Weinert Konstanze, Plappert Claudia F
Section of Midwifery Science, Institute of Health Sciences, University of Tuebingen, 72076 Tuebingen, Germany.
Healthcare (Basel). 2025 Apr 8;13(8):847. doi: 10.3390/healthcare13080847.
Pregnancy and childbirth can have far-reaching effects on women's pelvic floor health. It is important to educate pregnant women about pelvic floor health and potential birth-related pelvic floor (PF) changes as part of continuous midwifery care. This scoping review aims to identify the current state of research on knowledge and knowledge gaps in pregnant women regarding the PF and PF dysfunction (PFD) in order to derive conclusions and recommendations for midwifery care and midwifery science. This review follows the Arksey and O'Malley framework and the PRISMA Statement. The literature search was conducted on databases PubMed, CINAHL, and Web of Science using various search terms and defined inclusion criteria. Eleven articles were included. The results show a considerable context-related knowledge deficit among pregnant women, with a high prevalence of PFDs such as urinary incontinence (UI), fecal incontinence (FI), or prolapse symptoms (POP). All contributions emphasize the importance of improved specific education and health advice regarding the PF and PFD for pregnant women to close knowledge gaps and promote sustainable PF health. Demands are made on the professional group 'midwife', which emphasize the importance of specific and target group-appropriate educational concepts on the subject of the PF and PFD.
怀孕和分娩会对女性盆底健康产生深远影响。作为持续助产护理的一部分,对孕妇进行盆底健康以及与分娩相关的潜在盆底变化的教育非常重要。本范围综述旨在确定孕妇关于盆底及盆底功能障碍(PFD)的知识研究现状和知识差距,以便得出助产护理和助产学的结论与建议。本综述遵循阿克西和奥马利框架以及PRISMA声明。使用各种检索词和定义的纳入标准在PubMed、CINAHL和科学网数据库上进行文献检索。纳入了11篇文章。结果显示孕妇中存在与背景相关的相当大的知识缺陷,尿失禁(UI)、粪失禁(FI)或脱垂症状(POP)等PFD的患病率很高。所有研究都强调了针对孕妇改善关于盆底和PFD的特定教育及健康建议的重要性,以弥补知识差距并促进可持续的盆底健康。对“助产士”专业群体提出了要求,强调关于盆底和PFD主题的特定且适合目标群体的教育理念的重要性。