Knowledge of Pelvic Floor Disorders in Obstetrics

McKay, Elishia; Lundsberg, Lisbet S.; Miller, Devin; Draper, Ashley; Chao, Jamie; Yeh, Judy Y.; Rangi, Sabrina; Torres, P.; Stoltzman, Michelle; Guess, Marsha K.

doi:10.1097/spv.0000000000000604

Cited by 14 publications

(14 citation statements)

References 33 publications

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“…In a recent study by Mckay et al in 2018, over 399 diverse pregnant and postpartum women demonstrated a lack of knowledge among 74.2% of their participants regarding UI and POP [ 22 ]. In the same study, a lack of UI knowledge proficiency was most common among those of primiparity, Hispanic women, and a lower education level.…”

Section: Discussionmentioning

confidence: 99%

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Prevalence, Knowledge and Awareness of Pelvic Floor Disorder among Pregnant Women in a Tertiary Centre, Malaysia

Farihan¹,

Phon

et al. 2022

IJERPH

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Pelvic floor disorders are common and of concern, as the majority of maternity healthcare providers seldom discuss this issue with patients compared to other antenatal issues. The aim of this study is to determine the prevalence and to assess the knowledge and awareness of pelvic floor disorder (PFD) among pregnant women in a tertiary centre in Malaysia. We also aim to assess the association between women’s risk factors regarding their knowledge and awareness of pelvic floor disorder so that primary prevention strategies can be planned, initiated and implemented in the future. This is a cross-sectional study with a total of four hundred twenty-four pregnant women that were recruited over a 6-month duration from May to November 2017 in a tertiary centre in Malaysia. The Pelvic Floor Distress Inventory (PFDI-20) was used to evaluate pelvic floor distress symptoms during pregnancy, namely urinary incontinence, pelvic organ prolapse and faecal incontinence. A validated Prolapse and Incontinence Knowledge Questionnaire (PIKQ), which consists of 24 items, was used to assess respondents’ knowledge about urinary incontinence (UI) and pelvic organ prolapse (POP). A total of 450 participants were approached, but 424 participants agreed to participate, showing a response rate of 94.3%. The median age was 31.5 years old, and 33.3% were primiparity. Overall, 46.1% of pregnant women had at least one symptom of pelvic floor disorder during pregnancy. Of these, 62.3% experienced urinary incontinence, 41.1% experienced symptoms of pelvic organ prolapse, and 37.8% experienced symptoms of faecal incontinence. The overall median score of PIKQ was 12.0 (8.0, 17.0). The median score for PIKQ—UI was 7.0 (5.0, 9.0) and the median score for PIKQ—POP was 6.0 (4.0, 8.0). There were 341 (80.4%) pregnant women that had a low level of knowledge in UI, and 191 (45.0%) had a low level of knowledge in POP. Having a tertiary level of education and receiving antenatal specialist care were both associated with better proficiency in both the PIKQ—UI (p < 0.001) and PIKQ—POP (p < 0.001) subscales. Pelvic floor disorder during pregnancy was common. A knowledge of pelvic floor disorder was lacking among pregnant women in this study. Having a tertiary education and receiving antenatal specialist care were both associated with better knowledge proficiency. This study hopefully serves as a basic platform for future educational programs to bridge the knowledge gaps in PFD among pregnant women.

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Section: Discussionmentioning

confidence: 99%

“…In the same study, a lack of UI knowledge proficiency was most common among those of primiparity, Hispanic women, and a lower education level. A lack of prolapse knowledge proficiency was also associated with lower education level and with those women who had not seen a urologist/urogynaecologist before [ 22 ].…”

Section: Discussionmentioning

confidence: 99%

Prevalence, Knowledge and Awareness of Pelvic Floor Disorder among Pregnant Women in a Tertiary Centre, Malaysia

Farihan¹,

Phon

et al. 2022

IJERPH

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“…Table II presents the mean number of correct responses for the subscales and overall PIKQ scale. The percentage of correct responses was calculated as (number of correct responses/12) *100 for the subscales, and (number of correct responses/24) *100 for the overall scale (34). Therefore, the participants correctly responded to 68.04% of the overall scale; 76.70% of the UI; and 59.94% of the POP subscales.…”

Section: Resultsmentioning

confidence: 99%

Psychometric Properties of the Turkish Version of Prolapse and Incontinence Knowledge Questionnaire

Korkut¹,

Karakaya

Yenişehir

et al. 2021

Gynecol Obstet Reprod Med

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OBJECTIVE: This study aimed to translate and culturally adapt the prolapse and incontinence knowledge questionnaire into Turkish, and to investigate the psychometric properties of the Turkish version prolapse and incontinence knowledge questionnaire.STUDY DESIGN: Psychometric properties of the Turkish version prolapse and incontinence knowledge questionnaire, which was developed according to standard scientific translation procedures, were analyzed on 206 volunteer women (31.79±8.79-year-old), after being tested for its comprehensibility and content validity. The participants were questioned about their physical and socio-demographic characteristics, obstetrical-gynecological histories and menstrual states, current medical complaints, and reasons for applying to the clinics. In addition to Turkish version prolapse and incontinence knowledge questionnaire, they completed the Turkish incontinence quiz, global pelvic floor bother questionnaire, pelvic floor distress inventory-20 and pelvic floor impact questionnaire. Retests were performed on 27 participants, after one week. Internal consistency, test-retest reliability, and construct validity of the Turkish version prolapse and incontinence knowledge questionnaire were investigated. RESULTS: Internal consistencies of the Turkish version prolapse and incontinence knowledge questionnaire subscales (Turkish version prolapse and incontinence knowledge questionnaire-UI and Turkish version prolapse and incontinence knowledge questionnaire-pelvic organ prolapse) were high (Cronbach α=0.754 for both); item-total correlations were 0.127-0.576 and 0.217-0.509, respectively. Also, test-retest reliabilities of the subscales and the overall scale were high (Intraclass correlation coefﬁcient =0.949, 0.911 and 0.878, respectively). Turkish version prolapse and Incontinence knowledge questionnaire scores were highly correlated with incontinence quiz scores and weakly correlated with pelvic floor distress inventory-20 and pelvic floor impact questionnaire-7 scores (p<0.05).CONCLUSION: It was concluded that Turkish version prolapse and incontinence knowledge questionnaire is a reliable and valid tool to measure Turkish women’s knowledge and awareness about urinary incontinence and pelvic organ prolapse.

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“…After searching the medical databases, such as Medline or Cochrane, no sufficient data about urinary incontinence and pelvic organ prolapse for pregnant and postpartum women was found [4].…”

Section: Discussionmentioning

confidence: 99%

Cesarean section after laparoscopic hysterosacropexy with Richardson’s lateral repair and Burch operation—Case report

Szymanowski

Szepieniec

Stuwczyński

et al. 2019

International Journal of Surgery Case Reports

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Knowledge of Pelvic Floor Disorders in Obstetrics

Abstract: Pregnant and postpartum women lack knowledge about UI and POP. Preconceptional counseling provides an opportunity for educational intervention.

Cited by 14 publications

References 33 publications

Prevalence, Knowledge and Awareness of Pelvic Floor Disorder among Pregnant Women in a Tertiary Centre, Malaysia

Prevalence, Knowledge and Awareness of Pelvic Floor Disorder among Pregnant Women in a Tertiary Centre, Malaysia

Psychometric Properties of the Turkish Version of Prolapse and Incontinence Knowledge Questionnaire

Cesarean section after laparoscopic hysterosacropexy with Richardson’s lateral repair and Burch operation—Case report

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