Gebelerde pelvik taban ve pelvik taban kas eğitimi farkındalığı, bilgi ve inanışlarının incelenmesi
Yıl 2025,
Cilt: 30 Sayı: 3, 353 - 362, 25.09.2025
Betül Bahar
,
Handan Ankaralı
,
Mehmet Ata Topçuoğlu
,
Yeşim Bakar
,
Nuriye Özengin
Öz
Amaç: Bu çalışmanın amacı, gebelerin pelvik taban ve pelvik taban kas eğitimi hakkında farkındalık, bilgi ve inanışlarını belirlemekti.
Yöntemler: Çalışmaya gebelik haftası 5-40 arasında değişen 250 gönüllü gebe dahil edildi. Gebelerin fiziksel ve sosyo-demografik özellikleri kaydedildikten sonra pelvik taban ve pelvik taban kas eğitimi farkındalığı, bilgi ve inanışlarını değerlendiren anketi tamamlamaları istendi.
Bulgular: Gebelerin %70,4’ünün daha önce pelvik taban kaslarını duymadığı, %95,2’sinin pelvik taban kaslarıyla ilgili bilgi almadığı ve %90,8’inin de pelvik taban kaslarına neden ihtiyacımız olduğunu bilmediği belirlendi. Gebelerin %47,6’sının gebelik döneminde idrar kaçırmanın normal olduğuna inandığı tespit edildi. Ayrıca gebelerin %98’i pelvik taban kasları hakkında yeterli bilgi sahibi olduğunu düşünmemekteydi. Gebelik trimesterleri arasında pelvik taban ve pelvik taban kas eğitimine ilişkin bilgi, farkındalık ve inanışlarının benzer olduğu saptandı (p>0.05).
Sonuç: Bu çalışmanın sonucunda gebelerin pelvik taban kasları ve eğitimine ilişkin yetersiz farkındalık ve bilgi seviyesine ve maladaptif inanışlara sahip olduğu ortaya çıktı. Gebelerin birçok pelvik taban problemi açısından risk altında oldukları bu süreçte potansiyel problemleri, önleyici ve tedavi edici yöntemleri bilmeleri önemlidir. Bu nedenle, her gebenin rutin olarak sağlık profesyonelleri tarafından pelvik taban hakkında bilgilendirilmesi ve pelvik taban kas eğitimine katılımı için teşvik edilmesi önerilebilir.
Kaynakça
-
Genadry R. A urogynecologist’s view ofthe pelvic floor effects of vaginal delivery/cesarean section for the urolo-gist. Curr Urol Rep. 2006;7(5):376-83.
-
Wijma J, Weis Potters AE, de Wolf BT, Tinga DJ, Aarnoudse JG. Anatomical and functional changes in the lower urinary tract during pregnancy. BJOG. 2001;108(7):726-32.
-
Caroci Ade S, Riesco ML, Rocha BM, Ventura Lde J, Oliveira SG. Evaluation of perineal muscle strength in the first trimester of pregnancy. Rev Lat Am Enfermagem. 2014;22(6):893-901.
-
Reimers C, Staer-Jensen J, Siafarikas F, Saltyte-Benth J, Bø K, Ellström Engh M. Change in pelvic organ support during pregnancy and the first year postpartum: a longitudinal study. BJOG. 2016;123(5):821-9.
-
Sultan AH, Kamm MA, Hudson CN. Pudendal nerve damage during labour: prospective study before and after childbirth. Br J Obstet Gynaecol. 1994;101(1):22-8.
-
Allen RE, Hosker GL, Smith AR, Warrell DW. Pelvic floor damage and childbirth: a neurophysiological study. Br J Obstet Gynaecol. 1990;97(9):770-9.
-
Messelink B, Benson T, Berghmans B, et al. Standardization of terminology of pelvic floor muscle function and dysfunction: report from the pelvic floor clinical assessment group of the International Continence Society. Neurourol Urodyn. 2005;24(4):374-80.
-
Barber MD. Contemporary views on female pelvic anatomy. Cleve Clin J Med. 2005;72 Suppl 4:S3-11.
