Dove Medical Press - Open Access Publisher of Medical Journals



CODE................Questionnaire regarding pelvic floor muscle training among pregnant womenPlease mark x at the most appropriate choiceChoose only one answerDate………………………………………I.General information 1. Age...............year-old INCLUDEPICTURE "/var/folders/9p/pqnwhd4n0738pfqx7d621_pm0000gn/T/com.microsoft.Word/WebArchiveCopyPasteTempFiles/page1image10107712" \* MERGEFORMATINET Age INCLUDEPICTURE "/var/folders/9p/pqnwhd4n0738pfqx7d621_pm0000gn/T/com.microsoft.Word/WebArchiveCopyPasteTempFiles/page1image10105600" \* MERGEFORMATINET INCLUDEPICTURE "/var/folders/9p/pqnwhd4n0738pfqx7d621_pm0000gn/T/com.microsoft.Word/WebArchiveCopyPasteTempFiles/page1image10105792" \* MERGEFORMATINET INCLUDEPICTURE "/var/folders/9p/pqnwhd4n0738pfqx7d621_pm0000gn/T/com.microsoft.Word/WebArchiveCopyPasteTempFiles/page1image10097920" \* MERGEFORMATINET INCLUDEPICTURE "/var/folders/9p/pqnwhd4n0738pfqx7d621_pm0000gn/T/com.microsoft.Word/WebArchiveCopyPasteTempFiles/page1image10093120" \* MERGEFORMATINET INCLUDEPICTURE "/var/folders/9p/pqnwhd4n0738pfqx7d621_pm0000gn/T/com.microsoft.Word/WebArchiveCopyPasteTempFiles/page1image10103872" \* MERGEFORMATINET 2. Education level……..1.Less than primary school…….2.Primary school…….3. Secondary school…….4. Vocational education……5.Bachelor’s degree……6.> Bachelor’s degree Edu 3. Status1.Single 2.Married 3.Divorced 4.Widow INCLUDEPICTURE "/var/folders/9p/pqnwhd4n0738pfqx7d621_pm0000gn/T/com.microsoft.Word/WebArchiveCopyPasteTempFiles/page1image10225728" \* MERGEFORMATINET Sta INCLUDEPICTURE "/var/folders/9p/pqnwhd4n0738pfqx7d621_pm0000gn/T/com.microsoft.Word/WebArchiveCopyPasteTempFiles/page1image10249216" \* MERGEFORMATINET INCLUDEPICTURE "/var/folders/9p/pqnwhd4n0738pfqx7d621_pm0000gn/T/com.microsoft.Word/WebArchiveCopyPasteTempFiles/page1image10247872" \* MERGEFORMATINET 4. Occupation1.Housewife ernment official 3.Officer 4.Own business 5.Farmer 6.Laborer 7.Unemployed 8.Other................................. Occ 5. The last menstrual period.......................... INCLUDEPICTURE "/var/folders/9p/pqnwhd4n0738pfqx7d621_pm0000gn/T/com.microsoft.Word/WebArchiveCopyPasteTempFiles/page1image10071296" \* MERGEFORMATINET LMP INCLUDEPICTURE "/var/folders/9p/pqnwhd4n0738pfqx7d621_pm0000gn/T/com.microsoft.Word/WebArchiveCopyPasteTempFiles/page1image10069184" \* MERGEFORMATINET INCLUDEPICTURE "/var/folders/9p/pqnwhd4n0738pfqx7d621_pm0000gn/T/com.microsoft.Word/WebArchiveCopyPasteTempFiles/page1image10061504" \* MERGEFORMATINET 6. Expected date of confinement.......................... INCLUDEPICTURE "/var/folders/9p/pqnwhd4n0738pfqx7d621_pm0000gn/T/com.microsoft.Word/WebArchiveCopyPasteTempFiles/page1image10068992" \* MERGEFORMATINET EDC INCLUDEPICTURE "/var/folders/9p/pqnwhd4n0738pfqx7d621_pm0000gn/T/com.microsoft.Word/WebArchiveCopyPasteTempFiles/page1image10068032" \* MERGEFORMATINET INCLUDEPICTURE "/var/folders/9p/pqnwhd4n0738pfqx7d621_pm0000gn/T/com.microsoft.Word/WebArchiveCopyPasteTempFiles/page1image10060928" \* MERGEFORMATINET 7.Gestational age......................weeksGA 8. Gravida........................... Gravida 9.The number of vaginal birth ..................................time INCLUDEPICTURE "/var/folders/9p/pqnwhd4n0738pfqx7d621_pm0000gn/T/com.microsoft.Word/WebArchiveCopyPasteTempFiles/page1image10053568" \* MERGEFORMATINET