AI Article Synopsis

  • The study evaluated how a pelvic floor health workshop influences postpartum knowledge, muscle exercise performance, and quality of life among new mothers compared to standard prenatal care.
  • The research involved 50 pregnant women per group, with analyses indicating that those who attended the workshop had a significantly better understanding of pelvic floor health and more frequently performed pelvic floor muscle exercises.
  • Results showed improvements in pelvic floor knowledge and bowel symptoms for the intervention group, but no significant differences were noted in urinary symptoms, delivery modes, or overall satisfaction.

Article Abstract

Objectives: Pregnancy and childbirth can lead to pelvic floor disorders, yet this topic is not routine in antenatal education. We aimed to determine the impact of a pregnancy workshop on women's postpartum pelvic floor health knowledge, performance of pelvic floor muscle exercises (PFME), symptoms, condition-specific quality of life, mode of delivery, and satisfaction.

Methods: This was a RCT. Pregnant primiparous women in a tertiary care centre received a pelvic floor health workshop intervention versus routine prenatal care. Thirty-six participants/group were needed to detect a significant knowledge difference (power = 0.80, α = 0.05). Participants completed questionnaires at recruitment and six weeks postpartum. Main outcome measures were: difference between groups in knowledge scores; PFME-specific knowledge and practice; pelvic symptoms and condition-specific quality of life; and mode of and satisfaction with delivery.

Results: Fifty women were recruited per group; 40 attended the workshop. Women were Caucasian (72%), college educated (96%), mean age 33.2. Mean demographics did not differ. Postpartum data were available for 37 women per group. The intervention group scored higher on a pelvic floor knowledge questionnaire (mean score 31.2/39 vs. 29.3/39, P = 0.02, 95% CI 0.3, 3.6). 58.3% of intervention participants reported daily performance of PFME compared with 22.9% of controls (P = 0.002) and rated higher confidence in correct performance (P = 0.004). The intervention group reported fewer bowel symptoms (P = 0.046). There were no differences in urinary or prolapse symptoms, mode of delivery, complications, or satisfaction.

Conclusion: A pelvic floor health workshop improves postpartum knowledge, performance of PFME, and bowel-specific quality of life.

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Source
http://dx.doi.org/10.1016/j.jogc.2017.10.022DOI Listing

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