-
Haslam J. Physiotherapy in Obstetrics and Gynaecology. Oxford: Butterworth-Heinemann; 2004.
-
Vasavada SP, Raz S, Appell RA, Sussman DO. Female urology, urogynecology, and voiding dysfunction. New York: Taylor & Francis; 2005.
-
Friedman S, Blomquist JL, Nugent JM, McDermott KC, Muñoz A, Handa VL. Pelvic muscle strength after childbirth. Obstet Gynecol. 2012;120(5):1021-8.
-
Kondo A, Narushima M, Yoshikawa Y, Hayashi H. Pelvic fascia strength in women with stress urinary incontinence in comparison with those who are continent. Neurourol Urodyn. 1994;13(5):507-13.
-
Kondo A, Narushima M, Yoshikawa Y, Hayashi H. Pelvic fascia strength in women with stress urinary incontinence in comparison with those who are continent. Neurourol Urodyn. 1994;13(5):507-13.
-
Reeves P, Irwin D, Kelleher C, et al. The current and future burden and cost of overactive bladder in five European countries. Eur Urol. 2006;50(5):1050-7.
-
Subak LL, Brown JS, Kraus SR, et al. The “costs” of urinary incontinence for women. Obstet Gynecol. 2006;107(4):908-16.
-
Nygaard I, Barber MD, Burgio KL, et al. Prevalence of symptomatic pelvic floor disorders in US women. JAMA. 2008;300(11):1311-6.
-
Hay-Smith EJ, Bø Berghmans LC, Hendriks HJ, de Bie RA, van Waalwijk van Doorn ES. Pelvic floor muscle training for urinary incontinence in women. Cochrane Database Syst Rev. 2001;(1):CD001407.
-
Lamin E, Parrillo LM, Newman DK, Smith AL. Pelvic Floor Muscle Training: Underutilization in the USA. Curr Urol Rep. 2016;17(2):10.
-
Ferreira CH, Dwyer PL, Davidson M, De Souza A, Ugarte JA, Frawley HC. Does pelvic floor muscle training improve female sexual function? A systematic review. Int Urogynecol J. 2015;26(12):1735-50.
-
Li C, Gong Y, Wang B. The efficacy of pelvic floor muscle training for pelvic organ prolapse: a systematic review and meta-analysis. Int Urogynecol J. 2016;27(7):981-92.
-
Mørkved S, Bø K, Schei B, Salvesen KA. Pelvic floor muscle training during pregnancy to prevent urinary incontinence: a single-blind randomized controlled trial. Obstet Gynecol. 2003;101(2):313-9.
-
Bø K, Talseth T, Holme I. Single blind, randomised controlled trial of pelvic floor exercises, electrical stimulation, vaginal cones, and no treatment in management of genuine stress incontinence in women. BMJ. 1999;318(7182):487-93.
-
Hay-Smith J, Mørkved S, Fairbrother KA, Herbison GP. Pelvic floor muscle training for prevention and treatment of urinary and faecal incontinence in antenatal and postnatal women. Cochrane Database Syst Rev. 2008;(4):CD007471. Published 2008 Oct 8.
-
Hill AM, McPhail SM, Wilson JM, Berlach RG. Pregnant women’s awareness, knowledge and beliefs about pelvic floor muscles: a cross-sectional survey. Int Urogynecol J. 2017;28(10):1557-65.
-
Liu X-B. Pelvic floor muscle training for prevention and treatment of postpartum urinary incontinence clinical observation. Guide China Med. 2011;9(2):21-2.
-
Neels H, Wyndaele JJ, Tjalma WA, De Wachter S, Wyndaele M, Vermandel A. Knowledge of the pelvic floor in nulliparous women. J Phys Ther Sci. 2016;28(5):1524-33.
-
Sawant SP, Sutar DA. Survey on knowledge about pelvic floor muscles and pelvic floor muscle exercises in primiparous pregnant women. J Med Sci Clin Res. 2019;07:591-6.
-
Woodley SJ BR, Cody JD, Morkved S, Hay-Smith EJC. Pelvic floor muscle training for prevention and treatment of urinary and faecal incontinence in antenatal and postnatal women. Cochrane Database Syst Rev. 2017;12:Cd007471.
-
Süt HK, Küçükkaya B. Kadınların Pelvik Taban Kas Egzersizleri Bilgi ve Uygulama Durumları. Sdü Sağlık Bilimleri Enstitüsü Dergisi. 2018;9:15-20.
-
Whitford HM, Alder B, Jones M. 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. 2007;23(2):204-17.
-
Daly D, Cusack C, Begley C. Learning about pelvic floor muscle exercises before and during pregnancy: a cross-sectional study. Int Urogynecol J. 2019;30:965-75.
-
Melville JL, Wagner LE, Fan MY, Katon WJ, Newton KM. Women’s perceptions about the etiology of urinary incontinence. J Womens Health (Larchmt). 2008;17(7):1093-8.
-
Viktrup L, Lose G. The risk of stress incontinence 5 years after first delivery. Am J Obstet Gynecol. 2001;185:82-7.
-
Berzuk K, Shay B. Effect of increasing awareness of pelvic floor muscle function on pelvic floor dysfunction: a randomized controlled trial. Int Urogynecol J. 2015;26:837-44.
-
Geoffrion R, Robert M, Ross S, et al. Evaluating patient learning after an educational program for women with incontinence and pelvic organ prolapse. Int Urogynecol J Pelvic Floor Dysfunct. 2009;20(10):1243-52.
-
Cardoso AMB, Lima CROP, Ferreira CWS. Prevalence of urinary incontinence in high-impact sports athletes and their association with knowledge, attitude and practice about this dysfunction. Eur J Sport Sci. 2018;18(10):1405-12.
-
McLennan MT, Melick CF, Alten B, Young J, Hoehn MR. Patients’ knowledge of potential pelvic floor changes associated with pregnancy and delivery. Int Urogynecol J Pelvic Floor Dysfunct. 2006;17(1):22-6.
-
Moossdorff-Steinhauser HFA, Albers-Heitner P, Weemhoff M, Spaanderman MEA, Nieman FHM, Berghmans B. Factors influencing postpartum women’s willingness to participate in a preventive pelvic floor muscle training program: a web-based survey. Eur J Obstet Gynecol Reprod Biol. 2015;195:182-7.
Examination of awareness, knowledge and beliefs on pelvic floor and pelvic floor muscle training in pregnant women
Yıl 2025,
Cilt: 30 Sayı: 3, 353 - 362, 25.09.2025
Betül Bahar
,
Handan Ankaralı
,
Mehmet Ata Topçuoğlu
,
Yeşim Bakar
,
Nuriye Özengin
Öz
Aim: This study aimed to determine the awareness, knowledge, and beliefs of pregnant women on pelvic floor and pelvic floor muscle training.
Methods: A total of 250 volunteer women with gestational weeks ranging between 5 to 40 weeks were included in this study. After the physical and socio-demographic characteristics of the pregnant women were recorded, they were asked to complete the questionnaire assessing their awareness, knowledge and beliefs on pelvic floor and pelvic floor muscle training.
Results: It was determined that 70.4% of the pregnant women had not heard of the pelvic floor muscles before, 95.2% did not get information about pelvic floor muscles, 90.8% did not know why they needed pelvic floor muscles. It was found that 47.6% of the pregnant women believed that urinary incontinence during pregnancy was normal. In addition, 98% of the pregnant women did not think that they had sufficient information about pelvic floor muscles. It was found that knowledge, awareness and beliefs about pelvic floor and pelvic floor muscles were similar between gestational trimesters (p> 0.05).
Conclusion: As a result, pregnant women had insufficient awareness and knowledge levels, maladaptive beliefs about pelvic floor muscles and training. It is essential for pregnant women to know potential problems, preventive and therapeutic methods in this process which they are at risk for various pelvic floor dysfunctions. Therefore, it can be recommended that pregnant women should be routinely informed about the pelvic floor by health professionals and encouraged to participate in pelvic floor muscle training.
Kaynakça
-
Genadry R. A urogynecologist’s view ofthe pelvic floor effects of vaginal delivery/cesarean section for the urolo-gist. Curr Urol Rep. 2006;7(5):376-83.
-
Wijma J, Weis Potters AE, de Wolf BT, Tinga DJ, Aarnoudse JG. Anatomical and functional changes in the lower urinary tract during pregnancy. BJOG. 2001;108(7):726-32.
-
Caroci Ade S, Riesco ML, Rocha BM, Ventura Lde J, Oliveira SG. Evaluation of perineal muscle strength in the first trimester of pregnancy. Rev Lat Am Enfermagem. 2014;22(6):893-901.
-
Reimers C, Staer-Jensen J, Siafarikas F, Saltyte-Benth J, Bø K, Ellström Engh M. Change in pelvic organ support during pregnancy and the first year postpartum: a longitudinal study. BJOG. 2016;123(5):821-9.
-
Sultan AH, Kamm MA, Hudson CN. Pudendal nerve damage during labour: prospective study before and after childbirth. Br J Obstet Gynaecol. 1994;101(1):22-8.
-
Allen RE, Hosker GL, Smith AR, Warrell DW. Pelvic floor damage and childbirth: a neurophysiological study. Br J Obstet Gynaecol. 1990;97(9):770-9.
-
Messelink B, Benson T, Berghmans B, et al. Standardization of terminology of pelvic floor muscle function and dysfunction: report from the pelvic floor clinical assessment group of the International Continence Society. Neurourol Urodyn. 2005;24(4):374-80.
-
Barber MD. Contemporary views on female pelvic anatomy. Cleve Clin J Med. 2005;72 Suppl 4:S3-11.
-
Haslam J. Physiotherapy in Obstetrics and Gynaecology. Oxford: Butterworth-Heinemann; 2004.
-
Vasavada SP, Raz S, Appell RA, Sussman DO. Female urology, urogynecology, and voiding dysfunction. New York: Taylor & Francis; 2005.
-
Friedman S, Blomquist JL, Nugent JM, McDermott KC, Muñoz A, Handa VL. Pelvic muscle strength after childbirth. Obstet Gynecol. 2012;120(5):1021-8.
-
Kondo A, Narushima M, Yoshikawa Y, Hayashi H. Pelvic fascia strength in women with stress urinary incontinence in comparison with those who are continent. Neurourol Urodyn. 1994;13(5):507-13.
-
Kondo A, Narushima M, Yoshikawa Y, Hayashi H. Pelvic fascia strength in women with stress urinary incontinence in comparison with those who are continent. Neurourol Urodyn. 1994;13(5):507-13.
-
Reeves P, Irwin D, Kelleher C, et al. The current and future burden and cost of overactive bladder in five European countries. Eur Urol. 2006;50(5):1050-7.
-
Subak LL, Brown JS, Kraus SR, et al. The “costs” of urinary incontinence for women. Obstet Gynecol. 2006;107(4):908-16.
-
Nygaard I, Barber MD, Burgio KL, et al. Prevalence of symptomatic pelvic floor disorders in US women. JAMA. 2008;300(11):1311-6.
-
Hay-Smith EJ, Bø Berghmans LC, Hendriks HJ, de Bie RA, van Waalwijk van Doorn ES. Pelvic floor muscle training for urinary incontinence in women. Cochrane Database Syst Rev. 2001;(1):CD001407.
-
Lamin E, Parrillo LM, Newman DK, Smith AL. Pelvic Floor Muscle Training: Underutilization in the USA. Curr Urol Rep. 2016;17(2):10.
-
Ferreira CH, Dwyer PL, Davidson M, De Souza A, Ugarte JA, Frawley HC. Does pelvic floor muscle training improve female sexual function? A systematic review. Int Urogynecol J. 2015;26(12):1735-50.
-
Li C, Gong Y, Wang B. The efficacy of pelvic floor muscle training for pelvic organ prolapse: a systematic review and meta-analysis. Int Urogynecol J. 2016;27(7):981-92.
