Discussion on the Improvement of Postpartum Pelvic Floor Rehabilitation Nursing Method on Pelvic Floor Dysfunction of Vaginal Delivery Parturients

2021 ◽  
2018 ◽  
Vol 24 (8) ◽  
pp. 6214-6217
Author(s):  
Budi Iman Santoso ◽  
Adly Nanda Al-Fattah ◽  
Raymond Surya ◽  
Surrahman Hakim

Pelvic floor dysfunction (PFD) due to vaginal delivery is related to tear of levator ani muscle (LAM) that potentially lead to the impairment of quality of life among women. A number of attempts to predict LAM injury after vaginal delivery had been conducted. This study aims to appraise the accuracy of several prediction index determining LAM injury after vaginal delivery. We conducted a search in Cochrane Library®, Pubmed®, and Medline® with the keywords of “pelvic floor dysfunction” AND “vaginal delivery” AND “prediction.” Critical appraisal determining the validity, importance, and applicability (VIA) was conducted by 2 independent authors. After 6 weeks to 3 months’ duration of follow up, the incidence of LAM avulsion was varied from 15.4% to 35.6% from three studies. Multivariate analysis showed that forceps delivery, OASIS, and active second stage (OR 3.8; 3.1; 1.61; respectively) as the most influential factors for LAM incidence. Maternal age and time spent in active pushing were also contributed to LAM incidence. OASIS and second stage of labor could be used as the most influential components of prediction index for LAM incidence. Prediction indexes for LAM incidence are developed. OASIS and second stage of labor are acknowledged as two most influential variables among three appraised studies.


Author(s):  
Ana Catarina Borges ◽  
Natacha Sousa ◽  
Rita Sarabando ◽  
Catarina Vieira ◽  
Bárbara Ribeiro ◽  
...  

Author(s):  
Ramya Gaddam ◽  
Keshav Gangadharan ◽  
Pradeep Shivaraju ◽  
Pavan Kumar Basappa

Background: Millions of women are affected with pelvic floor dysfunction globally. But when the literature was reviewed, studies assessing the prevalence of PFD (pelvic floor dysfunction) and related factors were limited in India. Hence the present study was undertaken to assess the prevalence of PFD.Methods: 300 women aged 18-70years attending Obstetrics and Gynaecology OPD at Kuppam were interviewed and details like age, number of children, mode of delivery, BMI, education, occupation as primary outcome variables and type of pelvic floor dysfunction as explanatory variable were collected using a semi structured questionnaire. Frequency and proportions were calculated for quantitative variables and Chi-square test was used for comparison of categorical variables. p-value of <0.05 was considered using SPSS (Version 22).Results: 58 out of 300 women had Pelvic floor dysfunction. Majority of them 52 (17.33%) had Pelvic organ prolapse. Among them 43 (74.14%) women were >45 years old, 38 (65.52%) women had 2 or 3 children, and 12 (20.69%) women had ≥4 children. 47 (81.03%) had vaginal delivery. 37 (63.79%) subjects had no schooling and 13 (22.41%) were unskilled workers. 36 (62.07%) participants BMI ranged between 25 to 34.99. Age, education, occupation, number of children, mode of delivery, BMI were found to be associated with increased incidence of pelvic floor dysfunction.Conclusions: In conclusion the study assessed high prevalence of pelvic floor dysfunction associated with vaginal delivery, increased age, number of children and BMI.


2020 ◽  
pp. 153944922097088
Author(s):  
Rebecca Burkhart ◽  
Katlin Couchman ◽  
Katherine Crowell ◽  
Samantha Jeffries ◽  
Sarah Monvillers ◽  
...  

Postpartum pelvic floor dysfunction (PFD) has been identified as a significant public health issue. The study aimed to (a) identify the impact of PFD on parous women’s occupations, (b) explore how PFD impacts daily life, and (c) determine the level of awareness regarding availability of PFD treatment. The preliminary study utilized a mixed-methods descriptive design. In total, 255 participants completed the Mothers and Children (MAC) survey, distributed electronically throughout the United States. Results indicated that PFD symptoms limit parous women’s occupational performance, specifically sexual activity and exercise. Despite results indicating PFD significantly detracted from participants’ daily life, 66.8% of participants reported having no awareness of pelvic floor rehabilitation to address PFD. Findings suggest that further research and increased advocacy within the field of occupational therapy are necessary to increase the awareness of PFD rehabilitation and mitigate the impact on women’s lives after childbirth.


2017 ◽  
Vol 6 (2) ◽  
pp. 3
Author(s):  
Sadia Shafaq

y writing in Pakistan Journal of Rehabilitation, I would like to draw attention of the readers toward the ignorance on the need of physical therapy in pelvic floor rehabilitation among males. Urinary incontinence is prevalent by 1.8-30.5% in Europe, 1.7-36.4% in USA and is 1.5-15.2% in Asian population due to pelvic floor muscle dysfunction. By recent studies, it has been observed that urinary incontinence in males has less emphasis when compared with females. Urinary incontinence among males is possibly an outcome of prostatitis, trauma, chronic infection, obesity, heavy lifting, benign prostate hyperplasia, prostatectomy4, and many other age-related diseases. Globally, pelvic pain and dysfunction influence millions of males worldwide and till date little evidence is present regarding pelvic floor rehabilitation among males. A major concern is the lack of awareness in male patients regarding pelvic floor dysfunction. Moreover, other issues include unfamiliarity with physical therapy, hesitation to discuss genital issues, referral issues by physicians and less number of available pelvic floor physiotherapist. Pelvic floor rehabilitation utilizes the concept of physical therapy to contribute in an organized program for strengthening pelvic floor muscles


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