Pelvic floor disorders in postpartum adolescents in the Western Amazon: a cross-sectional study

Zuchelo, Lea Tami Suzuki; Santos, Edigê Felipe de Sousa; Figueiredo, Francisco Winter dos Santos; Adami, Fernando; Bezerra, Ítalla Maria Pinheiro; Raimundo, Rodrigo Daminello; Sorpreso, Isabel Cristina Espósito; Abreu, Luíz Carlos de

doi:10.2147/ijwh.s169504

Cited by 10 publications

(7 citation statements)

References 46 publications

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“…The prevalence of urinary incontinence (9.3%) in the present study was lower than that of the study conducted in the urban area of Western Amazon, Brazil [ 15 ], USA [ 12 ], UAE [ 18 ], and Kersa district, Ethiopia [ 17 ]. The relatively low prevalence in our study may be explained by the difference in age distribution, as the current population was quite young, with a mean age of about 33 years, compared to a study from Kersa district, Ethiopia, where the mean age was 36.5 years.…”

Section: Discussioncontrasting

confidence: 84%

“…Previous epidemiological studies have shown that pelvic floor disorders predominantly affect women, and there exists a great deal of variation among the prevalence rates and risk factors for pelvic floor disorders quoted in the previous literature. As stated in a previous PFD study, the prevalence of PFD is difficult to quantify with numbers ranging from 1.9% to 46.15% of women with PFD globally [10][11][12][13][14][15][16][17][18].…”

Section: Background Of the Studymentioning

confidence: 99%

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Determinants of Pelvic Floor Disorders among Women Visiting the Gynecology Outpatient Department in Wolkite University Specialized Center, Wolkite, Ethiopia

Terefe

Gudeta

Mengistu

et al. 2022

Obstetrics and Gynecology International

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Background. Pelvic floor disorders encompass a broad range of interrelated clinical conditions. Pelvic floor disorders are a common public health concern that affects the lives of millions of adult females. This disorder is expected to be more widespread and probably more severe among women in low-income countries. However, there is limited knowledge about pelvic floor disorders and their determinants among women in Ethiopia. Objective. The purpose of the study was to assess the determinants of pelvic floor disorders among women who visited the gynecology outpatient service at the Wolkite University Specialized Hospital, Wolkite, Ethiopia, in 2021. Methods. A cross-sectional hospital study was conducted on 275 randomly chosen women from June 1 to July 1, 2021. A systematic sampling technique was used when selecting the study subjects. The data were gathered using interviewer administered structured questionnaires. The data collected was entered in version 3.1 of EpiData, and version 23 of Statistical Package for Social Sciences was used for the analysis. The variables with a P -value <0.25 in the bivariate analysis were considered for a subsequently built multivariable model, and factors with P < 0.05 in the final model were statistically significant. The results were presented in an adjusted odds ratio with a 95% confidence interval. Result. The prevalence of pelvic floor disorder was reported to be 17.8% with 9.3% of the women experiencing urinary incontinence, 8.9% experiencing pelvic organ prolapse, and 5.9% experiencing anal incontinence. Two hundred thirty-two (85.9%) were currently married, while 110 (40.7%) were housewives. Statistically, a significant association was found between age at first pregnancy (AOR = 5.193; 95% CI = 1.905–14.157), many vaginal deliveries (AOR = 15.858; 95% CI = 5.305–47.400), history of episiotomy (AOR = 7.508 95% CI = 1.556–36.224), and menopause (AOR = 7.665; 95% CI = 2.440–24.078) when analyzed with a multivariate logistic regression model. Conclusion. In this study, age at first pregnancy, number of vaginal births, history of episiotomy, and menopause were independently associated with pelvic floor disorder. Therefore, educating women about the year of their first pregnancy, promoting family planning, and advice on the prevention of routine episiotomy by a health professional is recommended.

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Section: Discussioncontrasting

confidence: 84%

Section: Background Of the Studymentioning

confidence: 99%

Determinants of Pelvic Floor Disorders among Women Visiting the Gynecology Outpatient Department in Wolkite University Specialized Center, Wolkite, Ethiopia

Terefe

Gudeta

Mengistu

et al. 2022

Obstetrics and Gynecology International

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“…Another risk factor related to PFMD is pregnancy [41][42][43]. In this study, most women with obesity had experienced pregnancy at least once (62.5%).…”

