Knowledge and Beliefs of Pelvic Floor Muscle Exercises in Pregnant Women

Year 2021, Volume: 6 Issue: 3, 525 - 539, 27.12.2021

Hatice Kahyaoğlu Süt , Burcu Küçükkaya

https://doi.org/10.47115/jshs.962772

Abstract

Aim: The aim of this study was to examine the knowledge and beliefs of pregnant women about pelvic floor muscle exercises (PFMT).
Material and Methods: This cross-sectional study was applied on n = 516 pregnants who applied to a university hospital gynecology and obstetrics polyclinic between February and October 2019 and volunteered to participate in the study. An “information form” was used for data collection and descriptive statistics method in analysis.
Results: The average age of pregnants is 29.4 ± 5.5. 2.1% of the pregnants stated that they had urinary incontinence problem before pregnancy, and 13.0% stated that they had urinary incontinence problem during pregnancy. Pregnants stated that the primary reason of urinary incontinence during pregnancy is "weight gain (58.7%) during pregnancy" and 28.7% of them stated that urinary incontinence during pregnancy is normal. Only 9.7% of the pregnants stated that they had information about PFMT and 66.0% of those who had information received the information from health personnel. The report of women who applied PFMT during pregnancy is 7.4% and 74.0% of those who do it stated that they apply PFMT every day. 48.7% of pregnants who apply exercise think that they are successful in applying, and 48.7% think that they are suspicious. 8.7% of pregnants think that they have knowledge about the benefits of PFMT, 97.8% of those who are aware of its benefits think that PFMT prevents urinary, stool and gas leakage by increasing pelvic floor muscle strength.
Conclusion and Suggestions: Pregnants by nurses and / or midwives; providing information about pelvic floor muscle exercise and its benefits, and encouraging them to do pelvic floor muscle exercises by giving practical training are recommended.

Keywords

Pregnant, Pelvic floor muscle exercise, Knowledge, Belief

GEBE KADINLARIN PELVİK TABAN KAS EGZERSİZLERİ HAKKINDA BİLGİ VE İNANÇLARI

Abstract

Amaç: Çalışmada gebelerin pelvik taban kas egzersizleri (PTKE) hakkında bilgi ve inançlarını incelemek amaçlanmıştır.
Gereç ve Yöntem: Kesitsel tipte bu araştırma, Şubat-Ekim 2019 tarihleri arasında bir üniversite hastanesi kadın hastalıkları ve doğum polikliniğine başvuran, araştırmaya katılmaya gönüllü n=516 gebe ile gerçekleştirilmiştir. Verilerin toplanmasında, bir “bilgi formu” ve analizinde tanımlayıcı istatistik yöntemi kullanılmıştır.
Bulgular: Gebelerin yaş ortalaması 29.4±5.5’tir. Gebelerin %2.1’i gebelik öncesi idrar kaçırma problemi yaşadığını, %13.0’ı ise gebelikte idrar kaçırma problemi yaşadığını belirtmiştir. Gebeler, gebelikte idrar kaçırmanın birincil nedeninin “gebelikte kilo artışı (%58.7)” olduğunu, %28.7’si gebelikte idrar kaçırmanın normal olduğunu söylemiştir. Gebelerin sadece %9.7’si PTKE hakkında bilgisinin olduğunu, bilgisi olanların %66.0’ı bilgiyi sağlık personelinden aldığını ifade etmiştir. Gebelikte PTKE uygulayan kadınların oranı %7.4 olup uygulayanların %74.0’ı her gün bu egzersizi yaptığını bildirmiştir. Egzersizi uygulayan gebelerin %48.7’si uygulamada başarılı olduğunu, %48.7’si de şüpheli olduğunu düşünmektedir. Gebelerin %8.7’si PTKE’nin yararları konusunda bilgisi olduğunu, yararları konusunda bilgisi olanların %97.8’i PTKE’nin pelvik taban kas gücünü artırarak idrar, gaita ve gaz kaçırmayı önlediğini düşünmektedir.
Sonuç ve Öneriler: Hemşire ve/veya ebeler tarafından gebelere; pelvik taban kas egzersizi ve yararları hakkında bilgilendirme yapılması, uygulamalı eğitim verilerek pelvik taban kas egzersizlerini yapmaları yönünde teşvik edilmesi önerilmektedir.

