Prevalence of pelvic floor dysfunction: a Saudi national survey

Al‐Badr, Ahmed; Saleem, Zarqa; Kaddour, Ouhoud; Almosaieed, Bader; Dawood, Ashraf; Al-Tannir, Mohamad; AlTurki, Faisal; Alharbi, Reem; Al‐Sanea, Nasser

doi:10.1186/s12905-022-01609-0

Cited by 20 publications

(35 citation statements)

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“…These estimates indicate that pelvic floor dysfunction can be regarded as a common condition among Saudi women. The increase in the incidence of pelvic floor dysfunction among Saudi women has been linked to aging, greater parity, and assisted birth [ 10 ].…”

Section: Introductionmentioning

confidence: 99%

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Knowledge, Attitude, and Practice of Pregnant Women in Jazan, Saudi Arabia Concerning Pelvic Floor Muscle Exercises

Derrar¹,

Dallak²,

Alfaifi³

et al. 2022

Cureus

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Introduction Weaknesses of the pelvic floor muscles in females can lead to pelvic floor dysfunction thus increasing the risk of urinary and fecal incontinence. Furthermore, its weakness can lead to reproductive organ prolapse and sexual dysfunction, and influence sexual arousal and orgasm. There is limited evidence concerning the awareness of Saudi women regarding the importance of physical activity in the prevention and treatment of pelvic floor dysfunction. The current investigation aims to assess the knowledge, attitude, and practice of pelvic floor muscle exercises in the women of Jazan, Saudi Arabia. Materials and methods This investigation was a cross-sectional study targeting pregnant women in the Jazan region. Data was collected via an Arabic self-administered questionnaire. The questionnaire was composed of four main components measuring demographic data, presence of pelvic floor dysfunction symptoms, knowledge, attitude, and practice of the participants concerning pelvic floor muscle training. Chi-squared test was used to test the association between measured demographic factors and level of knowledge. Results A total of 183 pregnant women were recruited. The mean age of the participants was 27.4 years (standard deviation (SD): 5.3). The median number of pregnancies was 2 (interquartile range (IQR): 1-3), and the mean duration of current pregnancy was 20.9 (SD:11.1). The majority of pregnant women complained of lower abdomen pain with variable degrees. Nearly half of the sample complained of having either urinary or fecal incontinence with variable degrees of severity. The mean score of knowledge was 5 out of 12 and the scores varied between 1 and 11. Only 71 women (38.8%) were confident that pregnant women can exercise pelvic floor muscles. Furthermore, knowledge of the recruited mothers concerning the nature of the pelvic floor muscle exercise was relatively low in comparison to other items. Nearly one-third of the sample either believed that the exercise had no effect or had a worsening effect. Half the sample reported not performing any pelvic floor exercises. Only the practice of the exercise was statistically associated with the level of knowledge, indicating a higher proportion of women with a higher level of knowledge among those who regularly or occasionally perform the exercise. This may suggest that women with a higher level of knowledge are more motivated to exercise (<0.001). Conclusion Several deficiencies in knowledge about pelvic floor muscle exercise were detected among the recruited sample. Though the majority of the sample had an attitude favoring pelvic floor muscle exercise, nearly one-third did not believe pelvic floor muscle exercise can be beneficial. Finally, less than 10% of the sample indicated regular practice of pelvic floor muscle exercise. These findings indicate a need to increase the awareness and adherence of women in Jazan.

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Section: Introductionmentioning

confidence: 99%

“…Studies that assessed the prevalence of pelvic floor dysfunction in Saudi Arabia provided estimates varying between 17% and 60.2% [9][10][11]. These estimates indicate that pelvic floor dysfunction can be regarded as a common condition among Saudi women.…”

Section: Introductionmentioning

confidence: 99%

Knowledge, Attitude, and Practice of Pregnant Women in Jazan, Saudi Arabia Concerning Pelvic Floor Muscle Exercises

Derrar¹,

Dallak²,

Alfaifi³

et al. 2022

Cureus

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“…In this study the prevalence of PFDs was reported in (41%) of participants, this finding is consistent with a Saudi Arabian study by Al-Badr et al which reported PFDs prevalence is (36%). 8 and a Lebanese study (42%). 11 In contrast, other studies found higher findings as the prevalence that was reported by Tinetti et al (67%).…”

Section: Discussionmentioning

confidence: 99%

“…7 while another study estimated that the prevalence of PFD was 36.3% among Saudi women attending Primary Health Care Centers (PHCCs) across 13 regions of Saudi Arabia. 8 Information about PFDs in Egypt and other Middle East countries is scarce; however, a recent study in Egypt reported that, prevalence of stress urinary incontinence and over active bladder was (22.2%, 39.0%) respectively. 9 There are no published studies regarding prevalence of PFDS in primary care setting in Egypt.…”

