Symptoms of pelvic floor dysfunctions during pregnancy and postpartum
Abstract Background Monitoring Pelvic Floor Dysfunction (PFD) symptoms during pregnancy is crucial to treating and preventing the onset or worsening of dysfunctions in the postpartum period. This study aimed to evaluate PFD symptoms over time in pregnant and postpartum women. Methodology This longit...
Saved in:
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMC
2025-07-01
|
| Series: | BMC Pregnancy and Childbirth |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12884-024-07071-0 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1849235652010311680 |
|---|---|
| author | Amanda Cruz de Amorim Luana Caran Roque Letícia Miyuki Ito Pietra Giulia de Oliveira Murer Marair Gracio Ferreira Sartori GPAP Study Group |
| author_facet | Amanda Cruz de Amorim Luana Caran Roque Letícia Miyuki Ito Pietra Giulia de Oliveira Murer Marair Gracio Ferreira Sartori GPAP Study Group |
| author_sort | Amanda Cruz de Amorim |
| collection | DOAJ |
| description | Abstract Background Monitoring Pelvic Floor Dysfunction (PFD) symptoms during pregnancy is crucial to treating and preventing the onset or worsening of dysfunctions in the postpartum period. This study aimed to evaluate PFD symptoms over time in pregnant and postpartum women. Methodology This longitudinal follow-up study involved pregnant and postpartum women. PFD symptoms were assessed using an obstetric history questionnaire and the Australian Pelvic Floor Questionnaire (APFQ). Pregnant women were grouped into two periods: up to 28 weeks (Period 1) and from 28 to 40 weeks of gestation (Period 2). Postpartum women were divided into three periods: up to 6 weeks (Period 3), between 7 and 24 weeks (Period 4), and more than 24 weeks postpartum (Period 5). Results A total of 46 and 44 pregnant women and 65, 53, and 39 postpartum women were analyzed in Periods 1 to 5, respectively. For pregnant women, non-parametric ANOVA revealed a significant difference (p = 0.02) in sexual function between Periods 1 (2.1 ± 2.8) and 2 (1.1 ± 1.8). Among postpartum women, urinary function improved significantly across Periods 3 (9.5 ± 5.9), 4 (4.0 ± 5.1), and 5 (5.7 ± 5.3; p < 0.001). Sexual function deteriorated significantly across these periods. Spearman’s correlation indicated moderate associations between urinary function and pregnancy (p < 0.001, r = 0.4) and between prolapse and parity (p = 0.02, r = 0.35) for pregnant women. For postpartum women, moderate correlations were observed between urinary function and parity (p = 0.02, r = 0.3), bowel function and age (p = 0.04, r=-0.29), and sexual function and age (p = 0.049, r=-0.3). Conclusion The study highlights variations in PFD occurrence during pregnancy and the postpartum period, particularly concerning urinary and sexual function. |
| format | Article |
| id | doaj-art-d94b3cfe2ffe45528f0d0d903b2705cb |
| institution | Kabale University |
| issn | 1471-2393 |
| language | English |
| publishDate | 2025-07-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Pregnancy and Childbirth |
| spelling | doaj-art-d94b3cfe2ffe45528f0d0d903b2705cb2025-08-20T04:02:42ZengBMCBMC Pregnancy and Childbirth1471-23932025-07-012511810.1186/s12884-024-07071-0Symptoms of pelvic floor dysfunctions during pregnancy and postpartumAmanda Cruz de Amorim0Luana Caran Roque1Letícia Miyuki Ito2Pietra Giulia de Oliveira Murer3Marair Gracio Ferreira Sartori4GPAP Study Group5Gynecology Department of Escola Paulista de Medicina (EPM) from the Federal, University of São Paulo Rua Napoleão de BarrosGynecology Department of Escola Paulista de Medicina (EPM) from the Federal, University of São Paulo Rua Napoleão de BarrosGynecology Department of Escola Paulista de Medicina (EPM) from the Federal, University of São Paulo Rua Napoleão de BarrosGynecology Department of Escola Paulista de Medicina (EPM) from the Federal, University of São Paulo Rua Napoleão de BarrosGynecology Department of Escola Paulista de Medicina (EPM) from the Federal, University of São Paulo Rua Napoleão de BarrosGynecology Department of Escola Paulista de Medicina (EPM) from the Federal, University of São Paulo Rua Napoleão de BarrosAbstract Background Monitoring Pelvic Floor Dysfunction (PFD) symptoms during pregnancy is crucial to treating and preventing the onset or worsening of dysfunctions in the postpartum period. This study aimed to evaluate PFD symptoms over time in pregnant and postpartum women. Methodology This longitudinal follow-up study involved pregnant and postpartum women. PFD symptoms were assessed using an obstetric history questionnaire and the Australian Pelvic Floor Questionnaire (APFQ). Pregnant women were grouped into two periods: up to 28 weeks (Period 1) and from 28 to 40 weeks of gestation (Period 2). Postpartum women were divided into three periods: up to 6 weeks (Period 3), between 7 and 24 weeks (Period 4), and more than 24 weeks postpartum (Period 5). Results A total of 46 and 44 pregnant women and 65, 53, and 39 postpartum women were analyzed in Periods 1 to 5, respectively. For pregnant women, non-parametric ANOVA revealed a significant difference (p = 0.02) in sexual function between Periods 1 (2.1 ± 2.8) and 2 (1.1 ± 1.8). Among postpartum women, urinary function improved significantly across Periods 3 (9.5 ± 5.9), 4 (4.0 ± 5.1), and 5 (5.7 ± 5.3; p < 0.001). Sexual function deteriorated significantly across these periods. Spearman’s correlation indicated moderate associations between urinary function and pregnancy (p < 0.001, r = 0.4) and between prolapse and parity (p = 0.02, r = 0.35) for pregnant women. For postpartum women, moderate correlations were observed between urinary function and parity (p = 0.02, r = 0.3), bowel function and age (p = 0.04, r=-0.29), and sexual function and age (p = 0.049, r=-0.3). Conclusion The study highlights variations in PFD occurrence during pregnancy and the postpartum period, particularly concerning urinary and sexual function.https://doi.org/10.1186/s12884-024-07071-0Pelvic floor dysfunctionUrinary incontinenceAnal incontinenceSexual dysfunctionsPelvic organ prolapsePregnancy |
| spellingShingle | Amanda Cruz de Amorim Luana Caran Roque Letícia Miyuki Ito Pietra Giulia de Oliveira Murer Marair Gracio Ferreira Sartori GPAP Study Group Symptoms of pelvic floor dysfunctions during pregnancy and postpartum BMC Pregnancy and Childbirth Pelvic floor dysfunction Urinary incontinence Anal incontinence Sexual dysfunctions Pelvic organ prolapse Pregnancy |
| title | Symptoms of pelvic floor dysfunctions during pregnancy and postpartum |
| title_full | Symptoms of pelvic floor dysfunctions during pregnancy and postpartum |
| title_fullStr | Symptoms of pelvic floor dysfunctions during pregnancy and postpartum |
| title_full_unstemmed | Symptoms of pelvic floor dysfunctions during pregnancy and postpartum |
| title_short | Symptoms of pelvic floor dysfunctions during pregnancy and postpartum |
| title_sort | symptoms of pelvic floor dysfunctions during pregnancy and postpartum |
| topic | Pelvic floor dysfunction Urinary incontinence Anal incontinence Sexual dysfunctions Pelvic organ prolapse Pregnancy |
| url | https://doi.org/10.1186/s12884-024-07071-0 |
| work_keys_str_mv | AT amandacruzdeamorim symptomsofpelvicfloordysfunctionsduringpregnancyandpostpartum AT luanacaranroque symptomsofpelvicfloordysfunctionsduringpregnancyandpostpartum AT leticiamiyukiito symptomsofpelvicfloordysfunctionsduringpregnancyandpostpartum AT pietragiuliadeoliveiramurer symptomsofpelvicfloordysfunctionsduringpregnancyandpostpartum AT marairgracioferreirasartori symptomsofpelvicfloordysfunctionsduringpregnancyandpostpartum AT gpapstudygroup symptomsofpelvicfloordysfunctionsduringpregnancyandpostpartum |