The Frequency and Performance Quality of Pelvic Floor Muscle Exercises for Pelvic Organ Prolapse in Parous Women

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Abstract Introduction:

Pelvic floor dysfunctions are common among women referred to gynecology clinics, and almost one third of the adult women population is affected. In this study, we evaluated the frequency and quality of pelvic floor muscle exercises for pelvic organ prolapse in parous women.

Materials and Methods:

Using simple random sampling method, 100 women with pelvic organ prolapse referred to women’s clinics in Qom City, Iran, were included in this study. They were selected by gynecologists through clinical examination and doing the maneuver of Valsalva, or by reviewing women’s medical records in Shahid Beheshti hospital in Qom. The data were collected using questionnaires and face-to-face interviews. The collected data were then statistically analyzed.

Results:

The mean age of women with pelvic organ prolapse symptoms was 43.41 ± ۱۳٫۰۱ years, and their mean body mass index (BMI) was 28.63 ± ۴٫۶۹ kg/m2. Only, 18.00% of this patient population was trained on using pelvic floor exercises; of them, 38.89% performed exercises after delivery. 72.22% of them had correctly learned pelvic floor exercises. Moreover, 77.77% were under personal training and 22.23% were under group training in pregnancy classes. Only 5.55% of trained women were followed by the trainer to evaluate the correctness of the performed exercises.

Conclusion:

The present study shows that pelvic floor muscle training in parous women with pelvic organ prolapse was not done adequately and properly. Due to lack of follow-up by the trainers, only few women had done pelvic floor muscle exercises. Keywords: Pelvic organ prolapse, Pelvic floor, Muscles, Exercise training, Parturition, Women

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