Pelvic floor muscle training for urinary incontinence postpartum

Hall, Bethany; Woodward, Sue

doi:10.12968/bjon.2015.24.11.576

Cited by 7 publications

(5 citation statements)

References 24 publications

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“…These increases added to the excessive gain in body mass and the action of hormones such as relaxin, progesterone, and estrogen that generate more excellent elasticity of the PF tissues 7,26 can cause urinary and fecal incontinence, pain, and sexual dysfunction if the musculature is not prepared. Progesterone is responsible for decreasing the pressure of urethral closure and also for the hypotonicity of the PF, and relaxin and estrogen increase the amount of water in the tissues of the pelvic region 7,27 , which directly relates to decreases in the strength of PF muscles and, consequently, to the emergence of urinary incontinence, as mentioned by several study authors 1,8,10,28 . They are also essential during labor, as this region must have sufficient extensibility to allow the fetus to pass through the vaginal canal without lacerations.…”

Section: Discussionmentioning

confidence: 97%

Pelvic floor muscle training program for women in the puerperal period: clinical progress after intervention

Monteiro

Micussi

Cruz

et al. 2021

Rev. Assoc. Med. Bras.

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OBJECTIVE: To evaluate the sexual function of women in the puerperal period after a postpartum pelvic floor musculature training program. We also sought to evaluate correlations between sexual dysfunction in the women and their delivery type and compare the frequency of sexual dysfunction and the quality of resumed sexual function following vaginal and cesarean deliveries. METHODS: This clinical study included an intervention, carried out between July and December 2019, in which data were collected about 28 rooming-in women at a Maternity School. Data were divided into vaginal delivery and cesarean delivery. Sexual function was evaluated by the Female Sexual Function Index and the International Consultation on Incontinence Questionnaire-Short Form to assess the Incontinence Urinary and qualifies urinary loss. The intervention consisted of a muscle training exercise program. ANOVA tests were used to establish differences between groups. RESULTS:There was an improvement in all outcomes, but there was no time versus group interaction. Improvement in sexual function was observed (p<0.001), the impact of urinary incontinence on quality of life (p<0.001), and pressure of the muscles of pelvic floor muscles (p<0.001) over time. There was no time versus group interaction for sexual function (p=0.87), the impact of urinary incontinence on quality of life (p=0.88), and pressure of the pelvic floor muscles (p=0.66).CONCLUSIONS: Pelvic floor muscle exercise programs seem to be a very promising strategy concerning improving sexual activity among puerperal patients.

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Section: Discussionmentioning

confidence: 97%

Pelvic floor muscle training program for women in the puerperal period: clinical progress after intervention

Monteiro

Micussi

Cruz

et al. 2021

Rev. Assoc. Med. Bras.

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“…PFM exercises are recommended as the first line of treatment in pelvic floor dysfunction, incl. UI 31 , 32 , as well as during pregnancy and after delivery 32 . Therefore, it was decided to conduct the research in order to educate women about PFM using the BeBo Concept as a method which is used to prevent and treat pelvic floor muscle dysfunction.…”

Section: Discussionmentioning

confidence: 99%

Physiotherapy according to the BeBo Concept as prophylaxis and treatment of urinary incontinence in women after natural childbirth

Śnieżek

Czechowska

Curyło

et al. 2021

Sci Rep

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Pelvic floor muscle dysfunctions can lead to urinary incontinence, a condition which often affects women both during pregnancy and after childbirth. As a result of this, certain exercises are recommended during and after pregnancy to prevent and treat this incontinence, and the BeBo Concept is one of these methods used to prevent pelvic floor muscle dysfunction. The aim of the present study was to evaluate the effects of a 6-week course of physical therapy according to the BeBo Concept on the improvement of perineal muscle strength and endurance as well as urinary continence in women after their first vaginal delivery. The study was conducted on a group of 56 women who were randomly assigned to the exercise (n = 30) or control (n = 26) group. The exercising group participated in a 6-week physical therapy program according to the BeBo Concept. Pelvic floor muscles were assessed using the perineometer and palpation Perfect Test. UDI6 and ICIQ-SF questionnaires were used to obtain information about the symptoms of urinary incontinence, evaluate the frequency, severity and impact of urine leakage on the quality of life. In all women after natural childbirth, regardless of treatment, it was observed that measured parameters improved, but the improvement was slightly more explicit in those who participated in the Bebo Concept exercise group (e.g. ICIQ-SF exercise group p = 0.001, control group p = 0.035). Due to its positive impact on the pelvic floor, this exercise program should be recommended to women after natural childbirth.

