Cooke Carly Marjorie, O'Sullivan Orfhlaith E, O'Reilly Barry A
Department of Robotic Surgery and Urogynaecology, Cork University Maternity Hospital, Cork, Ireland.
Obstetrics and Gynaecology, University College Dublin, Dublin, Ireland.
Int Urogynecol J. 2018 May;29(5):751-766. doi: 10.1007/s00192-017-3419-z. Epub 2017 Jul 29.
Postnatal pelvic floor dysfunction (PFD) has a high prevalence and morbidity amongst parturient women. Women should be counselled regarding postnatal PFD. Our aim was to determine urogynaecology providers' knowledge of risk and protective factors for postnatal PFD, and to assess their practice patterns in postnatal PFD counselling.
An electronic survey was distributed to members of the European Urogynaecology Association (EUGA) and International Urogynaecology Association (IUGA). Data were collected on urogynaecology providers' demographics, awareness of pregnancy-related PFD risk and protective factors, beliefs surrounding PFD risk-estimate tools, practice patterns in PFD counselling, and personal or spousal preferences for using caesarean section (CS) as a means of postnatal PFD prevention.
Overall, 372 healthcare providers responded to the survey, 84 from the EUGA and 288 from the IUGA. Most reported practicing as a urogynaecologist (67%) and or obstetrician (44%). An overwhelming majority of respondents were aware of the major risk and protective factors for PFD, and almost 60% believed that risk-estimate tools for PFD could be clinically useful. Many denied enquiring about symptoms of PFD prenatally and postnatally (33% and 25% respectively), and reported not routinely counselling on prevention of postnatal PFD (39%). Nearly 25% reported that they would prefer CS for themselves or their spouse for prevention of postnatal PFD.
Urogynaecology providers are aware of risk and protective factors for postnatal PFD, but many fail to educate patients on the topic. The development of an easy-use risk-estimate tool for postnatal PFD could improve counselling rates in the future.
产后盆底功能障碍（PFD）在产妇中具有较高的患病率和发病率。应向女性提供有关产后PFD的咨询。我们的目的是确定泌尿妇科医疗服务提供者对产后PFD风险和保护因素的了解情况，并评估他们在产后PFD咨询方面的实践模式。
向欧洲泌尿妇科协会（EUGA）和国际泌尿妇科协会（IUGA）的成员进行了电子调查。收集了有关泌尿妇科医疗服务提供者的人口统计学信息、对与妊娠相关的PFD风险和保护因素的认识、对PFD风险评估工具的看法、PFD咨询的实践模式，以及个人或配偶对采用剖宫产（CS）作为预防产后PFD手段的偏好。
总体而言，372名医疗服务提供者回复了调查，其中84名来自EUGA，288名来自IUGA。大多数人报告称自己是泌尿妇科医生（67%）和/或产科医生（44%）。绝大多数受访者了解PFD的主要风险和保护因素，近60%的人认为PFD风险评估工具在临床上可能有用。许多人否认在产前和产后询问PFD症状（分别为33%和25%），并报告未常规进行产后PFD预防咨询（39%）。近25%的人报告称，他们会为自己或配偶选择剖宫产以预防产后PFD。
泌尿妇科医疗服务提供者了解产后PFD的风险和保护因素，但许多人未能就该主题对患者进行教育。开发一种易于使用的产后PFD风险评估工具可能会提高未来的咨询率。
