title: Pelvic floor awareness and the positive effect of verbal instructions in 958 women early postdelivery.
abstract: OBJECTIVE
  It is uncertain how reliable a personal belief is about the ability to do pelvic floor muscle (PFM) contractions early postdelivery and how instructional feedback affects pelvic floor muscle contraction (PFMC) performance. We hypothesize that many women do not have a reliable idea about PFMC and that instructional feedback can help improve their control.
  
  
  METHODS
  Prospective observational study in 958 women (median 30 years) early postdelivery PFMC was evaluated with visual observation: an inward movement of the perineum was accepted as sign of good contraction. The women who could not show PFMC three consecutive times got verbal instructions, and re-evaluation was afterward.
  
  
  RESULTS
  In 500 women, no inward movement of the perineum was observed: 275 women (29%) showed no movement at all, and 225 women (24%) showed some movement but no inward displacement. In 33.4%, the personal conviction to be able or not to perform PFMC proved false. After verbal instructions, 74% improved their PFMC.
  
  
  CONCLUSIONS
  The belief of doing correct PFM contraction was false in at least one of five postpartum women. Verbal instructions have a positive effect on performing PFMC in 73.6% of women.
authors: University Antwerp Faculty of Medicine and Health Sciences, Antwerp University Hospital, Antwerp, Belgium, alexandra.vermandel@uza.be.
authors: Alexandra
authors: A
authors: Vermandel
authors: Stefan
authors: S
authors: De Wachter
authors: Tessi
authors: T
authors: Beyltjens
authors: Diona
authors: D
authors: D'Hondt
authors: Yves
authors: Y
authors: Jacquemyn
authors: Jean Jacques
authors: JJ
authors: Wyndaele
mesh_terms: D000328:Adult; D001364:Awareness; D005081:Exercise Therapy / Q000379:methods* / Q000523:psychology; D005246:Feedback; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D009119:Muscle Contraction; D010353:Patient Education as Topic; D017773:Pelvic Floor / Q000502:physiology*; D010502:Perineum; D049590:Postpartum Period; D011446:Prospective Studies; D020377:Self Efficacy; D055815:Young Adult