Faculty of Health Sciences and Sport, University of Stirling, Stirling, FK9 4LA, UK.
Obstetrics and Gynaecology, NHS Greater Glasgow and Clyde, Glasgow, UK.
BMC Pregnancy Childbirth. 2022 Feb 28;22(1):161. doi: 10.1186/s12884-022-04490-9.
The study aimed to explore: • pregnant women's and healthcare professionals' perspectives on provision of individual risk scores for future Pelvic Floor Dysfunction (PFD), • the feasibility of providing this during routine maternity care, • actions women might take as a result of knowing their PFD risk.
Qualitative study.
UK NHS Health Board.
Pregnant women (n = 14), obstetricians (n = 6), midwives (n = 8) and physiotherapists (n = 3). A purposive sample of pregnant women and obstetric healthcare professionals were introduced to the UR-CHOICE calculator, which estimates a woman's PFD risk, and were shown examples of low, medium and high-risk women. Data were collected in 2019 by semi-structured interview and focus group and analysed using the Framework Approach.
Women's PFD knowledge was limited, meaning they were unlikely to raise PFD risk with healthcare professionals. Women believed it was important to know their individual PFD risk and that knowledge would motivate them to undertake preventative activities. Healthcare professionals believed it was important to discuss PFD risk, however limited time and concerns over increased caesarean section rates prevented this in all but high-risk women or those that expressed concerns.
Women want to know their PFD risk. As part of an intervention based within a pregnant woman/ maternity healthcare professional consultation, the UR-CHOICE calculator could support discussion to consider preventative PFD activities and to enable women to be more prepared should PFD occur. A randomised controlled trial is needed to test the effectiveness of an intervention which includes the UR-CHOICE calculator in reducing PFD.
本研究旨在探讨：①孕妇和医疗保健专业人员对提供未来盆底功能障碍（PFD）个体风险评分的看法；②在常规产科护理中提供这种评分的可行性；③女性得知自身 PFD 风险后可能会采取的行动。
定性研究。
英国国民保健署健康委员会。
孕妇（n=14）、产科医生（n=6）、助产士（n=8）和物理治疗师（n=3）。通过目的性抽样，向孕妇和产科保健专业人员介绍了 UR-CHOICE 计算器，该计算器可以估算女性的 PFD 风险，并向他们展示了低、中、高风险女性的例子。数据于 2019 年通过半结构化访谈和焦点小组收集，并采用框架方法进行分析。
女性对 PFD 的了解有限，这意味着她们不太可能向医疗保健专业人员提出 PFD 风险。女性认为了解自己的个人 PFD 风险很重要，而知识将激励她们采取预防措施。医疗保健专业人员认为讨论 PFD 风险很重要，但由于时间有限，以及担心剖宫产率增加，除了高风险女性或那些表达担忧的女性外，这种情况在其他女性中都没有发生。
女性希望了解自己的 PFD 风险。作为基于孕妇/产妇保健专业人员咨询的干预措施的一部分，UR-CHOICE 计算器可以支持讨论，考虑预防 PFD 的活动，并使女性在发生 PFD 时做好更充分的准备。需要进行一项随机对照试验，以测试在降低 PFD 方面包括 UR-CHOICE 计算器的干预措施的有效性。
