Pelvic floor exercises in postnatal care

A randomized controlled trial of pelvic floor muscle exercises to treat postnatal urinary incontinence

“…Snooks [10], however, showed that this was reversible, with 60% of pudendal nerve terminal motor latencies returning to normal 2 months after delivery, and hence that PFME performed after this time may be more effective in reducing incontinence. Although there was no difference in the prevalence of incontinence in both groups in the West Berkshire trial, the women in the intensive exercise program had significantly less perineal pain and fewer feelings of depression compared to the control standard postnatal exercise group [9]. The differences between the two groups and the women's feelings of well being were possibly due to the differences in perineal discomfort, or to the greater social 'support' provided by the intensive program.…”

“…The only published report of a randomized controlled trial (RCT) of postnatal intensive pelvic floor muscle exercises (involving women in West Berkshire recruited within 24 hours of vaginal delivery) failed to show any benefit in the incidence of persistent incontinence compared with standard postnatal exercises, when assessed at 3 months postpartum [9]. Both the intervention and the control groups had a 22.1% prevalence of incontinence at 3 months.…”

Vaginal cones or balls to improve pelvic floor muscle performance and urinary continence in women post partum: A quantitative systematic review

“…Excluded records 36 records were excluded; seven (Spreafico, 1992;Cox, 1995; Pelvic floor muscle training for prevention and treatment of urinary and faecal incontinence in antenatal and postnatal women, Bø, 2011;Duffin, 2012;Rathfisch and Kızılkaya Bejı, 2012;Freeman, 2013) because they were not primary studies, and 24 (Sleep and Grant, 1987;Dougherty et al, 1989;Sampselle et al, 1998;Glazener et al, 2001;Meyer et al, 2001;Sanlorenzo et al, 2001;Cockburn, 2002, Chiarelli et al, 2004;Dumoulin, 2004;Dumoulin et al, 2004;Gorbea Chavez et al, 2004, Erratum, 2005Ewings et al, 2005;Glazener et al, 2005;Lee and Choi, 2006;Citak et al, 2010;Sheeba et al, 2011;Kim et al, 2012;Ahlund et al, 2013, Assis et al, 2013Dumoulin et al, 2013;Hilde et al, 2013;Peirce et al, 2013;Glazener et al, 2014) because they did not research the use of cones or balls but the usual pelvic floor exercises without device. and (same study) was not a randomised controlled trial; in Jonasson et al (1992), women were at least two years post partum.…”

Effect of Kegel Exercise to Prevent Urinary and Fecal Incontinence in Antenatal and Postnatal Women: Systematic Review

“…요실금 발생은 모든 문헌에서 측정되었고, 대변실금은 5개 문헌 (Bø & Haakstad, 2011;Glazener et al, 2005;Glazener et al, 2001;Sleep & Grant, 1987;Wilson & Herbison, 1998 케겔요법 후 질 회음근 수축력은 4개 문헌 (Møkved & Bø, 2000;Møkved et al, 2003;Reilly et al, 2002;Wilson & Herbison, 1998 …”