Effect of pelvic floor muscle exercises in the treatment of urinary incontinence during pregnancy and the postpartum period

Dinç, Ayten; Beji, Nezihe Kızılkaya; Yalçın, Önay

doi:10.1007/s00192-009-0929-3

Cited by 66 publications

(92 citation statements)

References 12 publications

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“…Even though the PFMS cut-off point of 30 cmH2O established for analysis was higher than that obtained from the ROC curve, this value agreed with what was found in the literature (13,15) and may serve as parameter for new studies and clinical practice.…”

supporting

confidence: 87%

“…The results of the present study of women in the first trimester of pregnancy are close to the results obtained among those starting from the second half of pregnancy (13,21,24) , considering that the proportion of pregnant women with PFMS < 30 cmH2O was higher among those with UI (average = 27.2, SD = 15.8), in comparison to continent women (average = 31.3; SD = 17.6).…”

supporting

confidence: 86%

“…Studies that use these instruments show conflicting results in regard to the preservation or decrease of PFMS during pregnancy and after birth (10)(11)(12) ; however, decrease in PFMS has been pointed out as a predictor of UI (13)(14) .…”

Section: Introductionmentioning

confidence: 99%

“…Regarding the remaining factors mentioned in the literature as associated with UI (ethnicity, education level, occupation, marital status, physical exercises, previous pregnancies and births, newborn weight, nutritional status, PFMS) (2,5,7,9,(13)(14)(22)(23) , only a few had statistical significance in the univariate analysis. An explanation for the fact that in the multivariate analysis previous births, PFMS and nutritional status were not associated with UI among the pregnant women in this study may be related to low parity, early gestational age and the fact that only pregnant women with a BMI < 35 were included in the study.…”

mentioning

confidence: 99%

“…However, studies that evaluated PFMS using the Peritron™ in women with UI between 20 and 34 weeks of pregnancy (13) and in the postpartum period (15) found the averages ≤ 30.05 cmH2O (SD = 11.05) and = 19.3 (SD = 13.1) cmH2O, respectively.…”

mentioning

confidence: 99%

See 4 more Smart Citations

Urinary incontinence related to perineal muscle strength in the first trimester of pregnancy: cross-sectional study

Riesco

Fernandes-Trevisan

Leister

et al. 2014

Rev. esc. enferm. USP

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Urinary incontinence related to perineal muscle strength in the first trimester of pregnancy: cross-sectional study RESUMENObjetivo: Analizar la fuerza de los múscu-los del suelo pélvico (FMSP), la continencia urinaria y la calidad de vida en mujeres en el primer trimestre del embarazo. Método: Estudio transversal cuyo muestra incluyó 500 mujeres que comenzaron la atención prenatal en un servicio del sector de salud complementaria en Guarulhos, SP, en 2012-2013. La FMSP fue evaluada por la perineometría y las mujeres embarazadas con incontinencia urinaria (IU) respondieron al International Consultation on Incontinence Questionnaire-Short Form (ICIQ-SF). Resultados: Muestran que edad materna (OR=1,06 IC95% 1,02-1,11) y IU previa (OR=15,12; IC95% 8,(19)(20)(21)(22)(23)(24)(25)(26)(27)92) son las variables que, en conjunto, mejor explican la ocurrencia de IU al inicio del embarazo. La media del escore ICIQ-SF fue 8,2 (d.p.=3,9), considerado como de impacto moderado en la calidad de vida. Conclusión: Las embarazadas con más edad y con IU previa tienen chance mayor de presentar IU en el primer trimestre del embarazo. DESCRIPTORES ABSTRACTObjective: To analyze pelvic floor muscle strength (PFMS), urinary continence and quality of life related to urinary incontinence (UI) of women in the first trimester of pregnancy. Method: Cross-sectional study with a sample of 500 women who started prenatal care in a complementary healthcare facility in Guarulhos, state of São Paulo, from 2012 and 2013. Pelvic floor muscle strength was evaluated through perineometry. The pregnant women who presented UI answered the International Consultation on Incontinence Questionnaire-Short Form (ICIQ-SF). Results: It was found that maternal age (OR=1.06; CI95% 1.02-1.11) and prior UI (OR=15.12; 95%CI 8.19-27.92) are the variables that, in tandem, best explain the occurrence of UI at the beginning of pregnancy. The mean score on the ICIQ-SF was 8.2 (SD=3.9), considered a moderate impact on quality of life. Conclusion: Older pregnant women with prior UI are more likely to have UI in the first trimester of pregnancy. DESCRIPTORS

