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. 2020 Dec 22:37:367.
doi: 10.11604/pamj.2020.37.367.23426. eCollection 2020.

[Opinion survey on postpartum pelvic floor rehabilitation among Ivorian practitioners]

[Article in French]
Edele Kacou Aka  1   2 , Mohamed Fanny  1   2 , Abdoul Koffi  1   2 , N Guessan Olou  1   2 , Apollinaire Horo  1   2 , Mamourou Kone  1   2
Affiliations

[Opinion survey on postpartum pelvic floor rehabilitation among Ivorian practitioners]

[Article in French]
Edele Kacou Aka et al. Pan Afr Med J. .

Abstract
in English, French

Introduction: the purpose of this study was to report health care providers' experience of perineal rehabilitation in the Maternity Hospital of Abidjan by assessing their level of knowledge and their practical attitudes.

Methods: we performed a survey among obstetricians and midwives working in a Maternity Hospital in Abidjan over a period of at least two years. The information were collected using a questionnaire including direct, open and semi-open questions.

Results: the study included 120 practitioners, 66 midwives and 54 obstetricians. Seventy-nine point six percent of obstetricians and 37.9% of midwives worked in a university hospital. Midwifery knowledge was good or average in 25% of cases (interquartile range [IIQ] 16.8-48.3); 65% of obstetricians had a good or medium level of knowledge (IIQ 41.1 -48.3). The majority of providers summoned women in the postpartum period, but only 7 out of 10 caregivers performed perineal assessment and 2 out of 10 obstetricians suggested the need for rehabilitation.

Conclusion: the low level of knowledge of Ivorian midwives and obstetricians regarding postpartum pelvic floor rehabilitation and the lack of practice suggest the need for ongoing training.

Introduction: cette étude visait à rapporter l´expérience des prestataires de soins dans les maternités d´Abidjan en matière de rééducation périnéale en évaluant leur niveau de connaissance et leurs attitudes pratiques.

Méthodes: une enquête a été menée auprès des obstétriciens et sages-femmes exerçant dans une maternité d´Abidjan depuis au moins deux ans. Les informations ont été recueillies sur un questionnaire à questions directes, ouvertes et semi-ouvertes.

Résultats: cent vingt praticiens ont été sélectionnés dont 66 sages-femmes et 54 obstétriciens. Un total de 79,6% des obstétriciens et 37,9% des sages-femmes officiaient dans un centre hospitalier universitaire. L´indice de connaissance des sages-femmes était bon ou moyen dans 25% (intervalle interquartile [IIQ] 16,8-48,3). Tandis que les obstétriciens avaient un niveau de connaissances bon ou moyen dans 65% (IIQ 41,1-48,3). La majorité des prestataires convoquaient les femmes dans le post partum, mais seulement 7 soignants sur dix contrôlaient le périnée et deux obstétriciens sur dix proposaient une rééducation périnéale.

Conclusion: le faible niveau de connaissances des sages-femmes et obstétriciens ivoiriens sur la rééducation périnéale du post-partum et le manque de pratique suggèrent la nécessité d´une mise à niveau perpétuelle de ceux-ci à travers des formations continues.

Keywords: Pelvic floor disorders; West Africa; knowledge; physical medicine and rehabilitation.

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Conflict of interest statement

Les auteurs ne déclarent aucun conflit d´intérêts.

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