Effects of pregnancy on pelvic floor dysfunction and body image; a prospective study

Pauls, Rachel N.; Occhino, John A.; Dryfhout, Vicki; Karram, Mickey M.

doi:10.1007/s00192-008-0670-3

Cited by 27 publications

(30 citation statements)

References 34 publications

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“…Mean Brink score was 9.1 ± SD, and fecal incontinence was reported by 14% of women (11). Our finding that sexual activity decreases as pregnancy progresses has been demonstrated by other trials (12, 13, 28-32). …”

Section: Discussionsupporting

confidence: 87%

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Pelvic floor symptoms and quality of life changes during first pregnancy: a prospective cohort study

et al. 2017

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Introduction We describe pelvic floor function in nulliparous pregnant women. Materials/Methods Nulliparous midwifery patients completed the Incontinence Severity Index (ISI), Pelvic Floor Impact Questionnaire (PFIQ-7), Wexner Fecal Incontinence Scale (W), and answered questions about sexual activity and perineal pain at baseline during the first (T1), second (T2), or third trimester (T3) and repeated in late T3. They also underwent a Pelvic Organ Prolapse Quantification (POPQ) exam at their baseline visit. Data were compared across trimesters. ANOVA and logistic regression accounted for repeated measures and was controlled for age and education. Results We recruited 627 women. In T1, 124 women gave baseline data and completed questionnaires, 403 in T2, and 96 in early T3 (496 repeated questionnaires in later T3). Besides an increase in genital hiatus and perineal body (all adjusted p < .05), physical exam measures did not differ between trimesters. As pregnancy progressed, urinary incontinence (UI) (T1=33, T2=44, T3=69% women with ISI >0, all comparisons p<.02) and IIQ-7 scores increased. Fecal incontinence (FI) increased (T1=8, T2=15, T3=16% from T2 to T3, p=.04), while CRAIQ-7 scores did not increase. Perineal pain increased (T1=17, T2=18 and T3 = 40%, all adjusted p <.001), and sexual activity decreased as pregnancy progressed (T1= 94, T2 = 90, T3 = 77% sexually active, T1 vs T3 and T2 vs T3, p <.001). Conclusions During pregnancy, women experience worsening UI, FI and perineal pain. UI symptoms are associated with a negative impact on quality of life. Sexual activity decreases and POPQ stage does not change.

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Section: Discussionsupporting

confidence: 87%

“…Many women experience a decline in sexual activity and function while pregnant. (12, 13). While various studies have addressed pelvic floor changes during pregnancy, few have focused on primiparous women exclusively, addressed pelvic floor function comprehensively and gathered data across all three trimesters.…”

Section: Introductionmentioning

confidence: 99%

Pelvic floor symptoms and quality of life changes during first pregnancy: a prospective cohort study

et al. 2017

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“…The findings of this study are in agreement with the results obtained in previous studies focusing on the effect of cognitive behavioral therapy on other groups, including the effectiveness of cognitive behavioral therapy in negative body image (23,24,29), body image of women under mastectomy (25), and body image of Iranian girl students (26) in addition to studies dealing with the effectiveness of cognitive behavioral therapy in those who are suffering from body dysmorphic disorder (32,34,37), persons with binge eating disorder (33,35), and burnt women (36). No exclusive study has been carried out using Cash's cognitive behavioral therapy on primiparous women's body image, although there are much evidence on vulnerability of body image in this group of women (8)(9)(10)(11)(12)(13)(14) and psychiatric problems associated with as well (8,9).…”

Section: Discussionmentioning

confidence: 99%

“…On the other hand, there is a relationship between body dissatisfaction after delivery and psychiatric depression (9). Several studies have confirmed the mothers' body image disorder after delivery in comparison with pre-pregnancy period and even during pregnancy (8)(9)(10)(11)(12)(13)(14); therefore, treatment of body image disorders is an increasingly considerable issue (2,15).…”

Section: Introductionmentioning

confidence: 99%

The Effectiveness of Group Cognitive Behavioral Therapy Based on Cash’s Eight-Step Model in Body Image of Primiparous Women

