Pelvic floor dysfunction in pregnant women in the third trimester
- Authors: Sukhanov A.A.1, Dikke G.B.2, Kukarskaya I.І.1
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Affiliations:
- Tyumen State Medical University
- Peoples' Friendship University of Russia
- Issue: No 11 (2017)
- Pages: 123-128
- Section: Articles
- URL: https://journals.eco-vector.com/0300-9092/article/view/248095
- DOI: https://doi.org/10.18565/aig.2017.11.123-128
- ID: 248095
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Abstract
Objective. To estimate the frequency and severity of pelvic floor dysfunction (PFD) symptoms in pregnant women in the third trimester. Material and methods. The study enrolled 395pregnant women at 28-38 weeks’ gestation, who filled out a Pelvic Floor Distress Inventory (PFDI-20). Results. 280(61.7%) of the 395 pregnant women specified 2 or more symptoms characteristic of prolapse; colorectal and urinary symptoms were reported by 304 (77%) and 292 (73.9%) of the 395respondents, respectively. Although prolapse symptoms were statistically less frequently reported than were colorectal and urinary ones, but the degree of their severity was higher. One-quarter of the women experienced moderate or severe prolapse symptoms and the same number of women pointed that they should reduce evagination to empty the bowel and bladder, suggesting that they might have more than grade 1 prolapse. Every four women among those who had colorectal symptoms noted that the latter were moderate or severe. Every six women of those who indicated the presence of urinary symptoms also pointed to their severity with frequent and very frequent urine leakage associated with coughing, sneezing or laughing; every three of them said that this symptom was of the greatest significance. Conclusion. The high frequency of PFD symptoms in pregnant women suggests that these risk groups need to be actively identified through screening and to be provided with timely medical care.
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About the authors
Anton A. Sukhanov
Tyumen State Medical University
Email: such-anton@yandex.ru
head of the office of family planning and reproduction Tyumen Perinatal Centre, postgraduate student of the Department of obstetrics, gynecology and reanimatology with the course of clinical laboratory diagnostics
Galina B. Dikke
Peoples' Friendship University of Russia
Email: galadikke@yandex.ru
Honored Scientist and Education Worker, MD, Professor of the Department of Obstetrics, Gynecology and Reproductive Medicine, Faculty of Advanced Training of Medical Workers
Irina І. Kukarskaya
Tyumen State Medical University
Email: kukarskay@mail.ru
MD, chief specialist on obstetrics and gynecology of the Department of Health of the Tyumen region, Professor, Department of obstetrics, gynecology and reanimatology with the course of clinical laboratory diagnostics
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