Antenatal Prediction of Postpartum Urinary and Fecal Incontinence

Chaliha, Charlotte; KALIA, VEENA; Stanton, Stuart L.; Monga, Ash; Sultan, Abdul H.

doi:10.1097/00006250-199911000-00009

Cited by 76 publications

(139 citation statements)

References 22 publications

Supporting

Mentioning

104

Contrasting

Unclassified

Order By: Relevance

“…Not all patients develop stress incontinence after vaginal delivery and attempts to identify women at risk (e.g. using possible markers for connective tissue weakness such as joint hypermobility 11 ) have not been successful.…”

Section: Introductionmentioning

confidence: 99%

Prevention of postpartum stress incontinence in primigravidae with increased bladder neck mobility: a randomised controlled trial of antenatal pelvic floor exercises

Reilly¹

2002

BJOG: An International Journal of Obstetrics and Gynaecology

228

View full text Add to dashboard Cite

Objective To test whether supervised pelvic floor exercises antenatally will reduce the incidence of postpartum stress incontinence in at-risk primigravidae with bladder neck mobility, ultrasonically proven. Design Single blind, randomised controlled trial.Setting Antenatal clinic in a UK NHS Trust Hospital.Sample Two hundred and sixty-eight primigravidae attending an antenatal clinic at approximately 20 weeks of gestation with bladder neck mobility, on standardised valsalva, of 5mm or more linear movement. The median age was 28, ranging from 16 to 47 years. Intervention Patients randomised to supervised pelvic floor exercises (n ¼ 139) attended a physiotherapist at monthly intervals from 20 weeks until delivery. The exercises comprised three repetitions of eight contractions each held for six seconds, with two minutes rest between repetitions. These were repeated twice daily. At 34 weeks of gestation the number of contractions per repetition was increased to 12. Both the untreated control group and the study group received verbal advice on pelvic floor exercises from their midwives antenatally. Main outcome measures Subjective reporting of stress incontinence at three months postpartum. Pelvic floor strength, using perineometry, and bladder neck mobility measured by perineal ultrasound. Results Of the 268 women enrolled, information on the main outcome variable was available for 110 in the control group and 120 in the study group. Fewer women in the supervised pelvic floor exercise group reported postpartum stress incontinence, 19.2% compared with 32.7% in the control group ). There was no change in bladder neck mobility and no difference in pelvic floor strength between groups after exercise, although all those developing postpartum stress incontinence had significantly poorer perineometry scores than those who were continent. Conclusions The findings suggest that antenatal supervised pelvic floor exercises are effective in reducing the risk of postpartum stress incontinence in primigravidae with bladder neck mobility.

show abstract

Section: Introductionmentioning

confidence: 99%

Prevention of postpartum stress incontinence in primigravidae with increased bladder neck mobility: a randomised controlled trial of antenatal pelvic floor exercises

Reilly¹

2002

BJOG: An International Journal of Obstetrics and Gynaecology

228

View full text Add to dashboard Cite

show abstract

“…1 However, most studies of urinary incontinence are flawed by follow-up limited to 3 to 6 months [2][3][4][5] and fail to specify the difference between minor and severe incontinence. Population-based studies report either no difference in urinary incontinence by route of birth 6 or a baseline rate that is high and only somewhat improved by cesarean section.…”

Section: Penny L Lindballementioning

confidence: 99%

Elective cesarean section

Kleín¹

2004

Canadian Medical Association Journal

View full text Add to dashboard Cite

“…Hannah concludes that cesarean section is more dangerous in current and future pregnancies, but then discusses pelvic floor issues, reporting that the risk of urinary incontinence is higher for vaginal births. 1 However, most studies of urinary incontinence are flawed by follow-up limited to 3 to 6 months [2][3][4][5] and fail to specify the difference between minor and severe incontinence. Population-based studies report either no difference in urinary incontinence by route of birth 6 or a baseline rate that is high and only somewhat improved by cesarean section.…”

Section: Penny L Lindballementioning

confidence: 99%

Elective cesarean section

Lindballe¹

2004

Canadian Medical Association Journal

View full text Add to dashboard Cite

As one highly respected health care analyst has written in CMAJ, "Canadians [should] re-embrace the core concept of a universal health care system in which the vast majority of services are provided by non-profit institutions with public accountability."5 So yes, we should ban kickbacks and limit self-referrals. But if we really want to get to the root of the problem (and perhaps improve quality at the same time), we should encourage policymakers to prohibit for-profit independent health facilities from providing medically necessary care. Irfan Dhalla

show abstract

Antenatal Prediction of Postpartum Urinary and Fecal Incontinence

Cited by 76 publications

References 22 publications

Prevention of postpartum stress incontinence in primigravidae with increased bladder neck mobility: a randomised controlled trial of antenatal pelvic floor exercises

Prevention of postpartum stress incontinence in primigravidae with increased bladder neck mobility: a randomised controlled trial of antenatal pelvic floor exercises

Elective cesarean section

Elective cesarean section

Contact Info

Product

Resources

About