Reduced Pelvic Floor Muscle Tone Predisposes to Persistence of Lower Urinary Tract Symptoms after Puerperium

Chandana Bhat, Mahjabeen Khan, Kirthinath Ballala, Asha Kamath, Deeksha Pandey

Research output: Contribution to journalArticle

Abstract

Pregnant primiparous women at term were enrolled in the study. ICIQ-FLUTS questionnaire was used to find out prevalence of LUTS. MOS was used to assess pelvic floor muscle strength. Women were followed up after 8-10 weeks of delivery to find out remission or persistence of these symptoms. We found that increased frequency of micturition was the most common (82%) LUTS seen in primiparous women at term. More than half (51%) of these women who complained of LUTS had a poor pelvic floor muscle tone (MOS grade 3). Out of those who had symptoms during pregnancy 11% remained symptomatic even after puerperium. Interestingly 61% of those with persistence of symptoms demonstrated a very poor pelvic floor muscle tone at term (MOS grade 2), while the remaining 39% also had a tone of only MOS grade 3. Thus women with LUTS during pregnancy should be screened for their pelvic floor muscle tone with simple MOS system which will help to predict the persistence of these symptoms later on. Women with a low score (three or less) should be triaged for regular pelvic floor muscle exercises.

Original languageEnglish
Article number5705186
JournalScientifica
Volume2016
DOIs
Publication statusPublished - 2016

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Lower Urinary Tract Symptoms
Pelvic Floor
urinary tract
postpartum period
Postpartum Period
signs and symptoms (animals and humans)
muscle
persistence
Muscles
muscles
pregnancy
muscle strength
Pregnancy
Urination
remission
Muscle Strength
pregnant women
Pregnant Women
exercise
questionnaires

All Science Journal Classification (ASJC) codes

  • Agricultural and Biological Sciences(all)
  • Environmental Science(all)
  • Medicine(all)

Cite this

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abstract = "Pregnant primiparous women at term were enrolled in the study. ICIQ-FLUTS questionnaire was used to find out prevalence of LUTS. MOS was used to assess pelvic floor muscle strength. Women were followed up after 8-10 weeks of delivery to find out remission or persistence of these symptoms. We found that increased frequency of micturition was the most common (82{\%}) LUTS seen in primiparous women at term. More than half (51{\%}) of these women who complained of LUTS had a poor pelvic floor muscle tone (MOS grade 3). Out of those who had symptoms during pregnancy 11{\%} remained symptomatic even after puerperium. Interestingly 61{\%} of those with persistence of symptoms demonstrated a very poor pelvic floor muscle tone at term (MOS grade 2), while the remaining 39{\%} also had a tone of only MOS grade 3. Thus women with LUTS during pregnancy should be screened for their pelvic floor muscle tone with simple MOS system which will help to predict the persistence of these symptoms later on. Women with a low score (three or less) should be triaged for regular pelvic floor muscle exercises.",
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Reduced Pelvic Floor Muscle Tone Predisposes to Persistence of Lower Urinary Tract Symptoms after Puerperium. / Bhat, Chandana; Khan, Mahjabeen; Ballala, Kirthinath; Kamath, Asha; Pandey, Deeksha.

In: Scientifica, Vol. 2016, 5705186, 2016.

Research output: Contribution to journalArticle

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AU - Pandey, Deeksha

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