NL INCLUDEPICTURE "/var/folders/9p/pqnwhd4n0738pfqx7d621_pm0000gn/T/com.microsoft.Word/WebArchiveCopyPasteTempFiles/page1image10054912" \* MERGEFORMATINET INCLUDEPICTURE "/var/folders/9p/pqnwhd4n0738pfqx7d621_pm0000gn/T/com.microsoft.Word/WebArchiveCopyPasteTempFiles/page1image10049920" \* MERGEFORMATINET 10.The number of cesarean section.....................................time CS 11. Do you feel that How is your general physical health?1. Excellent strength 2. Very strong 3. Very good 4. Medium strength 5. Health deterioration QOL INCLUDEPICTURE "/var/folders/9p/pqnwhd4n0738pfqx7d621_pm0000gn/T/com.microsoft.Word/WebArchiveCopyPasteTempFiles/page1image10236288" \* MERGEFORMATINET INCLUDEPICTURE "/var/folders/9p/pqnwhd4n0738pfqx7d621_pm0000gn/T/com.microsoft.Word/WebArchiveCopyPasteTempFiles/page1image9996352" \* MERGEFORMATINET INCLUDEPICTURE "/var/folders/9p/pqnwhd4n0738pfqx7d621_pm0000gn/T/com.microsoft.Word/WebArchiveCopyPasteTempFiles/page1image9994624" \* MERGEFORMATINET II.Symptoms caused by pelvic floor dysfunction during pregnancy.12. Do you have pain in the lower abdomen or not?1. None 2. Yes, but without affecting everyday life 3. Has a slight order 4. Has a moderate order 5. Very important INCLUDEPICTURE "/var/folders/9p/pqnwhd4n0738pfqx7d621_pm0000gn/T/com.microsoft.Word/WebArchiveCopyPasteTempFiles/page1image10007680" \* MERGEFORMATINET Pain INCLUDEPICTURE "/var/folders/9p/pqnwhd4n0738pfqx7d621_pm0000gn/T/com.microsoft.Word/WebArchiveCopyPasteTempFiles/page1image9999424" \* MERGEFORMATINET INCLUDEPICTURE "/var/folders/9p/pqnwhd4n0738pfqx7d621_pm0000gn/T/com.microsoft.Word/WebArchiveCopyPasteTempFiles/page1image10010176" \* MERGEFORMATINET 13. Do you have a lump emerging from your vagina?1. None 2. Yes, but without affecting everyday life 3. Has a slight order 4. Has a moderate order 5. Very importantLump 14. Do you have urinary incontinence problems (such as coughing / sneezing leak, difficulty urinating, frequent urination, urgency urinary incontinence, incomplete emptying, etc.)?1. None 2. Yes, but without affecting everyday life 3. Has a slight order 4. Has a moderate order 5. Very importantLUTS 15. Do you have problems with defecation (such as having constipation, fecal urgency, fecal incontinence, etc.)?1. None 2. Yes, but without affecting everyday life 3. Has a slight order 4. Has a moderate order 5. Very importantAnal INCLUDEPICTURE "/var/folders/9p/pqnwhd4n0738pfqx7d621_pm0000gn/T/com.microsoft.Word/WebArchiveCopyPasteTempFiles/page2image9928064" \* MERGEFORMATINET INCLUDEPICTURE "/var/folders/9p/pqnwhd4n0738pfqx7d621_pm0000gn/T/com.microsoft.Word/WebArchiveCopyPasteTempFiles/page2image9922880" \* MERGEFORMATINET INCLUDEPICTURE "/var/folders/9p/pqnwhd4n0738pfqx7d621_pm0000gn/T/com.microsoft.Word/WebArchiveCopyPasteTempFiles/page2image24716928" \* MERGEFORMATINET INCLUDEPICTURE "/var/folders/9p/pqnwhd4n0738pfqx7d621_pm0000gn/T/com.microsoft.Word/WebArchiveCopyPasteTempFiles/page3image21156000" \* MERGEFORMATINET Part 1III. Pelvic floor muscle training INCLUDEPICTURE "/var/folders/9p/pqnwhd4n0738pfqx7d621_pm0000gn/T/com.microsoft.Word/WebArchiveCopyPasteTempFiles/page3image7329984" \* MERGEFORMATINET Knowledge16. Do you know about pelvic floor muscle exercises? 