Prevalence and severity of pelvic floor disorders in pregnant and postpartum women.


Journal

International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics
ISSN: 1879-3479
Titre abrégé: Int J Gynaecol Obstet
Pays: United States
ID NLM: 0210174

Informations de publication

Date de publication:
Aug 2022
Historique:
revised: 31 10 2021
received: 21 09 2021
accepted: 10 11 2021
pubmed: 16 11 2021
medline: 14 7 2022
entrez: 15 11 2021
Statut: ppublish

Résumé

This multicenter study aimed to evaluate risk factors, prevalence and severity of pelvic floor disorders (PFDs) as well as their consequences on women's emotional well-being, using a questionnaire validated specifically for pregnancy and postpartum. Prospective study conducted in eight teaching hospitals in Italy and Italian-speaking Switzerland. Pregnant and postpartum women completed the Italian Pelvic Floor Questionnaire for Pregnancy and Postpartum anonymously. Prevalence of, severity of, and risk factors for PFDs were evaluated for all the four domains considered: bladder, bowel, prolapse, and sexual function. A total of 2007 women were included: 983 of the patients were bothered by at least one kind of PFD: bladder, bowel, and sexual dysfunction were more frequently reported. There were no significant differences in PFD prevalence between pregnancy and postpartum, except for bladder disorders, which were more prevalent in pregnancy. Familiarity for PFDs, pelvic floor contraction inability, cigarette smoking, body mass index more than 25 (calculated as weight in kilograms divided by the square of height in meters), and age more than 35 years were confirmed risk factors for the development of PFDs during pregnancy and postpartum. Almost half of the women included in the study suffered from PFD-related symptoms with important consequences on quality of life. Validated questionnaires are fundamental in early diagnosis and treatment of PFDs.

Identifiants

pubmed: 34778951
doi: 10.1002/ijgo.14019
doi:

Types de publication

Journal Article Multicenter Study

Langues

eng

Sous-ensembles de citation

IM

Pagination

346-351

Informations de copyright

© 2021 International Federation of Gynecology and Obstetrics.

Références

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Auteurs

Stefania Palmieri (S)

Gynaecology Division, Milano-Bicocca University, Milan, Italy.

Sarah Sonia De Bastiani (SS)

Gynecology Division, Vita-Salute San Raffaele University, Milan, Italy.

Rebecca Degliuomini (R)

Gynecology Division, Vita-Salute San Raffaele University, Milan, Italy.

Alessandro Ferdinando Ruffolo (AF)

Gynecology Division, Vita-Salute San Raffaele University, Milan, Italy.

Arianna Casiraghi (A)

Gynecology Division, Vita-Salute San Raffaele University, Milan, Italy.

Patrizia Vergani (P)

Gynaecology Division, Milano-Bicocca University, Milan, Italy.
Obstetric Division, Monza and Brianza Mother and Child Foundation, Monza, Italy.

Pasquale Gallo (P)

S. Maria delle Grazie Hospital, Pozzuoli, Italy.

Giulia Magoga (G)

ULSS2 Marca Trevigiana, Oderzo Hospital, Oderzo, Italy.

Marta Cicuti (M)

ASST Santi Paolo e Carlo, San Paolo Hospital, Milan, Italy.

Marta Parma (M)

San Raffaele Hospital, Milan, Italy.

Matteo Frigerio (M)

San Gerardo Hospital, Monza, Italy.

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