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“…Furthermore, this review will improve our understanding of the treatment for postpartum sexual dysfunction with non-pharmacological therapies. Research on female sexuality during the postpartum period is of extreme importance; however, many professionals neglect the emotional and sexual needs of these patients 8 12–18…”

Section: Discussionmentioning

confidence: 99%

“…Female sexual dysfunction typically affects more than one aspect of sexuality (eg, orgasm, desire and arousal), and most therapies also impact several aspects. Thus, it is not generally possible to identify an isolated sexual issue and select a therapy that specifically targets that concern 11–21…”

Section: Introductionmentioning

confidence: 99%

“…Postpartum sexual dysfunction is not a rare condition; indeed, a longitudinal study found that 26.5%–34.8% of women were at risk of sexual dysfunction in pregnancy and puerperium 26. Factors beyond delivery that can contribute to postpartum sexual dysfunction include perineal trauma (surgical or non-surgical)14–16; emergency caesarean delivery or vacuum-assisted vaginal delivery11 12; low oestrogen and lubrication levels, particularly in breastfeeding women14–18 and postpartum mood changes, fatigue and time constraints 18 19. Although studies have reported that certain sexual problems reported by postpartum women, such as lack of vaginal lubrication and pain during intercourse, returned to levels similar to those found before pregnancy at approximately 12 months postpartum, the rate of decreased interest in sexual activity remained higher in these patients 20–25 27…”

Section: Introductionmentioning

confidence: 99%

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Non-pharmacological interventions for treating sexual dysfunction in postpartum women: a systematic review protocol

et al. 2019

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IntroductionSexual dysfunction in the postpartum period is a very common and relevant clinical problem, which has a significant adverse impact on the health of women. We aim to analyse the efficacy and safety of non-pharmacological interventions for treating sexual dysfunction in postpartum women. Our review aims to provide accurate data for effective policy-making and improve our understanding of the treatment of postpartum sexual dysfunction with non-pharmacological therapies.Methods and analysisThe Cochrane Central Register of Controlled Trials in The Cochrane Library, clinicaltrials.gov, Medline/PubMed, CINAHL (Cumulative Index to Nursing and Allied Health Literature), LILACS (Literatura Latino-americana e do Caribe em Ciências da Saúde) and Embase will be used to search for articles dated from database inception to July 2019. Randomised controlled clinical trials and large prospective cohorts with control groups using non-pharmacological treatments for sexual dysfunction in postpartum women will be included. Sexual problems are directly linked to sexual dysfunction; thus, the primary outcome will be the absolute number or percentage of sexual issues in each treatment group. The secondary outcomes will be assessed by decreased sexual problems, such as lack of lubrication, decreased libido and difficulty reaching orgasm. Three reviewers will independently select trials and extract data from the original publications. The citations will be screened independently by reviewers in duplicate. The risk of bias of the included studies will be assessed according to the Cochrane risk of bias tool. Data synthesis will be performed using Review Manager (RevMan) software V.5.2.3. In the event that a meta-analysis is possible, we will assess the heterogeneity across the studies by computing the I2statistic.Ethics and disseminationAs the design of this study includes a review of published data, the need to obtain ethical approval was waived by our institutional review committee. We intend to publish the findings of this systematic review in a peer-reviewed journal.PROSPERO registration numberCRD42018103077.

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Pelvic floor muscle training for urinary incontinence postpartum

Cited by 7 publications

References 24 publications

Pelvic floor muscle training program for women in the puerperal period: clinical progress after intervention

Pelvic floor muscle training program for women in the puerperal period: clinical progress after intervention

Physiotherapy according to the BeBo Concept as prophylaxis and treatment of urinary incontinence in women after natural childbirth

Non-pharmacological interventions for treating sexual dysfunction in postpartum women: a systematic review protocol

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