1. Know 2. Don't know. Skip to Part 2. INCLUDEPICTURE "/var/folders/9p/pqnwhd4n0738pfqx7d621_pm0000gn/T/com.microsoft.Word/WebArchiveCopyPasteTempFiles/page3image7327296" \* MERGEFORMATINET Know INCLUDEPICTURE "/var/folders/9p/pqnwhd4n0738pfqx7d621_pm0000gn/T/com.microsoft.Word/WebArchiveCopyPasteTempFiles/page3image7323648" \* MERGEFORMATINET INCLUDEPICTURE "/var/folders/9p/pqnwhd4n0738pfqx7d621_pm0000gn/T/com.microsoft.Word/WebArchiveCopyPasteTempFiles/page3image9456064" \* MERGEFORMATINET INCLUDEPICTURE "/var/folders/9p/pqnwhd4n0738pfqx7d621_pm0000gn/T/com.microsoft.Word/WebArchiveCopyPasteTempFiles/page3image9467776" \* MERGEFORMATINET INCLUDEPICTURE "/var/folders/9p/pqnwhd4n0738pfqx7d621_pm0000gn/T/com.microsoft.Word/WebArchiveCopyPasteTempFiles/page3image9454336" \* MERGEFORMATINET INCLUDEPICTURE "/var/folders/9p/pqnwhd4n0738pfqx7d621_pm0000gn/T/com.microsoft.Word/WebArchiveCopyPasteTempFiles/page3image9466240" \* MERGEFORMATINET 17. Do you know about pelvic floor exercise from who? (can answer more than 1) 1. Husband 2. Family member 3. Friend4. Doctors 5. Hospital personnel6. Various media in the hospital 7. Non-hospital media such as TV, radio, internetWho 18. Do you think exercising the pelvic floor muscles is a great practice What area of ??muscles?1. the muscles around the genitals 2. Muscles around the anus 3. Abdominal muscles 4. Front leg muscles 5. Back muscles 6. Don't know INCLUDEPICTURE "/var/folders/9p/pqnwhd4n0738pfqx7d621_pm0000gn/T/com.microsoft.Word/WebArchiveCopyPasteTempFiles/page3image9859648" \* MERGEFORMATINET Muscle INCLUDEPICTURE "/var/folders/9p/pqnwhd4n0738pfqx7d621_pm0000gn/T/com.microsoft.Word/WebArchiveCopyPasteTempFiles/page3image9846784" \* MERGEFORMATINET INCLUDEPICTURE "/var/folders/9p/pqnwhd4n0738pfqx7d621_pm0000gn/T/com.microsoft.Word/WebArchiveCopyPasteTempFiles/page3image9859456" \* MERGEFORMATINET INCLUDEPICTURE "/var/folders/9p/pqnwhd4n0738pfqx7d621_pm0000gn/T/com.microsoft.Word/WebArchiveCopyPasteTempFiles/page3image9862144" \* MERGEFORMATINET INCLUDEPICTURE "/var/folders/9p/pqnwhd4n0738pfqx7d621_pm0000gn/T/com.microsoft.Word/WebArchiveCopyPasteTempFiles/page3image9862336" \* MERGEFORMATINET INCLUDEPICTURE "/var/folders/9p/pqnwhd4n0738pfqx7d621_pm0000gn/T/com.microsoft.Word/WebArchiveCopyPasteTempFiles/page3image9861760" \* MERGEFORMATINET 19. When exercising the pelvic floor muscles, how should you breathe?1. Breathing normally while contracting the muscles 2. Hold your breath while contracting the muscles. 3. Inhale while contracting the muscles. Exhale while loosening 4. unknownBreath 20. While exercising the pelvic floor muscles, you should contract your abdominal muscles together. While exercising the pelvic floor muscles?1. Should 2. Should not 3. Don't know INCLUDEPICTURE "/var/folders/9p/pqnwhd4n0738pfqx7d621_pm0000gn/T/com.microsoft.Word/WebArchiveCopyPasteTempFiles/page3image9848896" \* MERGEFORMATINET Abd INCLUDEPICTURE "/var/folders/9p/pqnwhd4n0738pfqx7d621_pm0000gn/T/com.microsoft.Word/WebArchiveCopyPasteTempFiles/page3image9855616" \* MERGEFORMATINET INCLUDEPICTURE "/var/folders/9p/pqnwhd4n0738pfqx7d621_pm0000gn/T/com.microsoft.Word/WebArchiveCopyPasteTempFiles/page3image9851200" \* MERGEFORMATINET INCLUDEPICTURE "/var/folders/9p/pqnwhd4n0738pfqx7d621_pm0000gn/T/com.microsoft.Word/WebArchiveCopyPasteTempFiles/page3image9851968" \* MERGEFORMATINET INCLUDEPICTURE "/var/folders/9p/pqnwhd4n0738pfqx7d621_pm0000gn/T/com.microsoft.Word/WebArchiveCopyPasteTempFiles/page3image9942720" \* MERGEFORMATINET INCLUDEPICTURE "/var/folders/9p/pqnwhd4n0738pfqx7d621_pm0000gn/T/com.microsoft.Word/WebArchiveCopyPasteTempFiles/page3image9816320" \* MERGEFORMATINET 21. Proper posture While exercising the pelvic floor muscles is?1. Sleeping position only 2. Sitting position only 3. Standing position only 4. Any position 5. UnknownPosition 22. The benefit of exercising the pelvic floor muscles is?1. Reduce incidence of urinary incontinence while coughing and sneezing 2. Easy birth 3. Not constipation 4. Not knownAdvan 23. The disadvantage of exercising the pelvic floor muscles is?1. pain while having a sexual intercourse 2. difficult stools 3. Cause pelvic pain 4. No complication 5. Don't knowDisad 24. Can pregnant women exercise the pelvic floor muscles?1. Yes 2. No 3. UnknownPregPart 2AttitudeHow do you think exercising your pelvic floor muscles can affect pregnancy?25. Causing preterm birth 1. Yes 2. NoPreterm INCLUDEPICTURE "/var/folders/9p/pqnwhd4n0738pfqx7d621_pm0000gn/T/com.microsoft.Word/WebArchiveCopyPasteTempFiles/page5image9654784" \* MERGEFORMATINET 26. Helps to give birth easier1. Yes 2. NoPricipitate INCLUDEPICTURE "/var/folders/9p/pqnwhd4n0738pfqx7d621_pm0000gn/T/com.microsoft.Word/WebArchiveCopyPasteTempFiles/page5image9660928" \* MERGEFORMATINET 27. Makes it difficult to give birth 1. Yes 2. NoDifficult INCLUDEPICTURE "/var/folders/9p/pqnwhd4n0738pfqx7d621_pm0000gn/T/com.microsoft.Word/WebArchiveCopyPasteTempFiles/page5image9637824" \* MERGEFORMATINET INCLUDEPICTURE "/var/folders/9p/pqnwhd4n0738pfqx7d621_pm0000gn/T/com.microsoft.Word/WebArchiveCopyPasteTempFiles/page5image9647040" \* MERGEFORMATINET 28. Causing the baby to die from lack of oxygen 1. Yes 2. NoDanger INCLUDEPICTURE "/var/folders/9p/pqnwhd4n0738pfqx7d621_pm0000gn/T/com.microsoft.Word/WebArchiveCopyPasteTempFiles/page5image9637632" \* MERGEFORMATINET 29. Helps to reduce vaginal tear in cases of vaginal birth1. Yes 2. NoTear INCLUDEPICTURE "/var/folders/9p/pqnwhd4n0738pfqx7d621_pm0000gn/T/com.microsoft.Word/WebArchiveCopyPasteTempFiles/page5image9649152" \* MERGEFORMATINET How do you think exercising your pelvic floor muscles can affect the following conditions?30. Sexual emotion1. Much improved 2. Slightly improved 3. unchanged 4. Slightly worse 5. Very worseEmotion INCLUDEPICTURE "/var/folders/9p/pqnwhd4n0738pfqx7d621_pm0000gn/T/com.microsoft.Word/WebArchiveCopyPasteTempFiles/page5image9626624" \* MERGEFORMATINET 31. Sexual satisfaction1. Much improved 2. Slightly improved 3. unchanged 4. Slightly worse 5. Very worseSex INCLUDEPICTURE "/var/folders/9p/pqnwhd4n0738pfqx7d621_pm0000gn/T/com.microsoft.Word/WebArchiveCopyPasteTempFiles/page5image9623360" \* MERGEFORMATINET 32.Pelvic pain1. Much improved 2. Slightly improved 3. unchanged 4. Slightly worse 5. Very worseLAP INCLUDEPICTURE "/var/folders/9p/pqnwhd4n0738pfqx7d621_pm0000gn/T/com.microsoft.Word/WebArchiveCopyPasteTempFiles/page5image7307008" \* MERGEFORMATINET 33.Stress urinary incontinence1. Much improved 2. Slightly improved 3. unchanged 4. Slightly worse 5. Very worse INCLUDEPICTURE "/var/folders/9p/pqnwhd4n0738pfqx7d621_pm0000gn/T/com.microsoft.Word/WebArchiveCopyPasteTempFiles/page5image7297600" \* MERGEFORMATINET SUI 34.Urgency or urgency urinary incontinence1. Much improved 2. Slightly improved 3. unchanged 4. Slightly worse 5. Very worse INCLUDEPICTURE "/var/folders/9p/pqnwhd4n0738pfqx7d621_pm0000gn/T/com.microsoft.Word/WebArchiveCopyPasteTempFiles/page5image7327872" \* MERGEFORMATINET UUI 35.Urinary retention or voiding difficulty1. Much improved 2. Slightly improved 3. unchanged 4. Slightly worse 5. Very worse INCLUDEPICTURE "/var/folders/9p/pqnwhd4n0738pfqx7d621_pm0000gn/T/com.microsoft.Word/WebArchiveCopyPasteTempFiles/page5image7331328" \* MERGEFORMATINET VD 36.Pelvic organ prolapse1. Much improved 2. Slightly improved 3. unchanged 4. Slightly worse 5. Very worsePOP 37.Constipation1. Much improved 2. Slightly improved 3. unchanged 4. Slightly worse 5. Very worseCON 38.Fecal urgency or fecal incontinence1. Much improved 2. Slightly improved 3. unchanged 4. Slightly worse 5. Very worseFI 39.General health1. Much improved 2. Slightly improved 3. unchanged 4. Slightly worse 5. Very worseGQOL INCLUDEPICTURE "/var/folders/9p/pqnwhd4n0738pfqx7d621_pm0000gn/T/com.microsoft.Word/WebArchiveCopyPasteTempFiles/page6image24228656" \* MERGEFORMATINET Practice40. If you know the benefits of pelvic floor exercise and the way to do the exercise, How often will you manage the pelvic floor muscles?1. Don't do it 2. Do it sometimes 3. Once a week 4.3-4 times a week 5. Do it every dayFre INCLUDEPICTURE "/var/folders/9p/pqnwhd4n0738pfqx7d621_pm0000gn/T/com.microsoft.Word/WebArchiveCopyPasteTempFiles/page6image9562816" \* MERGEFORMATINET INCLUDEPICTURE "/var/folders/9p/pqnwhd4n0738pfqx7d621_pm0000gn/T/com.microsoft.Word/WebArchiveCopyPasteTempFiles/page6image9563200" \* MERGEFORMATINET 41. The motivation for exercising your pelvic floor muscles is 1. No2. Prevent the occurrence of coughing, sneezing, urinary incontinence 3. Want to recover from coughing, sneezing, urinary incontinence 4. Have fun while having sex 5. Others ...........................Sti 42. What factors helped you able to manage the pelvic floor muscles consistently1.There are people who remind regularly. 2. Seeing the benefits from training 3. Do not want the disease to be repeated 4. Avoid surgery 5. Fear of curing from illness6. Other .....................Fac INCLUDEPICTURE "/var/folders/9p/pqnwhd4n0738pfqx7d621_pm0000gn/T/com.microsoft.Word/WebArchiveCopyPasteTempFiles/page6image9561280" \* MERGEFORMATINET INCLUDEPICTURE "/var/folders/9p/pqnwhd4n0738pfqx7d621_pm0000gn/T/com.microsoft.Word/WebArchiveCopyPasteTempFiles/page6image9559936" \* MERGEFORMATINET 43. Factors that affect your decision in choosing to practice pelvic floor exercises (Answer more than one)1. Yourself 2. Husband 3. Family members 4. Friends 5. Doctor6. Various media in hospitals7. Hospital personnel8. Non-hospital media such as TV, radio, internetWhofac 44. Have you ever done pelvic floor exercises? 1. Yes (1.1regularly or 1.2irregularly) 2. NoPFMT INCLUDEPICTURE "/var/folders/9p/pqnwhd4n0738pfqx7d621_pm0000gn/T/com.microsoft.Word/WebArchiveCopyPasteTempFiles/page6image9553216" \* MERGEFORMATINET INCLUDEPICTURE "/var/folders/9p/pqnwhd4n0738pfqx7d621_pm0000gn/T/com.microsoft.Word/WebArchiveCopyPasteTempFiles/page6image9552256" \* MERGEFORMATINET Thank you for your cooperation. ................
................

In order to avoid copyright disputes, this page is only a partial summary.

Google Online Preview   Download