Keywords

Gebe, Pelvik Ttaban Kas Egzersizi, Bilgi, İnanç

References

• Barakat, R. (2020). An exercise program throughout pregnancy: Barakat model. Birth Defects Res, 1-9.
• Bayat, M., Eshraghi, N., Naeiji, Z., Fathi, M. (2020). Evaluation of Awareness, Adherence, and Barriers of Pelvic Floor Muscle Training in Pregnant Women: A Cross-sectional Study. Female Pelvic Med Reconstr Surg, 1-5.
• Beksac, A. T., Aydin, E., Orhan, C., Karaagaoglu, E., & Akbayrak, T. (2017). Gestational urinary incontinence in nulliparous pregnancy – a pilot study. J Clin Diagn Res, 11, 1-3.
• Bernards, A. T., Berghmans, B. C., Slieker-Ten Hove, M. C., Staal, J. B., De Bie, R. A., & Hendriks, E. J. (2014). Dutch guidelines for physiotherapy in patients with stress urinary incontinence: an update. Int Urogynecol J, 25, 171-179.
• Boyle, R., Hay-Smith, E. J. C., Cody, J. D., & Mørkved, S. (2012). Pelvic floor muscle training for prevention and treatment of urinary and faecal incontinence in antenatal and postnatal women. Cochrane Database Syst Rev, (10), CD007471.
• Bø, K., & Nygaard, I. E. (2020). Is Physical Activity Good or Bad for the Female Pelvic Floor? A Narrative Review. Sports Med, 50, 471-84.
• Chiarelli, P., Murphy, B., & Cockburn, J. (2003). Women’s knowledge, practises, and intentions regarding correct pelvic floor exercises. Neurourol Urodyn, 22(3), 246-9.
• Daly, D., Cusack, C., & Begley, C. (2019). Learning about pelvic floor muscle exercises before and during pregnancy: a cross-sectional study. Int Urogynecol J, 30, 965-975.
• Gökalp, C., Okumuş, H., & Bilgiç, D. (2020). Urinary incontinence and quality of life according to trimesters in pregnancy. Cukurova Med J, 45(3), 954-962.
• Hasan, M., Zahid, S., Hafeez, S., Hashmi, Z., Mannan, H., & Hassan, D. (2019). Knowledge and attitude of Pakistani women towards antenatal exercise: A cross-sectional survey across Lahore. J Pakistan Med Assoc, 69(12), 1900-02.
• Haylen, B. T., De Ridder, D., Freeman, R. M., et al. (2010). An International Urogynecological Association (IUGA)/International Continence Society (ICS) joint report on the terminology for female pelvic floor dysfunction. Int Urogynecol J, 21, 5-26.
• Hilde, G., Stær-Jensen, J., Engh, M. E., Brækken, I. H., & Bø, K. (2012). Continence and pelvic floor status in nulliparous women at midterm pregnancy. Int Urogynecol J, 23, 1257-63.
• Hill, A. M., McPhail, S. M., Wilson, J. M., & Berlach, R. G. (2017). Pregnant women’s awareness, knowledge and beliefs about pelvic floor muscles: a cross-sectional survey. Int Urogynecol J, 28, 1557-1565.
• Hyakutake, M. T., Han, V., Baerg, L., Koenig, N. A., Cundiff, G. W., Lee, T., et al. (2018). Pregnancy-associated pelvic floor health knowledge and reduction of symptoms: The PREPARED randomized controlled trial. J Obstet Gynaecol Can, 40(4), 418-425.
• İnal, C. G., & Taşhan, S. T. (2020). Urinary incontinence in pregnancy and impact on quality of life. Health Sci J Adıyaman University, 6(2), 150-160.
• Jaffar, A., Mohd-Sidik, S., Nien, F. C., Fu, G. Q., & Talib, N. H. (2020). Urinary incontinence and its association with pelvic floor muscle exercise among pregnant women attending a primary care clinic in Selangor, Malaysia. PLoS One, 15(7), e0236140.
