Evidence map›Paper›PMID 41400659›Full record

ArticleInternational urogynecology journal2026

KAPP-Knowledge, Attitudes, and Practices of Healthcare Professionals on Postpartum Pelvic Floor Dysfunction: A Cross-Sectional Study from Germany.

Bettina Blau-Schneider, Esra Bilir, Matthias Kiesel, Anne Scherer-Quenzer, Boris Gabriel, Achim Wöckel, Ulrich Pecks, Kayal Gasimli, Johanna Büchel

Abstract read
In one paragraph

Article in International urogynecology journal, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0cells of the map it votes in
0citing papers in PubMed
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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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

9 authors.

Bettina Blau-SchneiderDepartment of Obstetrics and Gynecology, University Hospital of Wuerzburg, Josef-Schneider-Strasse 4, 97080, Würzburg, Germany. blauschnei_b@ukw.de.ORCID 0009-0004-8015-5973
Esra BilirDepartment of Obstetrics and Gynecology, St. Josefs-Hospital Wiesbaden, Beethovenstr 20, 65189, Wiesbaden, Germany.
Matthias KieselDepartment of Obstetrics and Gynecology, University Hospital of Wuerzburg, Josef-Schneider-Strasse 4, 97080, Würzburg, Germany.
Anne Scherer-QuenzerDepartment of Obstetrics and Gynecology, University Hospital of Wuerzburg, Josef-Schneider-Strasse 4, 97080, Würzburg, Germany.
Boris GabrielDepartment of Obstetrics and Gynecology, St. Josefs-Hospital Wiesbaden, Beethovenstr 20, 65189, Wiesbaden, Germany.
Achim WöckelDepartment of Obstetrics and Gynecology, University Hospital of Wuerzburg, Josef-Schneider-Strasse 4, 97080, Würzburg, Germany.
Ulrich PecksDepartment of Obstetrics and Gynecology, University Hospital of Wuerzburg, Josef-Schneider-Strasse 4, 97080, Würzburg, Germany.
Kayal GasimliDepartment of Obstetrics and Gynecology, J.W. Goethe University Hospital of Frankfurt, Theodor-Stern-Kai 7, 60596, Frankfurt Am Main, Germany.
Johanna BüchelDepartment of Obstetrics and Gynecology, University Hospital of Wuerzburg, Josef-Schneider-Strasse 4, 97080, Würzburg, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introduction and hypothesisPregnancy and delivery are known risk factors for the development of pelvic floor dysfunction (PFD). An electronic cross-sectional survey was distributed to physicians, midwives, and physiotherapists in Germany, assessing demographics, knowledge, and awareness of postpartum PFD risk/protective factors, and personal or spousal preferences for cesarean section (CS) as a preventive measure. Differences across professional groups were also analyzed.

methodsAn anonymous online survey was conducted via Qualtrics from January 25 to April 15, 2025. The German-language survey targeted healthcare professionals involved in obstetric or postpartum care. Data analysis was performed using SPSS version 28.0 for Mac OS X. Chi-square tests compared binary and categorical variables. P values of < 0.05 were considered statistically significant.

resultsAfter excluding 129 incomplete or non-consented responses, 228 questionnaires were analyzed. The majority of respondents demonstrated a high level of awareness and knowledge regarding the impact of pregnancy and childbirth on pelvic floor health. However, only 36.8% reported routinely providing postpartum counseling for PFD prevention. While 79.8% regularly asked about PFD symptoms postpartum, counseling rates remained low, consistent with earlier findings. Differences emerged between professional groups: physicians were more likely than midwives to view CS as protective against PFD (28.8% vs. 9.3%) and to consider CS for themselves or their partners (27.2% vs. 8.3%). These findings highlight the need to integrate structured PFD counseling protocols into routine antenatal and postnatal care.

Indexed as

Attitude of Health PersonnelHealth Knowledge, Attitudes, PracticeHealth PersonnelPelvic Floor DisordersAdultCesarean SectionCounselingCross-Sectional StudiesFemaleGermanyHumansMaleMiddle AgedMidwiferyObstetriciansPhysical TherapistsCesarean sectionMidwifePhysicianPhysiotherapistsPostpartum pelvic floor dysfunctionSurvey

Identifiers

PMID41400659
PMCPMC13226384

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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.