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Urogynaecology providers' attitudes towards postnatal pelvic floor dysfunction
Carly Marjorie Cooke1, Orfhlaith E O'Sullivan2, Barry A O'Reilly2,3,4
1Department of Robotic Surgery and Urogynaecology, Cork University Maternity Hospital, Cork, Ireland. 113103571@umail.ucc.ie.
Healthcare providers know about pelvic floor dysfunction (PFD) risks but often don't counsel patients. Developing PFD risk tools could improve patient education and prevention strategies.
Area of Science:
- Urogynecology
- Obstetrics and Gynecology
- Women's Health
Background:
- Postnatal pelvic floor dysfunction (PFD) is common and causes significant morbidity in women after childbirth.
- Effective patient counseling on PFD risk and prevention is crucial for maternal health outcomes.
Purpose of the Study:
- To assess urogynaecology providers' knowledge of risk and protective factors for postnatal PFD.
- To evaluate current practice patterns regarding patient counseling on postnatal PFD prevention.
Main Methods:
- An electronic survey was distributed to members of the European Urogynaecology Association (EUGA) and International Urogynaecology Association (IUGA).
- Data collected included provider demographics, awareness of PFD risk factors, beliefs about risk-estimate tools, and counseling practices.
Main Results:
- Most surveyed providers (372 total) were aware of major PFD risk and protective factors.
- Despite awareness, many providers do not routinely counsel patients on PFD prevention (39%) or inquire about symptoms (33% prenatal, 25% postnatal).
- A significant minority (25%) would consider cesarean section for PFD prevention.
Conclusions:
- Urogynaecology providers possess knowledge of PFD risk factors but fall short in patient education.
- Implementing user-friendly risk-estimate tools may enhance PFD counseling rates and improve preventative care.
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