An important survey completed in Australia asked if prenatal pelvic floor function and dysfunction relates to postnatal pelvic floor dysfunction (PFD). Interestingly, the authors propose that "…damage to the pelvic floor is probably made before first pregnancy due to congenital intrinsic weakness of pelvic floor structures." Many of the patients involved in the study had dysfunction in more than one domain of pelvic health, with the authors recommending a comprehensive approach to the evaluation of pelvic floor dysfunction.
As part of the large study called the Screening for Pregnancy Endpoints study, or SCOPE, a prospective cohort study called Prevalence and Predictors of Pelvic floor dysfunction in Prenips, or 4P, was also completed. The 4P research (n = 858) contained 2 different studies including a questionnaire-based survey and a detailed clinical assessment. The survey utilized the Australian pelvic floor questionnaire which was administered at 15 weeks gestation and at 1 year postpartum. The Australian questionnaire scores items on domains of urinary dysfunction, fecal dysfunction, pelvic organ prolapse, and sexual dysfunction. When the participants answered the questionnaire the first time, all answers were directed to be answered for symptoms they experienced prior to being pregnant.
The results indicated that at 1 year postpartum, 90% of the women in this study reported pelvic floor dysfunction. Regarding the domains of bladder, bowel, prolapse and sexual symptoms, 71% of the participants reported symptoms from more than 1 of these domains, 31% from 2 domains, 24% from 3 sections of the survey, and 8% from all four sections. Other interesting statistics are as follows: