Jiayi Liu1, Shu Qi Tan2, How Chuan Han2. 1. Department of Urogynaecology, KK Woman and Children's Hospital, 100 Bukit Timah Road, Singapore, 229899, Singapore. Jiayi.liu@mohh.com.sg. 2. Department of Urogynaecology, KK Woman and Children's Hospital, 100 Bukit Timah Road, Singapore, 229899, Singapore.
Abstract
INTRODUCTION AND HYPOTHESIS: Pelvic floor dysfunction is a common condition which can lead to distressing consequences such as urinary incontinence (UI), pelvic organ prolapse (POP) and fecal incontinence (FI). Pregnancy is a known major risk factor. This study aims to assess the level of knowledge about pelvic floor disorders among pregnant women in our local population. METHODS: A cross-sectional study was conducted in a population of pregnant women in their third trimester. A 47-question questionnaire was distributed to a random sample group. Knowledge scores were calculated. Possible predictive factors for knowledge level such as age, ethnicity, parity, ethnicity and educational levels were studied. RESULTS: Thirty-three out of 104 respondents (31.7%) reported history of urinary incontinence, 3 respondents (2.9%) reported sensation of prolapse, and 1 respondent (0.96%) reported fecal incontinence. The knowledge score for urinary incontinence was the highest at 46.2% and lowest in pelvic organ prolapse at 35.3%. Mean knowledge scores increased significantly with age (p = 0.021) and educational level (p = 0.046). The nulliparous women scored higher than the multiparous women. Age and educational level had a significant impact on multivariate analysis scores. CONCLUSIONS: The knowledge on pelvic floor disorders is poor among our local pregnant women. Healthcare professionals should place increased emphasis on advocating pelvic floor exercises for pregnant women during their routine antenatal care.
INTRODUCTION AND HYPOTHESIS: Pelvic floor dysfunction is a common condition which can lead to distressing consequences such as urinary incontinence (UI), pelvic organ prolapse (POP) and fecal incontinence (FI). Pregnancy is a known major risk factor. This study aims to assess the level of knowledge about pelvic floor disorders among pregnant women in our local population. METHODS: A cross-sectional study was conducted in a population of pregnant women in their third trimester. A 47-question questionnaire was distributed to a random sample group. Knowledge scores were calculated. Possible predictive factors for knowledge level such as age, ethnicity, parity, ethnicity and educational levels were studied. RESULTS: Thirty-three out of 104 respondents (31.7%) reported history of urinary incontinence, 3 respondents (2.9%) reported sensation of prolapse, and 1 respondent (0.96%) reported fecal incontinence. The knowledge score for urinary incontinence was the highest at 46.2% and lowest in pelvic organ prolapse at 35.3%. Mean knowledge scores increased significantly with age (p = 0.021) and educational level (p = 0.046). The nulliparous women scored higher than the multiparous women. Age and educational level had a significant impact on multivariate analysis scores. CONCLUSIONS: The knowledge on pelvic floor disorders is poor among our local pregnant women. Healthcare professionals should place increased emphasis on advocating pelvic floor exercises for pregnant women during their routine antenatal care.
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