-
Mørkved S, Bø K, Schei B, Salvesen KA. Pelvic floor muscle training during pregnancy to prevent urinary incontinence: a single-blind randomized controlled trial. Obstet Gynecol. 2003;101(2):313-9.
-
Bø K, Talseth T, Holme I. Single blind, randomised controlled trial of pelvic floor exercises, electrical stimulation, vaginal cones, and no treatment in management of genuine stress incontinence in women. BMJ. 1999;318(7182):487-93.
-
Hay-Smith J, Mørkved S, Fairbrother KA, Herbison GP. Pelvic floor muscle training for prevention and treatment of urinary and faecal incontinence in antenatal and postnatal women. Cochrane Database Syst Rev. 2008;(4):CD007471. Published 2008 Oct 8.
-
Hill AM, McPhail SM, Wilson JM, Berlach RG. Pregnant women’s awareness, knowledge and beliefs about pelvic floor muscles: a cross-sectional survey. Int Urogynecol J. 2017;28(10):1557-65.
-
Liu X-B. Pelvic floor muscle training for prevention and treatment of postpartum urinary incontinence clinical observation. Guide China Med. 2011;9(2):21-2.
-
Neels H, Wyndaele JJ, Tjalma WA, De Wachter S, Wyndaele M, Vermandel A. Knowledge of the pelvic floor in nulliparous women. J Phys Ther Sci. 2016;28(5):1524-33.
-
Sawant SP, Sutar DA. Survey on knowledge about pelvic floor muscles and pelvic floor muscle exercises in primiparous pregnant women. J Med Sci Clin Res. 2019;07:591-6.
-
Woodley SJ BR, Cody JD, Morkved S, Hay-Smith EJC. Pelvic floor muscle training for prevention and treatment of urinary and faecal incontinence in antenatal and postnatal women. Cochrane Database Syst Rev. 2017;12:Cd007471.
-
Süt HK, Küçükkaya B. Kadınların Pelvik Taban Kas Egzersizleri Bilgi ve Uygulama Durumları. Sdü Sağlık Bilimleri Enstitüsü Dergisi. 2018;9:15-20.
-
Whitford HM, Alder B, Jones M. 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. 2007;23(2):204-17.
-
Daly D, Cusack C, Begley C. Learning about pelvic floor muscle exercises before and during pregnancy: a cross-sectional study. Int Urogynecol J. 2019;30:965-75.
-
Melville JL, Wagner LE, Fan MY, Katon WJ, Newton KM. Women’s perceptions about the etiology of urinary incontinence. J Womens Health (Larchmt). 2008;17(7):1093-8.
-
Viktrup L, Lose G. The risk of stress incontinence 5 years after first delivery. Am J Obstet Gynecol. 2001;185:82-7.
-
Berzuk K, Shay B. Effect of increasing awareness of pelvic floor muscle function on pelvic floor dysfunction: a randomized controlled trial. Int Urogynecol J. 2015;26:837-44.
-
Geoffrion R, Robert M, Ross S, et al. Evaluating patient learning after an educational program for women with incontinence and pelvic organ prolapse. Int Urogynecol J Pelvic Floor Dysfunct. 2009;20(10):1243-52.
-
Cardoso AMB, Lima CROP, Ferreira CWS. Prevalence of urinary incontinence in high-impact sports athletes and their association with knowledge, attitude and practice about this dysfunction. Eur J Sport Sci. 2018;18(10):1405-12.
-
McLennan MT, Melick CF, Alten B, Young J, Hoehn MR. Patients’ knowledge of potential pelvic floor changes associated with pregnancy and delivery. Int Urogynecol J Pelvic Floor Dysfunct. 2006;17(1):22-6.
-
Moossdorff-Steinhauser HFA, Albers-Heitner P, Weemhoff M, Spaanderman MEA, Nieman FHM, Berghmans B. Factors influencing postpartum women’s willingness to participate in a preventive pelvic floor muscle training program: a web-based survey. Eur J Obstet Gynecol Reprod Biol. 2015;195:182-7.