Preventing Urinary Incontinence With Supervised Prenatal Pelvic Floor Exercises

Fritel, Xavier; Tayrac, Renaud de; Bader, G.; Savary, D.; Gueye, Ameth; Deffieux, X.; Fernandez, H.; Richet, C; Guilhot, Joëlle; Fauconnier, Arnaud

doi:10.1097/aog.0000000000000972

Cited by 49 publications

(32 citation statements)

References 17 publications

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“…3PN is a multicenter, randomized study whose main objective was to compare the effect on urinary incontinence at one year postpartum of prenatal rehabilitation compared to receiving written information only. 16 The data collected helped analyze the construct validity of specific questions on prolapse and bowel symptoms but also to explore sensitivity to changes through longitudinal monitoring of these women.…”

Section: Validationmentioning

confidence: 99%

“…3PN women were included in the testing during pregnancy and monitored for one year after childbirth. 16 They completed the French version of FPFQ, the ICIQ-IUSF, and Contilife questionnaires four separate times during monitoring. The 71 women enrolled in the 3PN study in Nîmes University Hospital completed two additional questionnaires covering prolapse symptoms (PFDI-20 and PFIQ-7).…”

Section: Validationmentioning

confidence: 99%

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Cultural adaptation of the female pelvic floor questionnaire (FPFQ) into French

Deparis

Bonniaud

Desseauve

et al. 2015

Neurourology and Urodynamics

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Aims The Female pelvic floor questionnaire (FPFQ) is a self‐administered tool on pelvic floor function. Our aim was to carry out a cultural adaptation of the FPFQ into French and to assess its psychometric properties. Methods After cross‐cultural adaptation into French, acceptability and reliability of the questionnaire were assessed through a sample of 56 women in a test‐retest. Discriminative construct validity was evaluated by comparing the results obtained by the FPFQ to those of other validated questionnaires. Longitudinal follow‐up of the 282 pregnant women included in the PreNatal Pelvic floor Prevention trial (3PN) was used to analyze responsiveness. Results The proportion of missing data did not exceed 4% for questions about bladder function, bowel function, and pelvic organ prolapse; 10% for issues related to sexual function. Question 9 was considered difficult to understand by 14% of women. After rewriting, this issue was retested in a new sample of 52 women and presented no further problems. The intra‐class correlation coefficient was greater than or equal to 0.7 for all domains during the test‐retest. The FPFQ was strongly and significantly correlated (Spearman r > 0.5) with the other validated questionnaires. The French version of FPFQ recorded changes in urinary and sexual symptoms for the women involved in 3PN trial with a standardized response mean equal to 0.83 and 0.44, respectively. Conclusion The French version of the FPFQ is self‐administered, reliable, valid, and can detect a change in symptoms during follow‐up. Neurourol. Urodynam. 36:253–258, 2017. © 2015 Wiley Periodicals, Inc.

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Section: Validationmentioning

confidence: 99%

Section: Validationmentioning

confidence: 99%

Cultural adaptation of the female pelvic floor questionnaire (FPFQ) into French

Deparis

Bonniaud

Desseauve

et al. 2015

Neurourology and Urodynamics

Self Cite

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“…Eleven randomized trials 1,7,8,13,[26][27][28][29][30][31][32] including 2529 women evaluated the effect of PFMT on pelvic floor symptoms ( Table 4). The most frequent outcomes investigated were urinary incontinence (10 trials), pelvic floor muscle strength (five trials), and anal incontinence (two trials).…”

Section: Effect Of Pelvic Floor Muscle Training On Pelvic Floor Symmentioning

confidence: 99%

Systematic review of pelvic floor interventions during pregnancy

Schreiner

Crivelatti

Oliveira

et al. 2018

Intl J Gynecology & Obste

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“…The search in the databases led to the identification of a total of 745 potentially relevant articles. Finally, 26 studies (25 RCTs and 1 with a quasi-RCT design) examining the effects of physiotherapy and PFMEs on the treatment and prevention of pregnancyrelated PFDs, specifically POP, UI, and FI were included in this review (3, (Figure 1). The sample size varied from 20 to 1800.…”