Section: Introductionmentioning

confidence: 99%

Prevalence and the degree of distress of pelvic floor disorders symptoms in women seeking primary health care at Ismailia governorate, Egypt

Saudi

Tosson

2022

UIJ

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Pelvic Floor Disorders (PFDs) are common debilitating conditions among women worldwide, which have had a negative effect on women’s quality of life and can be particularly bothersome. The objective of this study was to assess the prevalence of PFDs and the degree of bother of PFDs symptoms among women seeking primary health care. A cross sectional study was conducted in primary health care settings affiliated with Ministry Of Health and Population (MOHP) in Ismailia city, Egypt. The study was carried out from October 2019 to May 2020 on 500 women who were recruited by two-stage cluster random sampling. A semi-structured questionnaire was used to collect data on demographic, and reproductive characteristics. PFD was assessed based on symptoms reporting by women. A short-form version of the Pelvic Floor Distress Inventory (PFDI-20) was used to assess the severity of pelvic floor symptoms. The prevalence of pelvic floor disorder was (41%), with over active bladder being the most prevalent type (32.8 %) followed by stress urinary incontinence (29.2%). Age, obesity, vaginal delivery 4 times or more, caesarean delivery, and history of abortion were positive predictors of PFD prevalence (p<0.001). More than one third (35.6%) of women who had urinary incontinence and (81.8 %) of women who had pelvic organ prolapsed reported their symptoms as severe. The study highlights the magnitude of pelvic floor disorder prevalence. This stresses for urgent action to improve prevention, diagnosis and treatment services to decrease the suffering of women from pelvic floor disorders.

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“…Both pregnancy and subsequent vaginal delivery may lead to levator plate relaxation and thus increase the risk of developing pelvic floor dysfunctions (PFDs), especially UI [5][6][7][8]. The prevalence of UI in adult women was approximately 22.1% in China, 16.7% in Japan, 53% in the United States, 35.3% in Australia, and 36.3% in Saudi countries, and the prevalence of fecal incontinence (FI) was 8.39% in America, 3.6% in the United Kingdom, and 4.2% in Italy based on large population-studies [9][10][11][12][13][14][15]. PFDs are serious problems that can decrease participation in sports and social functions, and that have an indisputable impact on quality of life [16,17].…”

Section: Introductionmentioning

confidence: 99%

Risk factors of pelvic floor muscle strength in south Chinese women: a retrospective study

Fang

Huang³

et al. 2022

BMC Pregnancy Childbirth

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Objectives To evaluate pelvic floor muscle strength using surface electromyography and risk factors for pelvic floor muscle strength in the early postpartum period. Methods This retrospective study included 21,302 participants who visited Fujian Maternity and Child Health Hospital from September 2019 to February 2022. All participants were assessed by medical professionals for general information and surface electromyography. Results Univariate analysis indicated that age was inversely related to tonic and endurance contractions. In contrast, all the other variables, including education level, body mass index, neonatal weight, and number of fetuses, had a positive impact on rapid, tonic, and endurance contractions. Likewise, parity was also positively associated with rapid contractions. In addition, compared with vaginal delivery, cesarean section delivery had a protective effect on the amplitude of the three types of contractions. Stepwise regression analysis showed that both age and neonatal weight had a negative linear relationship with the amplitude of rapid, tonic and endurance contractions. In contrast, the amplitude of rapid, tonic and endurance contractions significantly increased as body mass index, parity (≤ 3), education level and gestational weight gain (endurance contractions only) increased. Participants with cesarean section delivery showed positive effects on rapid, tonic, and endurance contractions compared to participants with vaginal delivery. Conclusions We found that age, neonatal weight, vaginal delivery, episiotomy, and forceps delivery were risk factors for pelvic floor muscle strength; in contrast, body mass index, parity (≤ 3) and gestational weight gain had a positive relationship with pelvic floor muscle strength.

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Prevalence of pelvic floor dysfunction: a Saudi national survey

Cited by 20 publications

References 50 publications

Knowledge, Attitude, and Practice of Pregnant Women in Jazan, Saudi Arabia Concerning Pelvic Floor Muscle Exercises

Knowledge, Attitude, and Practice of Pregnant Women in Jazan, Saudi Arabia Concerning Pelvic Floor Muscle Exercises

Prevalence and the degree of distress of pelvic floor disorders symptoms in women seeking primary health care at Ismailia governorate, Egypt

Risk factors of pelvic floor muscle strength in south Chinese women: a retrospective study

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