Quality of life related to pelvic floor dysfunction among pregnant women assisted in the public and private health system

Abstract

Objective: To compare the quality of life related to pelvic floor dysfunction among pregnant women assisted in the public and private health system, as well as to identify the prevalence of pelvic floor dysfunction in low-risk pregnant women assisted in these scenarios. Methods: Cross-sectional study with a sample of 261 pregnant women and the collection occurred from September to January 2015. Participants received a consent form and the principles of bioethics were respected. Results: The data showed that pregnant women attended in the public system are almost 4 times more likely to have sexual dysfunction when compared with pregnant women in private care. Pregnant women in private care had better hrqol in all domains. Although pregnant women from the private service are less sexually active, the results showed that these women tend to have less sexual dysfunction, with significant association in all domains. The domains that had the greatest negative impact on the increasing order of averages in the two services were similar, being: "desire", "arousal", "orgimento", "lubrication", "pain" and "satisfaction". The domains "lubrication" and "pain" in the private service presented identical means. Conclusion: It is concluded that pregnant women followed in the private service had better indexes of quality of life in general, associated with sexual dysfunction and urinary incontinence.