Care needs and self-induced measures of women with postpartum pelvic floor disorder- Results of a social media-based survey of 2930 women.

Autor: Thangarajah F; Department of Gynecology and Obstetrics, Medical Faculty, Hufelandstr. 55, 45147, Essen, Germany. Fabinshy.Thangarajah@uk-essen.de.; Department of Gynecology and Obstetrics, Medical Faculty, Kerpener Str. 34, 50931, Cologne, Germany. Fabinshy.Thangarajah@uk-essen.de., Soff J; Faculty of Medicine and University Hospital Cologne, Institute of Medical Sociology, Health Services Research and Rehabilitation Science, Chair of Health Services Research, University of Cologne, Cologne, Germany., Lenz C; Department of Gynecology and Obstetrics, Medical Faculty, Kerpener Str. 34, 50931, Cologne, Germany., Jeschke J; Department of Gynecology and Obstetrics, Medical Faculty, Kerpener Str. 34, 50931, Cologne, Germany., Kössendrup J; Faculty of Medicine and University Hospital Cologne, Institute of Medical Sociology, Health Services Research and Rehabilitation Science, Chair of Health Services Research, University of Cologne, Cologne, Germany., Papior D; Department of Gynecology and Obstetrics, Medical Faculty, Hufelandstr. 55, 45147, Essen, Germany., Hagenbeck C; Clinic for Gynecology and Obstetrics, Heinrich-Heine-University Düsseldorf, Moorenstr. 5, 40225, Düsseldorf, Germany., Kirn V; Breast Center at the Department of Obstetrics and Gynecology, Heilig Geist Krankenhaus/Teaching Hospital of the University of Cologne, Cologne, Germany., Scholten N; Faculty of Medicine and University Hospital Cologne, Institute of Medical Sociology, Health Services Research and Rehabilitation Science, Chair of Health Services Research, University of Cologne, Cologne, Germany.
Jazyk: angličtina
Zdroj: Archives of gynecology and obstetrics [Arch Gynecol Obstet] 2024 Apr; Vol. 309 (4), pp. 1467-1473. Date of Electronic Publication: 2024 Feb 14.
DOI: 10.1007/s00404-024-07369-6
Abstrakt: Introduction: Pelvic floor disorders (PFD) occur in about 40% of women after delivery. Less is known about the intervention and care needs of women with postpartum PFD. The aim of this analysis was to analyze care needs and self-initiated measures to strengthen the pelvic floor in postpartum women in relation to incontinence and sexual dysfunction. Furthermore, influencing factors for self-initiated measures were evaluated.
Patients and Methods: An anonymous online survey (via LimeSurvey) was conducted between September and October 2022 and distributed via social media (Instagram and Facebook). The survey explicitly addressed mothers with and without pelvic floor disorders up to 5 years postpartum (inclusion criteria). Validated instruments were employed to assess incontinence (ICIQ-SF) and sexual functioning (PISQ-IR: Condition Impact). The questions on the use of services and preventive measures, as well as on the interaction with a gynecologist, were based on self-developed items.
Results: In total, 49.4% of the participants of the survey showed symptoms of urinary incontinence (UI). Furthermore, only 40.3% (n = 241) of women were actively asked by their gynecologists for the occurrence of UI or PFD among those who suffered from PFD. Overall, 79.3% of the participants of the survey with UI underwent measures to deal with the complaints. The ICIQ-SF Score was significantly associated with all self-induced measures. High School diplomas and academic degrees were associated with the use of love balls (p < 0.05).
Conclusion: The results of the study show the unmet needs of postpartum women. PFD should be addressed more frequently in the outpatient setting. Furthermore, more systematic information about the treatment of PFD could help to address unmet information needs and improve interventions.
(© 2024. The Author(s).)
Databáze: MEDLINE
Externí odkaz: