Pregnancy Related Clinical Trial
Official title:
Pelvic Floor Dysfunction and Its Influence on Body Image and Sexual Function - A Prospective Study Through Pregnancy and Post-partum
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.
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