Exploring Nulliparous Women's Perceptions of Pelvic Organ Prolapse Treatments: A Qualitative Study for Enhancing Nursing Care in Romania

Overview

Journal Belitung Nurs J

Date 2024 Oct 17

PMID 39416349

Authors

Diana Badiu

Silvia Izvoranu

Costin Niculescu

Daniel Clinci

Vlad Tica

Affiliations

Soon will be listed here.

Abstract

Background: There remains a significant gap in understanding what nulliparous (NP) women desire in terms of treatment for pelvic organ prolapse (POP) before pregnancy and childbirth.

Objective: This study aimed to assess the perceptions of young NP women without POP regarding various POP treatments and identify their preferred treatment options to enhance quality in nursing practice.

Methods: This study employed a qualitative descriptive design involving thirteen young NP women at the Faculty of Medicine, Ovidius University from Constanța, Romania. Age, body mass index (BMI), comorbidities, previous surgical interventions, and smoking status were evaluated. Participants underwent a semi-structured interview from January to February 2024, during which their perceptions of different POP treatments were explored. The interviews were audio-recorded and transcribed verbatim and were analyzed using content analysis.

Results: The mean age of the NP women without POP was 24.23 years, with 61.53% having a BMI of 30 or greater and 69.23% reporting previous surgical interventions. Four dominant themes emerged: 1) the Internet as a source of information about treatments for POP; 2) insufficient knowledge about POP symptoms; 3) the preference for supervised PFM training; and 4) choosing the surgical treatments by vaginal route, although wishing to preserve the uterus.

Conclusion: The findings indicated that young NP women's perceptions of POP treatments were primarily influenced by online information. The preferred treatment for POP among young NP women was conservative, with a strong emphasis on supervised PFM training. This study provides valuable insights into nursing practice by highlighting NP women's perceptions and preferences for PFM training as a treatment for POP, potentially contributing to delaying the onset of this condition in their lives.

References

Prateek S, Mundhra R, Bahadur A, Kunwar K, Jha P, Chawla L . Women's experiences and perception of symptomatic pelvis organ prolapse: A Cross sectional study from Uttarakhand, India. J Family Med Prim Care. 2021; 10(1):449-453. PMC: 8132808. DOI: 10.4103/jfmpc.jfmpc_1763_20. View

Ramage K, Ducey A, Scime N, Knox E, Brennand E . Factors affecting women's decision between uterine-preserving versus hysterectomy-based surgery for pelvic organ prolapse. Womens Health (Lond). 2023; 19:17455057231181015. PMC: 10333630. DOI: 10.1177/17455057231181015. View

Borello-France D, Newman D, Markland A, Propst K, Jelovsek J, Cichowski S . Adherence to Perioperative Behavioral Therapy With Pelvic Floor Muscle Training in Women Receiving Vaginal Reconstructive Surgery for Pelvic Organ Prolapse. Phys Ther. 2023; 103(9). PMC: 10476875. DOI: 10.1093/ptj/pzad059. View

Liu H, Wu W, Xiang W, Yuan J . Lifestyle factors, metabolic factors and socioeconomic status for pelvic organ prolapse: a Mendelian randomization study. Eur J Med Res. 2023; 28(1):183. PMC: 10245500. DOI: 10.1186/s40001-023-01148-w. View

Pizzoferrato A, Thuillier C, Venara A, Bornsztein N, Bouquet S, Cayrac M . Management of female pelvic organ prolapse-Summary of the 2021 HAS guidelines. J Gynecol Obstet Hum Reprod. 2023; 52(3):102535. DOI: 10.1016/j.jogoh.2023.102535. View

Schulten S, Claas-Quax M, Weemhoff M, van Eijndhoven H, van Leijsen S, Vergeldt T . Risk factors for primary pelvic organ prolapse and prolapse recurrence: an updated systematic review and meta-analysis. Am J Obstet Gynecol. 2022; 227(2):192-208. DOI: 10.1016/j.ajog.2022.04.046. View

