Please use this identifier to cite or link to this item: http://hdl.handle.net/1959.13/27930

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Title
Acceptability of a urinary continence promotion programme to women in postpartum
Author/Creator
Chiarelli, Pauline;  Murphy, Barbara;  Cockburn, Jill
Description
Objective: To assess the acceptability to postpartum women of a physiotherapist-delivered urinary continence promotion programme. Design: A survey of women participating in a randomised controlled trial where women received the intervention (which involved training in pelvic floor exercises and incorporated adherence-enhancing strategies) or usual postpartum care. Setting: Postpartum wards of three tertiary teaching hospitals in the Hunter Region, NSW, Australia. Sample: Women were eligible to participate in the trial if they had a forceps/ventouse assisted delivery and/or delivered a higher birthweight baby (≥4000 g). This study is based primarily on data obtained for 348 women in the intervention group. Methods: Baseline hospital-based interview; eight-week follow up appointment with physiotherapist; three-month follow up telephone interview. Main outcome measures: Comparative dropout rates for intervention and control groups; reasons for non-participation; attendance at hospital follow up; self-reported acceptability of and embarrassment about per vaginum examination; utilisation and perceived usefulness of intervention components; self-reported adherence with recommended pelvic floor exercise regime. Results: There was no significant difference in dropouts between intervention (5.9%) and control groups (6.3%). Only 14% of women gave not wanting the per vaginum assessments as their main reason for not participating in the study. Eighty-eight percent of women participated in the eight-week postpartum follow up visit with the physiotherapist, with two-thirds of these women attending the hospital for this; 72.2% of women reported no embarrassment, and 22.5% just a little embarrassment about per vaginum assessment. The information components of the intervention were well received. At the eight-week follow up visit, 83.9% reported performing pelvic floor exercises at adequate frequency. Conclusions: The postpartum period provides an ideal opportunity for pelvic floor muscle testing and the delivery of continence promotion advice.
Relation
BJOG: an International Journal of Obstetrics and Gynaecology Vol. 110, Issue 2, p. 188-196
Publisher Link
http://dx.doi.org/10.1046/j.1471-0528.2003.02205.x
Date
2003
Publisher
Wiley-Blackwell Publishing Ltd.
Keyword(s)
postpartum;  urinary continence promotion;  per vaginum assessments;  pelvic floor muscle testing
Resource Type
journal article
Identifier
http://hdl.handle.net/1959.13/27930
Identifier
ISSN:1470-0328
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Subject
"BJOG: an International Journal of Obstetrics and Gynaecology"
 
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