Pelvic floor muscle training for prevention and treatment of urinary incontinence during pregnancy and after childbirth and its effect on urinary system and supportive structures assessed by objective measurement techniques

Soave, Ilaria; Scarani, Simona; Mallozzi, Maddalena; Nobili, F; Marci, Roberto; Caserta, Donatella

doi:10.1007/s00404-018-5036-6

Cited by 44 publications

(48 citation statements)

References 73 publications

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“…Regardless of the types of incontinence, studies have reported pelvic floor muscle exercise (PFME) to be an effective exercise in treating SUI and MUI by strengthening the pelvic floor muscles [ 12 – 16 ]. Many randomized controlled trials have reported positive results using PFME as a preventative measure and intervention in treating and preventing UI among pregnant and postpartum women [ 7 , 17 ]. Hence, this exercise should be a standard component of perinatal care, and women should be advised and taught to perform PFME during pregnancy and postpartum.…”

Section: Introductionmentioning

confidence: 99%

Urinary incontinence and its association with pelvic floor muscle exercise among pregnant women attending a primary care clinic in Selangor, Malaysia

et al. 2020

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Background Urinary Incontinence (UI) is when a person is unable to hold his/her urine effectively. This is a common problem which can develop and worsen during pregnancy. An effective way to manage UI is to educate patients on the Pelvic Floor Muscle Exercise (PFME) regularly. The present study aimed to ascertain the pregnant women’s knowledge, attitudes, and practices (KAP) related to PFME. Methods This was a cross-sectional study done in a one primary care clinic located in a semi-urban area in Selangor, Malaysia. Simple random sampling was conducted among pregnant women aged 18 years old and above at any gestation. The validated study instruments used consisted of questions on socio-demography, KAP on UI, and also the International Consultation on Incontinence Questionnaire-Urinary Incontinence Short Form to determine UI among the respondents. Results The response rate for this study was 72.1%, where 440 pregnant women consented to take part in the study. The median age of study respondents was 30 years old and majority of the study respondents was from the Malay ethnicity (80.9%). The prevalence of UI was 40.9%. The proportion of pregnant women with good knowledge, attitude and practice scores were 58.0%, 46.6% and 45.2% respectively. There was a significant association between UI and age (p = .03), body mass index (p = .03), ethnicity (p = .04), gravida. (p = .001), knowledge on PFME (p = .007) and attitude towards PFME (p = .006). Conclusions Findings from this study fill a gap in the prevalence and KAP concerning PFME at the primary care level. The foundation areas for future education and health promotion on UI should address the importance of correct PFME. This education can be delivered through a pragmatic way to ensure its effectiveness and sustainability of the health promotion program.

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Section: Introductionmentioning

confidence: 99%

Urinary incontinence and its association with pelvic floor muscle exercise among pregnant women attending a primary care clinic in Selangor, Malaysia

et al. 2020

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“…Indeed, previous reports showed that continued adherence was the key to enhance the training effectiveness (Kim, Yoshida, & Suzuki, 2011) and that intensive follow-up training by an instructor was more effective, compared with nonintensive PFMT . In this study, follow-up instructions during the period of home PFMT were held twice, which were fewer than the instructions for the other intensive programs (Boyle et al, 2012;Soave et al, 2019). Some studies on PFMT effects considered a protocol with 1-weekly supervised session as an intensive program (Soave et al, 2019).…”

Section: Discussionmentioning

confidence: 99%

“…In this study, follow-up instructions during the period of home PFMT were held twice, which were fewer than the instructions for the other intensive programs (Boyle et al, 2012;Soave et al, 2019). Some studies on PFMT effects considered a protocol with 1-weekly supervised session as an intensive program (Soave et al, 2019). Therefore, closer follow-up may be desirable to maximize the effect of a PFMT program Morkved & Bo, 1997).…”

Section: Discussionmentioning

confidence: 99%

Effect of pelvic floor muscle training program in reducing postpartum levator hiatus area in Japanese women: A prospective cohort study using three‐dimensional ultrasonography

Takaoka

Kobayashi

Taniguchi

2020

Japan Journal Nursing Sci

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Aim: To assess the effect of a pelvic floor muscle training (PFMT) program on postpartum levator hiatus area. Methods: A prospective cohort study was conducted at a clinic in Japan. Training and control groups were recruited from outpatient pregnant women at two separate time periods. Only the training group underwent the PFMT program, including education for home PFMT, home PFMT, and follow-up instructions. Education for home PFMT was held by 1 month postpartum to acquire the correct contraction of the pelvic floor muscle. Home PFMT was prescribed between 1 and 5 months postpartum; during this period, follow-up instructions were provided to keep the women motivated. Before and after home PFMT, the levator hiatus area was measured using ultrasonography. Results: In total, 44 women in the training group and 45 in the control group were analyzed. There were 36 women who reached a high adherence to three daily sets of home PFMT. The reduction in the levator hiatus area at rest was not statistically higher in the training group than that in the control group. For the subgroup with high adherence, the reduction in the area at rest was significantly higher by 4.43% in the training group than that in the control group (19.90% vs. 15.49%). Conclusions: Although the PFMT program did not significantly reduce the postpartum levator hiatus area at rest, performing at least three sets of home PFMT each day significantly reduced the levator hiatus area by 4.43%.

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“…When muscle strength and pelvic floor support are abnormal, UI is prone to occur. Some researchers reported that during pregnancy and postpartum pelvic floor muscle training improved muscle strength and endurance and decreased the rate of UI 17,18 19 …”

Section: Discussionmentioning

confidence: 99%

Association of pelvic floor function with postoperative urinary incontinence in cervical cancer patients after the radical hysterectomy

Wang

Wen

et al. 2020

Neurourology and Urodynamics

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Aims: To assess the pelvic floor function in cervical cancer patients after radical hysterectomy and its relationship with urinary incontinence (UI). Methods: Cervical cancer patients who underwent radical hysterectomy were recruited from 18 hospitals in China from January 2012 to March 2015. Pelvic floor examinations were conducted by measuring the pelvic floor muscle strength, fatigue of pelvic floor muscle fatigue, dynamic pressure of vaginal, nerve injury, A3 feedback, muscle potential, static tension, and dynamic tension. Postoperative urinary incontinence (UI) was identified using the International Consultation on Incontinence Questionnaire. Multivariable logistic regression analysis was used to assess the association of pelvic floor function examination results with postoperative UI.

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Pelvic floor muscle training for prevention and treatment of urinary incontinence during pregnancy and after childbirth and its effect on urinary system and supportive structures assessed by objective measurement techniques

Cited by 44 publications

References 73 publications

Urinary incontinence and its association with pelvic floor muscle exercise among pregnant women attending a primary care clinic in Selangor, Malaysia

Urinary incontinence and its association with pelvic floor muscle exercise among pregnant women attending a primary care clinic in Selangor, Malaysia

Effect of pelvic floor muscle training program in reducing postpartum levator hiatus area in Japanese women: A prospective cohort study using three‐dimensional ultrasonography

Association of pelvic floor function with postoperative urinary incontinence in cervical cancer patients after the radical hysterectomy

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