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supporting

confidence: 87%

supporting

confidence: 86%

Section: Introductionmentioning

confidence: 99%

mentioning

confidence: 99%

mentioning

confidence: 99%

See 3 more Smart Citations

Urinary incontinence related to perineal muscle strength in the first trimester of pregnancy: cross-sectional study

Riesco

Fernandes-Trevisan

Leister

et al. 2014

Rev. esc. enferm. USP

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Pelvic floor muscle training for prevention and treatment of urinary and faecal incontinence in antenatal and postnatal women

Boyle

Hay-Smith

Cody

et al. 2012

Cochrane Database of Systematic Reviews

149

150

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There is some evidence that for women having their first baby, PFMT can prevent urinary incontinence up to six months after delivery. There is support for the widespread recommendation that PFMT is an appropriate treatment for women with persistent postpartum urinary incontinence. It is possible that the effects of PFMT might be greater with targeted rather than mixed prevention and treatment approaches and in certain groups of women (for example primiparous women; women who had bladder neck hypermobility in early pregnancy, a large baby, or a forceps delivery). These and other uncertainties, particularly long-term effectiveness, require further testing.

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Pelvic floor muscle training for prevention and treatment of urinary and faecal incontinence in antenatal and postnatal women

Woodley

Boyle

Cody

et al. 2017

Cochrane Database of Systematic Reviews

212

144

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Targeting continent antenatal women early in pregnancy and offering a structured PFMT programme may prevent the onset of urinary incontinence in late pregnancy and postpartum. However, the cost-effectiveness of this is unknown. Population approaches (recruiting antenatal women regardless of continence status) may have a smaller effect on urinary incontinence, although the reasons for this are unclear. It is uncertain whether a population-based approach for delivering postnatal PFMT is effective in reducing urinary incontinence. Uncertainty surrounds the effects of PFMT as a treatment for urinary incontinence in antenatal and postnatal women, which contrasts with the more established effectiveness in mid-life women.It is possible that the effects of PFMT might be greater with targeted rather than mixed prevention and treatment approaches and in certain groups of women. Hypothetically, for instance, women with a high body mass index are at risk factor for urinary incontinence. Such uncertainties require further testing and data on duration of effect are also needed. The physiological and behavioural aspects of exercise programmes must be described for both PFMT and control groups and how much PFMT women in both groups do, to increase understanding of what works and for whom.Few data exist on faecal incontinence or costs and it is important that both are included in any future trials. It is essential that future trials use valid measures of incontinence-specific quality of life for both urinary and faecal incontinence.

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Effect of pelvic floor muscle exercises in the treatment of urinary incontinence during pregnancy and the postpartum period

Abstract: Pelvic floor muscle exercises are quite effective in the augmentation of the pelvic floor muscle strength and consequently in the treatment of urinary incontinence.

Cited by 66 publications

References 12 publications

Urinary incontinence related to perineal muscle strength in the first trimester of pregnancy: cross-sectional study

Urinary incontinence related to perineal muscle strength in the first trimester of pregnancy: cross-sectional study

Pelvic floor muscle training for prevention and treatment of urinary and faecal incontinence in antenatal and postnatal women

Pelvic floor muscle training for prevention and treatment of urinary and faecal incontinence in antenatal and postnatal women

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