Navidian¹,

Moudi²,

Esmaealzade³

2016

Iran J Psychiatry Behav Sci

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Background: Prevalence of body image disorder in postpartum period, especially in primiparous women is relatively high. This study aimed to determine the effectiveness of cognitive behavioral group therapy based on the cash's eight-step model in body image of primiparous women. Objective: This study aimed to determine the effectiveness of cognitive behavioral group therapy based on the cash's eight-step model in body image of primiparous women. Methods: This research was a pretest-posttest quasi-experimental study in which, 61 primiparous women referring to health centers in Zahedan were selected according to convenience sampling method and randomly assigned into intervention and control groups. The multidimensional body-self relations questionnaire (MBSRQ) was used to collect data. The intervention group received group cognitive behavioral body image therapy based on the Cash model and the control group remained pending. After six weeks, both groups completed the MBSRQ again. Data analysis was performed using descriptive statistics and analysis of covariance in SPSS 22. Results: Analysis of covariance showed that the mean scores on appearance evaluation (P = 0.0001), body areas satisfaction (P = 0.0001), and the total score of body image (P = 0.0001) in the intervention group were significantly higher than those in the control group. However, in terms of appearance orientation, fitness evaluation, fitness orientation, and subjective weight, there was no significant difference between the two groups (P > 0.05). Conclusions: Due to the effectiveness of cognitive behavioral therapy based on Cash model in primiparous women's body image, it is recommended to use this method of consultation in health care programs after child birth to improve the women's body image and prevent subsequent psychological problems.

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“…Em relação aos sentimentos positivos, a maternidade é considerada muitas vezes o principal sentido na vida 19 . Apesar de nesta pesquisa a imagem corporal ser uma das facetas com melhor avaliação, pesquisas mostram que a imagem corporal é negativamente impactada devido às mudanças físicas em pouco tempo 20,21 . No domínio Meio Ambiente, a faceta com melhor avaliação foi o cuidado de saúde, o que reafirma a satisfação que essas gestantes estão sentindo em relação principalmente ao trabalho da equipe da ESF, ao qual elas se encontram vinculadas.…”

Section: Qualidade De Vida E Promoção Da Saúde: Em Foco As Gestantesunclassified

Qualidade de vida e promoção da saúde: em foco as gestantes

Castro¹,

Fracolli²

2013

Mundo Saúde

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Resumo AbstractThe aim of this study was to evaluate the Quality of Life of pregnant women attending the Family Health Strategy and identify the dimensions of Quality of Life better and worse evaluated. This is a descriptive, cross sectional study case, done in a Family Health Unit in the outskirts of São Bernardo do Campo. 42 women were evaluated using WHOQOLbref. The higher the score the better the assessment of Quality of Life. The scores of the domains were: Physical 57,65; Psychological 68,75; Environment 59,75; Social Relations 77,98; General 75,00. Each domain consists of a few facets, and these contributed positively or negatively t the score of the domains. The worst facets evaluated were: Energy and Fatigue; Thinking, Learning, Memory and Concentration; Financial Resources; and Sexual Activity. The best aspects evaluated were: Mobility; Positive Feelings, Body Image and Appearance; Health and Social Care; and Personal Relationships. We concluded that WHOQOL-bref is relevant as a monitoring instrument and it is, for the expansion of prenatal care and the evaluation of quality of life during prenatal care, an important tool for an integral assistence and pregnant woman's health promotion.

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Effects of pregnancy on pelvic floor dysfunction and body image; a prospective study

Cited by 27 publications

References 34 publications

Pelvic floor symptoms and quality of life changes during first pregnancy: a prospective cohort study

Pelvic floor symptoms and quality of life changes during first pregnancy: a prospective cohort study

The Effectiveness of Group Cognitive Behavioral Therapy Based on Cash’s Eight-Step Model in Body Image of Primiparous Women

Qualidade de vida e promoção da saúde: em foco as gestantes

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