Wang B, Chen Y, Zhu X, Wang T, Li M, Huang Y . Global burden and trends of pelvic organ prolapse associated with aging women: An observational trend study from 1990 to 2019. Front Public Health. 2022; 10:975829. PMC: 9521163. DOI: 10.3389/fpubh.2022.975829. View

Abdullah B, Idris S, Md Jaafar S, Ghazali N, Mat Liki N, Aminuddin A . Awareness of pelvic organ prolapse and attitude towards its treatment among Malaysian women. Med J Malaysia. 2023; 78(6):768-773. View

Dakic J, Hay-Smith J, Lin K, Cook J, Frawley H . Experience of Playing Sport or Exercising for Women with Pelvic Floor Symptoms: A Qualitative Study. Sports Med Open. 2023; 9(1):25. PMC: 10127961. DOI: 10.1186/s40798-023-00565-9. View

10.

Ilunga-Mbaya E, Mukwege D, de Tayrac R, Mbunga B, Maroyi R, Ntakwinja M . Exploring risk factors of pelvic organ prolapse at eastern of Democratic Republic of Congo: a case-control study. BMC Womens Health. 2024; 24(1):199. PMC: 10964682. DOI: 10.1186/s12905-024-03010-5. View

11.

Talasz H, Kremser C, Talasz H, Kofler M, Rudisch A . Breathing, (S)Training and the Pelvic Floor-A Basic Concept. Healthcare (Basel). 2022; 10(6). PMC: 9222935. DOI: 10.3390/healthcare10061035. View

12.

Ryan G, Purandare N, Ganeriwal S, Purandare C . Conservative Management of Pelvic Organ Prolapse: Indian Contribution. J Obstet Gynaecol India. 2021; 71(1):3-10. PMC: 7960828. DOI: 10.1007/s13224-020-01406-5. View

13.

Carroll L, Sullivan C, Doody C, Perrotta C, Fullen B . Pelvic organ prolapse: Women's experiences of Accessing Care & Recommendations for improvement. BMC Womens Health. 2023; 23(1):672. PMC: 10729347. DOI: 10.1186/s12905-023-02832-z. View

14.

Doyle L, McCabe C, Keogh B, Brady A, McCann M . An overview of the qualitative descriptive design within nursing research. J Res Nurs. 2021; 25(5):443-455. PMC: 7932381. DOI: 10.1177/1744987119880234. View

15.

Dietz H, Chavez-Coloma L, Friedman T, Turel F . Pelvic organ prolapse in nulliparae. Aust N Z J Obstet Gynaecol. 2022; 62(3):420-425. PMC: 9305753. DOI: 10.1111/ajo.13481. View

16.

Harper R, Sheppard S, Stewart C, Clark C . Exploring Adherence to Pelvic Floor Muscle Training in Women Using Mobile Apps: Scoping Review. JMIR Mhealth Uhealth. 2023; 11:e45947. PMC: 10722367. DOI: 10.2196/45947. View

17.

Soares A, Couceiro T, Lima L, Flores F, Alcoforado E, Filho R . Association of pain catastrophizing with the incidence and severity of acute and persistent perineal pain after natural childbirth: longitudinal cohort study. Braz J Anesthesiol. 2014; 63(4):317-21. DOI: 10.1016/j.bjane.2012.12.001. View

18.

Shitu A, Wana E, Darebo T, Mune Z . Delay in seeking treatment and associated factors among women with pelvic organ prolapse in Wolaita zone, Southern Ethiopia: Hospital based mixed method study. BMC Womens Health. 2023; 23(1):191. PMC: 10122382. DOI: 10.1186/s12905-023-02346-8. View

19.

Graneheim U, LUNDMAN B . Qualitative content analysis in nursing research: concepts, procedures and measures to achieve trustworthiness. Nurse Educ Today. 2004; 24(2):105-12. DOI: 10.1016/j.nedt.2003.10.001. View

20.

Abhyankar P, Wilkinson J, Berry K, Wane S, Uny I, Aitchison P . Implementing pelvic floor muscle training for women with pelvic organ prolapse: a realist evaluation of different delivery models. BMC Health Serv Res. 2020; 20(1):910. PMC: 7528592. DOI: 10.1186/s12913-020-05748-8. View