Open AccessInfluencing Pelvic Floor Changes on the Quality of Women’s Life During and Post Pregnancy
Author(s) -
Liaqat Ali,
Mahreen Iqbal,
Muhammad Asif Hanif,
Faiza Hayat,
Mujahid Khan,
Muhammad Raheel
Publication year - 2022
Publication title -
pakistan journal of medical and health sciences
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.114
H-Index - 7
ISSN - 1996-7195
DOI - 10.53350/pjmhs22163411
Subject(s) - medicine , obstetrics , pregnancy , vaginal delivery , pelvic floor , caesarean section , infertility , quality of life (healthcare) , gynecology , surgery , nursing , genetics , biology
Pelvic floor dysfunctions are widely acknowledged as one of the most serious public health issues, in terms of frequency, cost, and influence on quality of life of women. Over a third of females are believed to have pelvic floor diseases of varying severity at some point in their lives. Objective: To evaluate the influencing pelvic floor changes on the quality of women’s life during and post pregnancy. Methodology: This Multi-Centre cohort study was carried at the department of Urology & Transplantation, Institute of Kidney Diseases Peshawar, and Department of Gynaecology Jamrud Hospital Peshawar .The study duration was one year from June 2020 to June 2021 after approval of synopsis. A total of 45 women fulfilling the inclusion criteria were enrolled in our study. All the collection of data was carried out through predesigned questionnaire. Vaginal examination, translabial 2D/3D ultrasonography and a POP-Q test was done in the 3rd trimester of gestation and Three months after birth. The statistical analyses were performed using SAS software version 9.4. Results: In the current study, weakness of connective tissues was observed in 23 (51.1%) and Gestational diabetes was observed in 6 (13%). Amongst 45 women, vaginal deliveries were observed in 17 (37.78%), caesarean section in 17 (37.78%) while vacuum extraction deliveries were observed in 11 (24.44%) females. Two subjects were found to have LAM avulsion three months after their VE deliveries. Conclusion: Pelvic floor dysfunction is associated with connective tissue weakening and a larger fetus weight at delivery. To minimize future Pelvic floor problems, more women should seek postpartum care services. Keywords: Pelvic floor changes; Quality of life; Post pregnancy