Hyakutake Momoe T, Han Vanessa, Baerg Lauren, Koenig Nicole A, Cundiff Geoffrey W, Lee Terry, Geoffrion Roxana
University of Alberta, Department of Obstetrics and Gynaecology, Edmonton, AB.
University of British Columbia, Department of Obstetrics and Gynaecology, Vancouver, BC.
J Obstet Gynaecol Can. 2018 Apr;40(4):418-425. doi: 10.1016/j.jogc.2017.10.022.
Pregnancy and childbirth can lead to pelvic floor disorders, yet this topic is not routine in antenatal education. We aimed to determine the impact of a pregnancy workshop on women's postpartum pelvic floor health knowledge, performance of pelvic floor muscle exercises (PFME), symptoms, condition-specific quality of life, mode of delivery, and satisfaction.
This was a RCT. Pregnant primiparous women in a tertiary care centre received a pelvic floor health workshop intervention versus routine prenatal care. Thirty-six participants/group were needed to detect a significant knowledge difference (power = 0.80, α = 0.05). Participants completed questionnaires at recruitment and six weeks postpartum. Main outcome measures were: difference between groups in knowledge scores; PFME-specific knowledge and practice; pelvic symptoms and condition-specific quality of life; and mode of and satisfaction with delivery.
Fifty women were recruited per group; 40 attended the workshop. Women were Caucasian (72%), college educated (96%), mean age 33.2. Mean demographics did not differ. Postpartum data were available for 37 women per group. The intervention group scored higher on a pelvic floor knowledge questionnaire (mean score 31.2/39 vs. 29.3/39, P = 0.02, 95% CI 0.3, 3.6). 58.3% of intervention participants reported daily performance of PFME compared with 22.9% of controls (P = 0.002) and rated higher confidence in correct performance (P = 0.004). The intervention group reported fewer bowel symptoms (P = 0.046). There were no differences in urinary or prolapse symptoms, mode of delivery, complications, or satisfaction.
A pelvic floor health workshop improves postpartum knowledge, performance of PFME, and bowel-specific quality of life.
怀孕和分娩可能导致盆底功能障碍，但该主题并非产前教育的常规内容。我们旨在确定一个孕期研讨会对女性产后盆底健康知识、盆底肌肉锻炼（PFME）的执行情况、症状、特定疾病的生活质量、分娩方式及满意度的影响。
这是一项随机对照试验。一家三级护理中心的初产妇接受了盆底健康研讨会干预，而另一组接受常规产前护理。每组需要36名参与者才能检测出显著的知识差异（检验效能=0.80，α=0.05）。参与者在招募时和产后六周完成问卷调查。主要结局指标包括：两组知识得分的差异；PFME特定知识和实践；盆底症状和特定疾病的生活质量；以及分娩方式和分娩满意度。
每组招募了50名女性；40名参加了研讨会。女性为白种人（72%），接受过大学教育（96%），平均年龄33.2岁。平均人口统计学特征无差异。每组有37名女性有产后数据。干预组在盆底知识问卷上得分更高（平均得分31.2/39对29.3/39，P=0.02，95%CI 0.3，3.6）。58.3%的干预参与者报告每天进行PFME，而对照组为22.9%（P=0.002），且对正确执行的信心更高（P=0.004）。干预组报告的肠道症状较少（P=0.046）。在泌尿或脱垂症状、分娩方式、并发症或满意度方面无差异。
盆底健康研讨会可提高产后知识、PFME的执行情况以及肠道特定的生活质量。
