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Questionnaires to evaluate pelvic floor dysfunction in the postpartum period: a systematic review

Authors Zuchelo LTS, Bezerra IMP, Da Silva ATM, Gomes JM, Soares Júnior JM, Chada Baracat E, de Abreu LC, Sorpreso ICE

Received 1 February 2018

Accepted for publication 31 May 2018

Published 8 August 2018 Volume 2018:10 Pages 409—424


Checked for plagiarism Yes

Review by Single anonymous peer review

Peer reviewer comments 4

Editor who approved publication: Professor Elie Al-Chaer

Lea Tami Suzuki Zuchelo,1,2 Italla Maria Pinheiro Bezerra,1,3 Adna Thaysa Marcial Da Silva,1,4 Jéssica Menezes Gomes,1,4 José Maria Soares Júnior,4 Edmund Chada Baracat,4 Luiz Carlos de Abreu,1,3 Isabel Cristina Esposito Sorpreso1,4

1Study Design and Scientific Writing Laboratory at ABC Medical School, Santo André, Brazil; 2Research Laboratory of Uninorte (Barão do Rio Branco Faculty), Rio Branco, Brazil; 3School of Sciences of Santa Casa de Misericórdia de Vitoria, Vitória, Brazil; 4Faculty of Medicine, University of São Paulo, São Paulo, Brazil

Background: Pelvic floor dysfunctions (PFDs) affect the female population, and the postpartum period can be related to the onset or aggravation of the disease. Early identification of the symptoms and the impact on quality of life can be achieved through assessment instruments.
Objective: The purpose of this systematic review is to evaluate questionnaires used to assess PFD in the postpartum period.
Methods: A systematic review study was conducted, following Preferred Reporting Items for the Systematic Reviews and Meta-Analyses (PRISMA) criteria, using the databases: PubMed, Biblioteca Virtual de Saúde (BVS), Web of Science, and Scopus, and the keywords PFD or pelvic floor disorders, postpartum or puerperium, and questionnaire. Articles published up till May 2018 were included, searching for articles using validated questionnaires for the evaluation of PFDs in postpartum women. The articles included were evaluated according to a checklist, and the validation studies and translated versions of the questionnaires were identified.
Results: The search of the databases resulted in 359 papers, and 33 were selected to compose this systematic review, using nine validated questionnaires to assess PFDs in the postpartum period: International Consultation on Incontinence Questionnaire – Vaginal Symptoms (ICIQ-VS), Pelvic Floor Distress Inventory 20 (PFDI-20), Pelvic Floor Impact Questionnaire (PFIQ-7), PFDI-46, Pelvic Floor Impact Questionnaire (PFIQ-31), Pelvic Floor Bother Questionnaire (PFBQ), Female Pelvic Floor Questionnaire, electronic Personal Assessment Questionnaire – Pelvic Floor, and PFD questionnaire specific for pregnancy and postpartum. The most frequently reported questionnaires included PFDI-20, PFIQ-7, and ICIQ-VS and are recommended by ICI. In addition, the review identified a specific questionnaire, recently developed, to access PFD during pregnancy and postpartum.
Conclusion: The questionnaires used to evaluate PFD during postpartum period are developed for general population or urology/gynecology patients with incontinence and reinforce the paucity of highly recommended questionnaires designed for postpartum, in order to improve early and specific approach for this period of life.

Keywords: pelvic floor disorders, puerperium, women’s health, primary health care, surveys and questionnaires, patient reported outcome measure

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