Women’s Awareness linked by Pelvic Floor Muscle Activity
Authors: Agrawal Adharika , Kumari Sulekha , Ashfaque Moeez , Malik Ankit Kumar , Junaid Mohammad , Sinha Mayank 
Published: July 2021

Abstract
Levator ani is a healthy and fatigue resistant striated muscle. It is stung like a sway around the midline pelvic effluents like the uterus, bladder, and bowel. The pubococcygeus muscle has four fibers; Posterior fibers, Puborectalis, Puboanalis, Pubovaginalis. Here, the Pubovaginalis forms a U-shaped sling, supporting the Pelvic organ-like bladder, uterus. Therefore, during Parturition, weakness or tear of the sling occurs, responsible for the pelvic organ prolapse. Pelvic organ prolapse includes the drop of the vaginal wall or the uterus. The weakness of the pelvic floor also causes urinary incontinence, defined as the involuntary loss of urine when the intravesical pressure exceeds the urethral pressure in the absence of detrusor muscle. So, it is very important to be aware of the pelvic floor exercises, which help in strengthening the pelvic floor and prevent complications. Some women may think the leakage of urine and organ prolapse as a regular phenomenon that may contribute to incontinence and prolapse, study objective was to see the awareness in the women about the complications. This survey highlights the need for awareness. It promotes early education among females about pelvic floor structure, exercise, the importance of early diagnosis, and the correct treatment to avoid complications. Author contribution: Authors have analyzed the data and wrote the paper. The author contributed to manuscript revisions and approved the final version of the manuscript and agreed to the responsibility for the content. Methods. This survey has developed on the basis of analysis of women suffering from urinary leakage and prolapse issues. The date in which the responses have been collected are 2-11-2020 to 3-03-2021.This study comprises a cross-sectional survey, a 3-part questionnaire to 246 females who know the English language, which has three sections where section one, prolapse and incontinence knowledge questionnaire which is made up of 13 questions, to evaluate knowledge of females about urinary incontinence. Section two has 14 questions that contain information about the treatment of the problem and prognosis and the remaining 12 questions in section three including demographic information. It has been distributed among 700 women on which 246 filled this form and answered all the questions which were asked in the questionnaire . Inclusion and exclusion criteria: The following inclusion criteria: age - born between 2003 − 1960, understanding of basic english language it is because this is the common language which is understood by the whole community. As there is no specification in terms of region or nation. The English language is commonly understood by most people. should have a smartphone or computer, should have access to the internet and awareness of the google form. Exclusion criteria are as follows: Women who have gone under surgical intervention, who do not know the english language, who cannot see. Data collection procedure: The conduction of this research involves the questionnaire used by researchers; the difference is of inclusion criteria among females. This form has reliability and validity as per prior check by an expert. The technique to distribute the questionnaire is snowball sampling. Results: The overall awareness level for the sub sample population was calculated to be at 42.67%. Awareness for urinary leakage was 45.12% and pelvic organ prolapse 40.25% Conclusions: More than half of the population is estimated to be unaware of basic knowledge of the subject