Knowledge of the pelvic floor in menopausal women and in peripartum women.
Hedwig Neels, Wiebren A A Tjalma, Jean-Jacques Wyndaele and 3 others
PMID 27942113WHAT IT FOUND
Women around childbirth and women after menopause rated their pelvic floor knowledge as limited.
Many felt badly informed and wanted more information. Postmenopausal women often received pelvic floor education late.
Key findings
01On a 0 to 10 scale, peripartum women rated their pelvic floor knowledge at 4.38 and postmenopausal women at 4.92.
02Many women had not received information but wanted more: 51% of peripartum women and 43% of postmenopausal women had never received pelvic floor information, while 75% and 68% respectively wanted more.
03Most informed postmenopausal women received pelvic floor information during the postmenopausal period, not during their peripartum period.
STILL TO COME
How it was doneWhat they foundWhat it means for PTs
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What it does not show
The women were mostly Caucasian, European, and mid-to-highly educated, and they were recruited from events rather than randomly, so the results may not apply to all women. This was a cross-sectional survey, so it can show what women reported at one time but cannot show that lack of knowledge causes delayed help-seeking or pelvic floor problems. The questionnaire was newly developed and not designed to score knowledge as right or wrong, so the numbers describe self-reported knowledge and beliefs rather than a validated knowledge test. All participants returned the questionnaire, but the sample was purposive and may include women already interested in the topic. No treatment was tested, so the study cannot say how effective education or pelvic floor therapy is.
Declared interests
The authors declared no conflicts of interest. No funding source is reported.
The easy way to misread this
Do not read this as evidence that pelvic floor education prevents dysfunction or improves help-seeking. The study measured what women said they knew and when they received information; it did not give an education programme and did not track symptoms or referrals.