Body image and pelvic floor dysfunction in pregnancy and postpartum: A prospective one-year follow-up cohort study

IF 4.7 1区医学 Q1 OBSTETRICS & GYNECOLOGY

Bjog-An International Journal of Obstetrics and Gynaecology Pub Date : 2024-04-16 DOI:10.1111/1471-0528.17820

Laura Cattani, Dominique Van Schoubroeck, Christine De Bruyn, Sophie Ghesquière, Jan Deprest

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引用次数: 0

Abstract

Objective

To determine the prevalence of pelvic floor dysfunction (PFD) among pregnant women, their clustering and their association with body image disturbance (BID) up to 1 year postpartum.

Design

Monocentric prospective cohort study.

Setting

University Hospitals Leuven.

Population

Pregnant women attending for pregnancy care, first assessed prior to 14 weeks of gestation and agreeing to follow-up until 1 year postpartum.

Methods

Standardised questionnaires reporting on PFD and BID at 12–14 and 28–32 weeks of gestation, and again at 6–8 weeks and 1 year postpartum. We calculated the prevalence of PFD, how the cases clustered and how the cases correlated with BID using a linear mixed-model analysis. A minimum of 174 women with complete follow-up were required.

Main Outcome Measures

The questionnaires used were the International Consultation on Incontinence Questionnaire – Urinary Incontinence Short Form (ICIQ-UI SF), St. Mark's Incontinence Score (SMIS), Patient Assessment of Constipation Symptoms (PAC-SYM), Pelvic Organ Prolapse Distress Inventory (POPDI), Pelvic Organ Prolapse/Incontinence Sexual Questionnaire IUGA Revised (PISQ-IR) and the Body Image Disturbance Questionnaire (BIDQ).

Results

Out of 208 women, 92.8% reported one or multiple symptoms of PFD at 28–32 weeks of gestation, dropping to 73.6% by 1 year postpartum. The most common symptoms were constipation (65.3% at 28–32 weeks of gestation and 42.8% at 1 year postpartum) and urinary incontinence (56.8% at 28–32 weeks of gestation and 35.1% at 1 year postpartum). After correcting for body mass index, parity and mode of delivery, the severity of BID was associated with the ICIQ-UI SF score (β = 0.016, range 0.007–0.024), the PAC-SYM score (β = 0.006, range 0.002–0.011) and the POPDI score (β = 0.009, range 0.005–0.012), but not with the SMIS score (β = 0.015, range −0.001 to 0.031) or the PISQ-IR score, in sexually active women.

Conclusions

Urinary incontinence, constipation and symptoms of prolapse have a measurable impact on BID.

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孕期和产后身体形象与盆底功能障碍：一项为期一年的前瞻性跟踪队列研究

目的确定孕妇盆底功能障碍（PFD）的患病率、聚集程度及其与产后 1 年身体形象障碍（BID）的关联。方法在妊娠 12-14 周和 28-32 周以及 6-8 周和产后 1 年再次进行标准化问卷调查，报告 PFD 和 BID 的情况。我们使用线性混合模型分析法计算了 PFD 的患病率、病例的聚集情况以及病例与 BID 的相关性。主要结果测量使用的问卷包括尿失禁国际咨询问卷--尿失禁简表（ICIQ-UI SF）、St.结果在 208 名妇女中，92.8% 的妇女在妊娠 28-32 周时报告了一种或多种 PFD 症状，产后 1 年时下降到 73.6%。最常见的症状是便秘（妊娠 28-32 周时为 65.3%，产后 1 年时 42.8%）和尿失禁（妊娠 28-32 周时为 56.8%，产后 1 年时 35.1%）。校正体重指数、胎次和分娩方式后，BID 的严重程度与 ICIQ-UI SF 评分（β = 0.016，范围 0.007-0.024）、PAC-SYM 评分（β = 0.006，范围 0.002-0.011）和 POPDI 评分（β = 0.结论尿失禁、便秘和脱垂症状对 BID 有显著影响。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Bjog-An International Journal of Obstetrics and Gynaecology 医学-妇产科学

CiteScore

10.90

自引率

5.20%

发文量

345

审稿时长

3-6 weeks

期刊介绍： BJOG is an editorially independent publication owned by the Royal College of Obstetricians and Gynaecologists (RCOG). The Journal publishes original, peer-reviewed work in all areas of obstetrics and gynaecology, including contraception, urogynaecology, fertility, oncology and clinical practice. Its aim is to publish the highest quality medical research in women''s health, worldwide.