Knowledge of Pelvic Floor Disorder Among Pregnant Women In Malaysia
IUGA Academy. Ng B. Jun 30, 2018; 213031; 439
Beng Kwang Ng
Beng Kwang Ng

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Knowledge of pelvic floor disorder among pregnant women In Malaysia

Ng, BK1

1: Universiti Kebangsaan Malaysia

Introduction: Pelvic floor disorder (PFD) consists of groups of disorder and they often coexist. This includes pelvic organ prolapse (POP), urinary incontinence (UI), faecal incontinence (FI), pelvic pain and sexual disorder. The prevalence of at least one PFD was 9.7%% in women between 20 and 39 years and it increases with age, to 47.7% in those aged 80 and above. Despite mounting evidence that PFD are common and of concern, majority of maternity healthcare providers seldom discuss about this issue with patient as compared to other antenatal issue like anaemia or medical disorder.

Objectives: To assess the knowledge and awareness of Pelvic Floor Disorder (PFD) among pregnant women in Malaysia so that primary prevention strategies could be planned, initiated and implemented in the future.

Methods: This was a cross sectional study, over 6 months duration, from 1st June 2017 to 1st December 2017 in a tertiary centre, Malaysia. A validated Prolapse and Incontinence Knowledge Questionnaires (PIKQ), which consists of 24-item, was used to assess respondents’ knowledge about Urinary Incontinence (UI) (12 questions) and Pelvic Organ Prolapse (POP) (12 questions). A score of at least 10 out of 12 in UI subscale and 6 out of 12 in POP subscale were considered as having proficiency in the knowledge.

Results: A total of 424 participants were recruited with median age of 31.5 years old and 33.3% were primiparity. The overall median score of PIKQ was 12.0 (8.0, 17.0). The median score for PIKQ-UI was 7.0 (5.0, 9.0) and the median score for PIKQ-POP was 6.0 (4.0, 8.0). There were 341 (80.4%) pregnant women had low level of knowledge about UI and 191 (45.0%) had low level of knowledge about POP. Having tertiary level of education and receiving antenatal specialist care were associated with better proficiency in both PIKQ-UI (P<0.001) and PIKQ-POP (p<0.001) subscale. Women with BMI more than 30kg/m2 were also found to have proficiency in knowledge level for PIKQ-UI (p=0.016) subscale but not for PIKQ-POP (p=0.087).

Conclusion: The knowledge about pelvic floor disorder was lacking among pregnant women in this study. Further study is needed to explore the better method to educate and improve their knowledge and awareness about PFD.


Work supported by industry: no.

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