Section: Study Selectionmentioning

confidence: 99%

“…A total of 4 articles selected in this review had explored the effects of physiotherapy and PFMEs on POP prevention and treatment during pregnancy and at postpartum period (16,17,39). In this respect, therapeutic interventions in two studies were PFMEs (3,17). In the study by Bernardes et al (16), both groups had also received interventions, i.e.…”

Section: Physiotherapy and Pfmes For Pop Prevention And Treatmentmentioning

confidence: 99%

Physiotherapy and Pelvic Floor Muscle Exercises for the Prevention and Treatment of Pregnancy-Related Pelvic Floor Dysfunctions: A Systematic Review and Meta-analysis

Khorasani

Ghaderi

Sarbakhsh

et al. 2019

International Journal of Women’s Health and Reproduction Scienc

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Objectives: The present systematic review focused on the prevention or treatment of three main types of pelvic floor dysfunctions (PFDs) specifically pelvic organ prolapse (POP), urinary incontinence (UI), and fecal incontinence (FI) using physiotherapy and pelvic floor muscle exercises (PFMEs). With regard to the breadth of the problem, there is not much evidence grounded on the best management. The main purpose of this systematic review was to evaluate the effects of physiotherapy and PFMEs on the prevention and treatment of pregnancy-related PFDs; namely, POP, FI, and UI. Therefore, this review incorporated studies comparing the use of physiotherapy and PFMEs with every other existing interventions. Methods: This systematic review and meta-analysis was conducted on randomized-controlled-trial (RCT) articles and quasi-RCT designs through a search in the studies published with no time limits until December 2017 in the databases of PubMed (Medline), Web of Science, Scopus, Embase, Cochrane Library, and ProQuest. The meta-analysis was also applied for data synthesis. Moreover, heterogeneity was assessed using Cochran’s Q test and I2 index. Results: A total number of 26 RCTs were examined in this review in which the outcome variables were related to POP, UI, and FI prevalence; POP, UI, and FI severity, as well as pelvic floor muscle (PFM) strength and endurance. In most articles, UI prevalence or severity in intervention groups had significantly improved compared with those in controls. The number of studies examining POP and FI was also relatively low. In two studies, FI severity or prevalence in intervention groups had significantly enhanced in comparison with those in control groups; however, FI prevalence in two articles had been reported lower in intervention groups than that in control groups although no significant difference had been observed. There was also no significant improvement in intervention groups in two other studies in this respect. Besides, three articles had not reported traces of improvement in POP, as well as a significant difference between intervention and control groups. Nevertheless, two studies had found a significant improvement in POP in this regard. Based on meta-analysis results for the variable of PFM strength, Cochran’s Q test (P<0.001) and I2 index (90.02) indicated heterogeneity between studies; so, a random-effect meta-analysis was applied to estimate overall effect sizes. The overall mean differences following intervention between the study groups were also equal to 6.94, with a 95% CI (1.36 to 12.52). Conclusions: It was concluded that physiotherapy and PFMEs might have effects on pregnancy-related UI, but they had not consistently reduced FI severity or prevalence and failed to constantly improve POP.

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Preventing Urinary Incontinence With Supervised Prenatal Pelvic Floor Exercises

Abstract: I.

Cited by 49 publications

References 17 publications

Cultural adaptation of the female pelvic floor questionnaire (FPFQ) into French

Cultural adaptation of the female pelvic floor questionnaire (FPFQ) into French

Systematic review of pelvic floor interventions during pregnancy

Physiotherapy and Pelvic Floor Muscle Exercises for the Prevention and Treatment of Pregnancy-Related Pelvic Floor Dysfunctions: A Systematic Review and Meta-analysis

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