Research Center for Evidence-based Medicine, Iranian EBM Centre: A Joanna Briggs Institute (JBI) Centre of Excellence.
Department of Physiotherapy, Faculty of Rehabilitation.
JBI Evid Implement. 2022 Jun 1;20(2):154-161. doi: 10.1097/XEB.0000000000000296.
Pelvic floor dysfunctions are common complications during the childbirth process. Pelvic floor muscle training (PFMT) has been used as a conservative treatment in both prenatal and postnatal women. The aim of this project was to assess the compliance with evidence-based criteria regarding PFMT among prenatal and postnatal women in mother fit healthcare centres.
The current study was performed in three phases. Phase 1: stakeholder engagement and team establishment and baseline audit. Phase 2: Design and implementation of strategies to improve PFMT among prenatal and postnatal women in mother fit healthcare centres. Phase 3: Follow-up audit. Baseline and follow-up audit with six yes/no audit questions was performed using the Joanna Briggs Institute Practical Application of Clinical Evidence System. Fifteen midwives involved in prenatal and postnatal healthcare centres and 60 pregnant women participated in this study.
The compliance for each audit criterion found in the baseline audit was low (0-7%). However, after implementation of the project and training the trainers (midwives), the compliance increased significantly (77-100%).
The current study demonstrated that we have some problems in the healthcare system to teach PFMT to pregnant women. We should also implement similar projects in all healthcare centres country wide. Healthcare system managers should be aware of the value of holding PFMT courses for pregnant women and it is recommended to use pelvic floor physiotherapists to train midwives.
盆底功能障碍是分娩过程中的常见并发症。盆底肌肉训练（PFMT）已被用作产前和产后妇女的保守治疗方法。本项目的目的是评估在母亲健康医疗中心的产前和产后妇女中，遵循基于证据的 PFMT 标准的依从性。
本研究分三个阶段进行。第 1 阶段：利益相关者参与和团队组建以及基线审核。第 2 阶段：设计和实施策略，以提高母亲健康医疗中心的产前和产后妇女的 PFMT。第 3 阶段：随访审核。使用 Joanna Briggs 研究所临床证据系统实用应用的六个是/否审核问题进行基线和随访审核。15 名参与产前和产后保健中心的助产士和 60 名孕妇参与了这项研究。
基线审核中每个审核标准的依从性都很低（0-7%）。然而，在项目实施和培训培训师（助产士）后，依从性显著提高（77-100%）。
本研究表明，我们的医疗保健系统在向孕妇传授 PFMT 方面存在一些问题。我们还应该在全国所有医疗中心实施类似的项目。医疗保健系统管理者应该意识到为孕妇举办 PFMT 课程的价值，并建议使用盆底物理治疗师来培训助产士。
