya, Cihan [1 ]
Ozturk, Emine [2 ]
Cengiz, Huseyin [1 ]
Uzer, Gulden [3 ]
Yasar, Levent [1 ]
机构
[1] Hlth Sci Univ, Bakirkoy Dr Sadi Konuk Training & Res Hosp, Dept Gynecol & Obstet, Istanbul, Turkey
[2] Istanbul Bahcelievler State Hosp, Clin Gynecol & Obstet, Istanbul, Turkey
[3] Uskudar Dogancilar Family Hlth Ctr, Istanbul, Turkey
来源
ISTANBUL MEDICAL JOURNAL | 2018年 / 19卷 / 04期
关键词
Pelvic floor disorders; pelvic muscle exercises; pelvic risk; vaginal birth;
D O I
10.5152/imj.2018.05657
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Objective: Pelvic floor disorders affect women in all age groups and cause poor quality of life with economic burden. The aim of the present study was to investigate the attitude of women who were admitted to our clinic about the relationship between mode of delivery and pelvic floor disorders and pelvic muscle exercises. Methods: A total of 1316 women who had attended our outpatient gynecology clinic for various complaints were interviewed by an expert gynecologist. Demographic data including age, marital status, education, health insurance, menopausal status, parity, mode of deliveries, birth weights, and also lower urinary tract symptoms were included in the interview. All the participants were asked to complete a verbal modified Pelvic Risk Knowledge Score (PRKS) questionnaire regarding their knowledge about pelvic floor disorder risks. Results: The mean modified PRKS was 4.95 +/- 2.5. Of the patients, 26.8% had a diagnosis of stress urinary incontinence, 14.3% had urgency, 19.8% had frequency, 11.1% had >stage 2 pelvic organ prolapse (POP), 7.4% did not even hear about pelvic muscle exercises, and 17.6% did not even inform about pelvic muscle exercises by a health care provider. PRKS was significantly higher in multiparous women than in primiparous women (p<0.0001). Vaginal birth also significantly increased the PRKS with respect to cesarean delivery (p=0.006). Women with cesarean deliveries had significantly increased PRKS with respect to nulliparous women (p<0.0001). Conclusion: Episiotomy, menopause, lower urinary tract symptoms, and POP are the factors that significantly increase PRKS.
引用
收藏
页码:277 / 280
页数:4
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