Section: Discussionmentioning

confidence: 64%

Pelvic, anorectal and urinary symptoms according to the nutritional status of adult women: A cross-sectional study

et al. 2019

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To review the occurrence of pelvic, anorectal and urinary symptoms according to the nutritional status of adultwomen. Methods This is a cross-sectional study with 54 women, aged 18 to 35 years, divided into normal weight (<25kg/m2), overweight (25kg/m2 to 29.99kg/m2) and obesity (≥30kg/m2) according to the body mass index. The presence of pelvic floor muscle dysfunction symptoms was assessed by the Pelvic Floor Distress Inventory and the impact of these symptoms by the Pelvic Floor Impact Questionnaire. Descriptive and inferential statistics were used, with a significance level of 5%. Results Pelvic Floor Distress Inventory total score was 22.95 (SD=26.11) in the eutrophic group and 59.67 (SD=47.80) in the obesity group (p=0.01). Considering the scales, urinary symptoms were higher in obese women than in the eutrophic group (p=0.01). In the assessment of patients with each symptom, a difference (p<0.01) was observed in incomplete bowel emptying, in which the highest frequency occurred in overweight women (47.4%) compared to eutrophic and obese women (both 26.3%). Urinary incontinence symptoms (18.2% in eutrophic women, 27.3% overweight and 54.5% obese), stress urinary incontinence (8.3% eutrophic, 41.7% overweight and 50.0%, obese) and difficulty in emptying the bladder (0.0% eutrophic, 33.3% overweight and 66.7% obese) exhibited higher frequencies (p=0.03; p<0,01 and p=0.02, respectively) in obese women. Conclusion Symptoms of pelvic floor muscles dysfunction, especially urinary tract muscles, occur more frequently in obese adult women when compared to eutrophic women.

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“…Women delivered in Alzahra and Shahryar hospitals at Tabriz in least 6 months prior to our data collection and showing a willingness for participation (9) were included in this study. They were excluded if they had urogenital surgeries, mental or cognitive problems (22), pregnancy 6 months after the previous delivery (10), UI, FI, or POP before delivery, and chronic or systemic illnesses such as diabetes, hypertension, and urinary tract infection (9). Data Collection Socio-demographic and personal characteristics were obtained from hospital medical records and telephone interviews with each participant.…”

Section: Inclusion and Exclusion Criteriamentioning

confidence: 99%

Related Risk Factors for Pelvic Floor Disorders in Postpartum Women: A Cross-sectional Study

Sodagar

Ghaderi

Ghanavati

et al. 2021

International Journal of Women’s Health and Reproduction Scienc

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Objectives: Pelvic floor disorders (PFDs) during pregnancy and after delivery, and related risk factors are still debatable topics for research. Thus, the aim of the present study was to assess the probable risk factors associated with PFDs in Iran. Materials and Methods: This cross-sectional study was conducted in two state and private hospitals in Tabriz, Iran from the 1st of June to the 31st of August, 2018. The participants were 650 postpartum women, aged between 15 and 47 years six months after delivery. The type of delivery, type of hospital, history of episiotomy and induction, anesthesia, multiparity, the mother’s birth age, the infant’s weight and head circumference, the mother’s weight gain during pregnancy, and a wide variety of probably related risk factors were studied based on the study objective. According to their answer to the questions of PFDs, 147 women responded yes and completed the Pelvic Floor Distress Inventory-20 questionnaire. Results: Between the investigated risk factors, type of the hospital (OR: 0.27, CI: 0.126-0.564) and the amount of the mother’s weight gain during pregnancy (OR: 1.066, CI: 1.024-1.109) were significantly associated with PFDs. Finally, the number of PFDs and severity of dysfunctions according to PFDI-20 were higher in state hospitals, and excessive weight gain of the mother during pregnancy was related to the higher incidence of PFDs. Conclusions: Type of the hospital and the mother’s weight gain during pregnancy are the only two related risk factors in this study. This study was the first one to discuss the type of the hospital in such related risk factor studies. Accordingly, it is predictable that better supervision of medical attends in state hospitals is highly important for decreasing the rate of PFDs after delivery.

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Pelvic floor disorders in postpartum adolescents in the Western Amazon: a cross-sectional study

Cited by 10 publications

References 46 publications

Determinants of Pelvic Floor Disorders among Women Visiting the Gynecology Outpatient Department in Wolkite University Specialized Center, Wolkite, Ethiopia

Determinants of Pelvic Floor Disorders among Women Visiting the Gynecology Outpatient Department in Wolkite University Specialized Center, Wolkite, Ethiopia

Pelvic, anorectal and urinary symptoms according to the nutritional status of adult women: A cross-sectional study

Related Risk Factors for Pelvic Floor Disorders in Postpartum Women: A Cross-sectional Study

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