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Anogenital Distance and Perineal Measurements of the Pelvic Organ Prolapse POP Quantification System
Published on: September 20, 2018
Pelvic Floor Health Knowledge With Enhanced Education During Pregnancy
Lauren Nicola-Ducey1, Lucy Ward, Amanda Holland
1Department of Obstetrics and Gynecology, Oregon Health & Science University, Portland, OR.
Targeted education on pelvic floor disorders (PFD) did not significantly improve knowledge of pelvic organ prolapse (POP) or urinary incontinence (UI) in nulliparous patients. However, the intervention group showed improvements in both POP and UI knowledge scores.
Area of Science:
- Obstetrics and Gynecology
- Pelvic Floor Health
- Patient Education
Background:
- Postpartum pelvic floor recovery education is often unaddressed, leading to patient dissatisfaction.
- Nulliparous patients may lack adequate knowledge regarding pelvic organ prolapse (POP) and urinary incontinence (UI).
Purpose of the Study:
- To determine if tailored peripartum pelvic floor disorder education improves nulliparous patients' knowledge of POP and UI.
- To evaluate differences in patient satisfaction and understanding following the educational intervention.
Main Methods:
- A single-site nonrandomized interventional study involving pregnant patients using an electronic educational platform.
- Evaluated changes in Prolapse and Incontinence Knowledge Questionnaire (PIKQ) scores pre- and post-intervention.
- Compared PIKQ score changes between intervention and non-intervention postpartum cohorts.
Main Results:
- No significant difference in the change of UI or POP knowledge scores between the control and intervention cohorts.
- The intervention cohort showed statistically significant improvements in both UI and POP knowledge scores postpartum.
- Both cohorts exhibited higher than expected baseline knowledge of pelvic floor disorders.
Conclusions:
- A targeted online educational intervention did not yield a significant difference in mean score change between cohorts.
- While not statistically significant between groups, the intervention did lead to improvements in knowledge within the intervention group.
- Baseline knowledge levels for pelvic floor disorders were higher than anticipated in the study population.
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