Title
Pelvic floor awareness and the positive effect of verbal instructions in 958 women early postdelivery
Author
Faculty/Department
Faculty of Medicine and Health Sciences
Publication type
article
Publication
London ,
Subject
Human medicine
Source (journal)
International urogynecology journal / International Urogynecological Association. - London
Volume/pages
26(2015) :2 , p. 223-228
ISSN
0937-3462
ISI
000348922200011
Carrier
E
Target language
English (eng)
Full text (Publishers DOI)
Affiliation
University of Antwerp
Abstract
Introduction and hypothesis It is uncertain how reliable a personal belief is about the ability to do pelvic floor muscle (PFM) contractions early postdelivery and how instructional feedback affects pelvic floor muscle contraction (PFMC) performance. We hypothesize that many women do not have a reliable idea about PFMC and that instructional feedback can help improve their control. Methods Prospective observational study in 958 women (median 30 years) early postdelivery PFMC was evaluated with visual observation: an inward movement of the perineum was accepted as sign of good contraction. The women who could not show PFMC three consecutive times got verbal instructions, and re-evaluation was afterward. Results In 500 women, no inward movement of the perineum was observed: 275 women (29 %) showed no movement at all, and 225 women (24 %) showed some movement but no inward displacement. In 33.4 %, the personal conviction to be able or not to perform PFMC proved false. After verbal instructions, 74 % improved their PFMC. Conclusions The belief of doing correct PFM contraction was false in at least one of five postpartum women. Verbal instructions have a positive effect on performing PFMC in 73.6 % of women.
E-info
https://repository.uantwerpen.be/docman/iruaauth/b4aa56/7249452.pdf
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