• Karim, R., Begum, S., Ayub, S., Pervaiz, K. F., & Akhtar, R. (2019). Incontinence of urine in pregnant women. J Postgrad Med Institute, 33, 146-149. Kegel, A. H., & Powell, T. O. (1950). The physiologic treatment of urinary stress incontinence. J Urol, 63(5), 808-14.
• Kegel, A. H. (1948). Progressive resistance exercise in the functional restoration of the perineal muscles. Am J Obstet Gynecol, 56(2), 238-48.
• Liu, J., Tan, S. Q., & Han, H. C. (2019). Knowledge of pelvic floor disorder in pregnancy. Int Urogynecol J, 30(6), 991-1001.
• Mørkved, S., & Bø, K. (2014). Effect of pelvic floor muscle training during pregnancy and after childbirth on prevention and treatment of urinary incontinence: a systematic review. Br J Sports Med, 48(4), 299-310.
• Muhammad, J., Muhamad, R., Husain, N. R. N., & Daud, N. (2019). Pelvic floor muscle exercise education and factors associated with implementation among antenatal women in hospital Universiti Sains Malaysia. Korean J Fam Med, 40(1), 45.
• Okeke, H., Ifediora, L., & Ogungbe, C. (2020). Knowledge and practice of pelvic floor muscle exercises among pregnant women in Enugu Metropolis, Nigeria. Women's Health Report, 1(1), 444-450.
• O’Neill, A. T., Hockey, J., O’Brien, P., Williams, A., Morris, T. P., Khan, T., et al. (2017). Knowledge of pelvic floor problems: a study of third trimester, primiparous women. Int Urogynecol J, 28, 125-129.
• Pires, T. F., Pires, P. M., Costa, R., & Viana, R. (2020). Effects of pelvic floor muscle training in pregnant women. Porto Biomed J, 5(5), 1-7.
• Sangsawang, B., & Sangsawang, N. (2013). Stress urinary incontinence in pregnant women: a review of prevalence, pathophysiology, and treatment. Int Urogynecol J, 24, 901-912.
• Sut, H. K., & Kaplan, P. B. (2016). Effect of Pelvic Floor Muscle Exercise on Pelvic Floor Muscle Activity and Voiding Functions During Pregnancy and the Postpartum Period. Neurourol Urodyn, 35(3), 417-422.
• Süt, H. K., & Küçükkaya, B. (2018). Knowledge and Practices of Women Pelvic Floor Muscle Exercises]. Suleyman Demirel University J Health Sci, 9(3), 15-20.
• Temtanakitpaisan, T., Bunyavejchevin, S., Buppasiri, P., & Chongsomchai, C. (2020). Knowledge, Attitude, and Practices (KAP) Survey Towards Pelvic Floor Muscle Training (PFMT) Among Pregnant Women. Int J Women's Health, 12, 295-299.
• Whitford, H. M., & Jones, M. (2011). An exploration of the motivation of pregnant women to perform pelvic floor exercises using the revised theory of planned behaviour. Br J Health Psychol, 16(4), 761-78.
• Whitford, H. M., Alder, B., & Jones, M. (2007). A cross-sectional study of knowledge and practice of pelvic floor exercises during pregnancy and associated symptoms of stress urinary incontinence in North-East Scotland. Midwifery, 23(2), 204-17.
• Woodley, S. J., Boyle, R., Cody, J. D., Mørkved, S., & Hay-Smith, E. J. C. (2017). Pelvic floor muscle training for prevention and treatment of urinary and faecal incontinence in antenatal and postnatal women. Cochrane Database Syst Rev, (12), CD007471.