Evidence map›Paper›PMID 25062656›Full record

Observational studyInternational urogynecology journal2015

Pelvic floor awareness and the positive effect of verbal instructions in 958 women early postdelivery.

Alexandra Vermandel, Stefan De Wachter, Tessi Beyltjens, Diona D'Hondt, Yves Jacquemyn, Jean Jacques Wyndaele

Abstract readObservational Study
PubMed Publisher
In one paragraph

Observational study in International urogynecology journal, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

22 citing papers in PubMed, 1 synthesis or guideline pooled it.

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  18. Pre-Licensure Inter-Professional Perspectives: Pelvic Health Physiotherapy.Physiotherapy Canada. Physiotherapie Canada · 2020
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Alexandra VermandelUniversity Antwerp Faculty of Medicine and Health Sciences, Antwerp University Hospital, Antwerp, Belgium, alexandra.vermandel@uza.be.
Stefan De Wachter
Tessi Beyltjens
Diona D'Hondt
Yves Jacquemyn
Jean Jacques Wyndaele

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introduction and hypothesisIt 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.

methodsProspective 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.

resultsIn 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.

conclusionsThe 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.

Indexed as

FeedbackMuscle ContractionPatient Education as TopicSelf EfficacyAdultAwarenessExercise TherapyFemaleHealth Knowledge, Attitudes, PracticeHumansPelvic FloorPerineumPostpartum PeriodProspective StudiesYoung Adult

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.