Original Article

International Urogynecology Journal

, Volume 22, Issue 1, pp 17-22

First online:

A randomized controlled trial of antenatal pelvic floor exercises to prevent and treat urinary incontinence

  • Po-Chun KoAffiliated withDepartment of Obstetrics and Gynecology, Chang Gung Memorial Hospital at Linkou
  • , Ching-Chung LiangAffiliated withDepartment of Obstetrics and Gynecology, Chang Gung Memorial Hospital at LinkouCollege of Medicine, Chang Gung University Email author 
  • , Shuenn-Dhy ChangAffiliated withDepartment of Obstetrics and Gynecology, Chang Gung Memorial Hospital at LinkouCollege of Medicine, Chang Gung University
  • , Jian-Tao LeeAffiliated withSchool of Nursing, Chang Gung University
  • , An-Shine ChaoAffiliated withDepartment of Obstetrics and Gynecology, Chang Gung Memorial Hospital at LinkouCollege of Medicine, Chang Gung University
  • , Po-Jen ChengAffiliated withDepartment of Obstetrics and Gynecology, Chang Gung Memorial Hospital at LinkouCollege of Medicine, Chang Gung University

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Abstract

Introduction and hypothesis

The aim of the study was to evaluate the effect of antenatal pelvic floor muscle exercise (PFME) in the prevention and treatment of urinary incontinence during pregnancy and postpartum period.

Methods

Three hundred women were randomly assigned to the PFME group and control group. Urinary symptoms were measured by Urogenital Distress Inventory-6 (UDI-6), Incontinence Impact Questionnaire-7 (IIQ-7), and question of self-reported urinary incontinence. Questionnaire scores of the PFME and the control groups were compared and analyzed.

Results

During late pregnancy and the postpartum period, the PFME group had significantly lower total UDI-6 and IIQ-7 scores; their self-report rate of urinary incontinence was also less than the control group. Additionally, we found whether in PFME or control, women who delivered vaginally were more likely to develop postpartum urinary leakage than women who delivered by cesarean section.

Conclusions

PFME applied in pregnancy is effective in the treatment and prevention of urinary incontinence during pregnancy, and this effect may persist to postpartum period.

Keywords

Pelvic floor muscle exercise Pregnancy Postpartum Urinary incontinence