The first objective to determinate the prevalence of pelvic floor dysfunction in pregnant women and in the first year postpartum. The second objective is to assess the anatomical (both clinical and ultrasound), demographic and obstetric variables in symptomatic women and their association with pelvic floor dysfunction, sexual function and Body Image. This is a single center prospective cohort study. Women will be asked to fill out a questionnaire at the time of their 1st and 3rd trimester scan, at the postpartum checkup and 12 months postpartum. Furthermore, they will undergo a pelvic floor ultrasound at the time of their first and third trimester scan. The presence of pelvic floor dysfunctions will be recorded through validated self-administered questionnaires with five domains: Wexner questionnaire for anal incontinence, PAC-SYM for constipation, International Consultation on Incontinence Questionnaire Short Form for urinary incontinence, the Pelvic Organ Prolapse Distress Inventory for pelvic organ prolapse, POP/UI Sexual Questionnaire - IUGA revised for sexual function. The body image perception will be assessed using the Dutch-validated version of the self-administered Body Image Disturbance Questionnaire. The anatomy of the pelvic floor will be objectively assessed off line on 3D/4D transperineal ultrasound volumes and POP-Q examination. The demographic variables and information about the pregnancy and the delivery will be obtained from the medical records.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
DIAGNOSTIC
Masking
NONE
Enrollment
328
Validated self-administered questionnaires with five domains: Wexner questionnaire for anal incontinence, PAC-SYM for constipation, International Consultation on Incontinence Questionnaire Short Form for urinary incontinence, the Pelvic Organ Prolapse Distress Inventory for pelvic organ prolapse, POP/UI Sexual Questionnaire - IUGA revised for sexual function. The body image perception will be assessed using the Dutch-validated version of the self-administered Body Image Disturbance Questionnaire.
UZ Leuven
Leuven, Vlaams-Brabant, Belgium
Change Body Image during and after pregnancy
Body Image Disturbance Questionnaire Score: 7-item questionnaire, each item is scored on a 5-point Likert-scale (1=no disturbance at all; 5=extreme disturbance), the final score is the mean of the 7-item ordinal scores.
Time frame: through study completion, an average of 18 months
Urethra mobility in cm
Transperineal ultrasound
Time frame: 11-13 weeks gestation
Urethra mobility in cm
Transperineal ultrasound
Time frame: 28-33 weeks gestation
genital hiatus in cm^2
Transperineal ultrasound
Time frame: 11-13 weeks gestation
genital hiatus in cm^2
Transperineal ultrasound
Time frame: 28-33 weeks gestation
levator ani avulsion
TUI sequence
Time frame: 11-13 weeks gestation
levator ani avulsion
TUI sequence
Time frame: 28-33 weeks gestation
anal sphincter injury
TUI sequence
Time frame: 11-13 weeks gestation
anal sphincter injury
TUI sequence
Time frame: 28-33 weeks gestation
Urinary Incontinence
International Consultation Incontinence Questionnaire - short form
Time frame: 11-13 weeks gestation
Urinary Incontinence
International Consultation Incontinence Questionnaire - short form
Time frame: 28-33 weeks gestation
Urinary Incontinence
International Consultation Incontinence Questionnaire - short form
Time frame: 3 months postpartum
Urinary Incontinence
International Consultation Incontinence Questionnaire - short form
Time frame: 12 months postpartum
Anal Incontinence
wexner score: 5-items questionnaire measuring the frequency of complaints. Each item is scored 0-4 (0=never, 4=always). The final score is the sum of the scores of the 5 items (total score 0-20)
Time frame: 11-13 weeks gestation
Anal Incontinence
wexner score: 5-items questionnaire measuring the frequency of complaints. Each item is scored 0-4 (0=never, 4=always). The final score is the sum of the scores of the 5 items (total score 0-20)
Time frame: 28-33 weeks gestation
Anal Incontinence
wexner score: 5-items questionnaire measuring the frequency of complaints. Each item is scored 0-4 (0=never, 4=always). The final score is the sum of the scores of the 5 items (total score 0-20)
Time frame: 3 months postpartum
Anal Incontinence
wexner score: 5-items questionnaire measuring the frequency of complaints. Each item is scored 0-4 (0=never, 4=always). The final score is the sum of the scores of the 5 items (total score 0-20)
Time frame: 12 months postpartum
Pelvic Organ Prolapse
Pelvic Organ Prolapse Distress Inventory
Time frame: 11-13 weeks gestation
Pelvic Organ Prolapse
Pelvic Organ Prolapse Distress Inventory
Time frame: 28-33 weeks gestation
Pelvic Organ Prolapse
Pelvic Organ Prolapse Distress Inventory
Time frame: 3 months postpartum
Pelvic Organ Prolapse
Pelvic Organ Prolapse Distress Inventory
Time frame: 12 months postpartum
Sexual function
POP/UI Sexual Questionnaire - IUGA revised
Time frame: 11-13 weeks gestation
Sexual function
POP/UI Sexual Questionnaire - IUGA revised
Time frame: 28-33 weeks gestation
Sexual function
POP/UI Sexual Questionnaire - IUGA revised
Time frame: 3 months postpartum
Sexual function
POP/UI Sexual Questionnaire - IUGA revised
Time frame: 12 months postpartum
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