Speaker: Melese Siyoum
Facilitator: Indri Astuti Purwanti
Back ground: Pelvic organ prolapse (POP) is a common condition that can significantly impact a woman’s quality of life. Pelvic floor muscle training (PFMT) is recommended as a first-line conservative treatment for prolapse, but evidence from low-resource settings is limited.
Objectives: This study aimed to assess midwife-led pelvic floor muscle training on prolapse symptoms and health-related quality of life (HRQoL) among women with mild to moderate prolapse in Ethiopia, 2024.
Methods: A community-based, parallel, two-arm cluster randomized controlled trial was conducted in Dale and Wonsho districts of Sidama Region, Ethiopia. Women with symptomatic POP stage I-III were randomized by cluster to receive either midwife-led PFMT plus lifestyle counseling (intervention group) or lifestyle counseling alone (control group). The primary outcomes were change in prolapse symptom score (POP-SS) and prolapse quality of life (P-QoL). Mixed-effects generalized linear model was used to determine the effect size at 99% confidence level.
Results: A total of 187 women were randomized (intervention = 89 and control = 98). At sixth month, the intervention group showed significantly greater improvements with a mean change difference of: -4.1 (99% CI: -5.38, -2.83) in prolapse symptoms; -11.48 (99% CI: -15.9, -7.1) in physical domain, -12.65 (99% CI: -19.3, -6.1) in psychological domain and -9.47 (99% CI: -15.5, -3.5) in personal relationship domain of P-QoL. A significantly higher number of women in the intervention group perceived their condition as ‘better’ after the intervention. Women with earlier stages of prolapse (stage I and II) experienced higher benefits compared to stage III.
Conclusions: A midwife-led PFMT combined with lifestyle counseling significantly improves prolapse symptoms and quality of life in mild to moderate POP. This strategy can be integrated into the existing maternal and reproductive health programs to address POP in low-income settings where access to trained specialist is limited.
Speakers: Karita Aulia Tama, Prima Kusrini & Husnul Fadillah
Facilitator: Fabella Elisa Cahyaningtyas
Background: Maternal mental health disorders, especially depression and anxiety, correlate with adverse pregnancy outcomes such as preterm birth, low birth weight, and postpartum depression; however, the role of psychosocial variables in alleviating these risks remains inadequately understood. These concerns are frequently overlooked during prenatal care, particularly in resource-limited environments.
Objective: This scoping review seeks to examine the influence of maternal mental health disorders on pregnancy outcomes and to identify psychosocial factors that may mitigate associated risks.
Methods: A scoping review was performed utilizing resources such as PubMed, Google Scholar, and ScienceDirect. According to the established inclusion criteria, fifteen studies were selected from an original pool of 831 publications published between 2019 and 2024.
Results: Our review demonstrates a significant correlation between maternal depression and anxiety with preterm birth, intrauterine growth restriction, low birth weight, and cesarean delivery. Psychosocial factors, including partner support and stress-coping strategies, significantly mitigate these risks. Timely identification and thorough prenatal mental health therapies are essential for enhancing long-term outcomes for moms and infants.
Conclusions: The mental health of the mother profoundly affects pregnancy outcomes. Incorporating mental health assessments and psychosocial assistance into standard prenatal care is crucial for mitigating adverse effects. Future research should concentrate on creating scalable care customized for various populations and providing continuous care during the perinatal period.
