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Pelvic Floor Dysfunction in Postpartum Nepalese Women: An Observational Study
Manisha Yadav1, Sandesh Poudel1, Shree Prasad Adhikari1
1Paropakar Maternity and Women's Hospital, Thapathali, Kathmandu, Nepal.
Pelvic floor dysfunction (PFD) affects over 25% of primiparous women postpartum, commonly presenting as urinary incontinence and sexual dysfunction. While most women report no impact on daily life, awareness of pelvic floor muscle training remains low.
Area of Science:
- Obstetrics and Gynecology
- Women's Health
- Pelvic Floor Disorders
Background:
- Pelvic Floor Dysfunctions (PFD) are frequently linked to vaginal childbirth.
- These conditions can significantly impair a woman's quality of life.
Purpose of the Study:
- To determine the prevalence of PFD in the postpartum period.
- To assess the impact of PFD on women's daily activities.
Main Methods:
- A retrospective cross-sectional study of 747 primiparous women 9-12 months postpartum.
- Utilized Nepali translated PFDI-20 and BFLUTS questionnaires.
- Analyzed data using Spearman's Rho correlation coefficient.
Main Results:
- 194 (25.97%) women experienced PFD.
- Common symptoms included stress urinary incontinence (53.09%) and dyspareunia (27.84%).
- Most women (70.61%) reported no impact on daily life, with low awareness (2.40%) of pelvic floor muscle training.
Conclusions:
- PFD is prevalent among primiparous women, manifesting as urinary, prolapse, colorectal, and sexual symptoms.
- Younger women and those with specific labor characteristics were more affected.
- Further research and interventions regarding pelvic floor muscle training are warranted.
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