Do Women have Adequate Knowledge about Pelvic Floor Dysfunctions? A Systematic Review

Author:

Fante Júlia Ferreira1,Silva Thais Daniel2,Mateus-Vasconcelos Elaine Cristine Lemes2,Ferreira Cristine Homsi Jorge2,Brito Luiz Gustavo Oliveira1ORCID

Affiliation:

1. Faculdade de Ciências Médicas, Universidade Estadual de Campinas, Campinas, SP, Brazil

2. Faculdade de Medicina, Universidade de São Paulo, Ribeirão Preto, SP, Brazil

Abstract

Objective We sought to investigate whether women present adequate knowledge of the main pelvic floor disorders (PFDs) (urinary incontinence – UI, fecal incontinence – FI, and pelvic organ prolapse – POP). Data sources A systematic review was performed in the MEDLINE, PEDro, CENTRAL, and Cochrane databases for publications from inception to April 2018. Selection of studies A total of 3,125 studies were reviewed. Meta-analysis was not possible due to the heterogeneity of primary outcomes and the diversity of instruments for measuring knowledge. The quality of the articles included in the analysis was evaluated with the Newcastle-Ottawa Scale (NOS) adapted for cross-sectional studies. Data collection Two authors performed data extraction into a standardized spreadsheet. Data synthesis Nineteen studies were included, comprising 11,512 women. About the methodological quality (NOS), most of the studies (n = 11) presented a total score of 6 out of 10. Validated questionnaires and designed pilot-tested forms were the most frequently used ways of assessing knowledge. Some studies were stratified by race, age, or group minorities. The most used questionnaire was the prolapse and incontinence knowledge questionnaire (PIKQ) (n = 5). Knowledge and/or awareness regarding PFD was low to moderate among the studies. Urinary incontinence was the most prevalent PFD investigated, and the most important risk factors associated with the lack of knowledge of the pelvic floor were: African-American ethnicity (n = 3), low educational level (n = 4), low access to information (n = 5) and socioeconomic status (n = 3). Conclusion Most women have a gap in the knowledge of pelvic floor muscle dysfunctions, do not understand their treatment options, and are not able to identify risk factors for these disorders.

Publisher

Georg Thieme Verlag KG

Subject

Obstetrics and Gynecology

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