Effect of pelvic floor muscle exercises in the treatment of urinary incontinence during pregnancy and the postpartum period
- 1.4k Downloads
Introduction and hypothesis
The aim of this study was to determine the effectiveness of pelvic floor muscle exercises on urinary incontinence during pregnancy and the postpartum period.
The study was carried out on 80 pregnant women (study group, 40 subjects; control group, 40 subjects).The study group was trained by the researcher on how to do the pelvic floor muscle exercises. Both groups were evaluated for pelvic floor muscle strength and urinary complaints in their 36th to 38th week of pregnancy and postpartum sixth to eighth week.
The study group had a significant decrease in urinary incontinence episodes during pregnancy and in the postpartum period, and their pelvic floor muscle strength increased to a larger extent. Control group had an increase in the postpartum muscle strength and decrease in the incontinence episodes in the postpartum period.
Pelvic floor muscle exercises are quite effective in the augmentation of the pelvic floor muscle strength and consequently in the treatment of urinary incontinence.
KeywordsPelvic floor muscle exercise Pregnancy Postpartum Urinary incontinence
This work was supported by the Research Fund of the University of Istanbul (project number T-126/11112002). We would like to thank to Associate Professor Halim Issever and Professor Dr. Rian Disci who are members of the School of Medicine in Istanbul University for their contributions in the statistical analyses.
Conflicts of interest
- 1.Smith KM, Drutz HP (2002) The effect of pregnancy and childbirth on the lower urinary tract and pelvic floor. In: Harold PD, Senders HN, Dioment E (eds) Female pelvic medicine and reconstructive pelvic surgery. Springer, London, pp 69–78Google Scholar
- 8.Dougherty MC, Walters M (1993) Genuine Stress Incontinence: Nonsurgical treatment. In: Walters MD, Karram MM (eds) Clinical urogynecology. Mosby, St. Louis, pp 163–181Google Scholar
- 9.Ostergard DR, Bend AE (1996) Urogynecology and uodynamic theory and practice. William & Wilkins, London, pp 51–269Google Scholar
- 10.Medin K, Wallace (1992) Pelvic muscle training manual. National Association for Continence (NAFC), ISBN 91-7584-117-7Google Scholar
- 11.Adams C, Frahm J (1995) Sounders manuel of physical therapy practice. Saunders, Philadelphia, pp 459–504Google Scholar
- 12.Cardozo L, Cutner A (1997) Lower urinary tract symptoms in pregnancy. Br J Urol 8(supply 19):14–23Google Scholar
- 16.Mørkved S, Bø K (2000) Effect of postpartum pelvic floor muscle training in prevention and treatment of urinary incontinence: a one-year follow up. Br J Obstet Gynaecol 107:1022–1028Google Scholar
- 17.Wilson PD, Herbison RM, Herbison GP (1996) Obstetric practice and the prevalence of urinary incontinence three months after delivery. Br J Obstet Gynecol 103:154–161Google Scholar
- 18.Cardozo L (1997) Urogynecology the King's approach. Pearson Professional, London, pp 417–442Google Scholar
- 20.SL S, Kerr-Wilson R, Grant Horris V (1980) The incidence of urological symptoms in normal pregnancy. Br J Obstet Gynaecol 87:897–900Google Scholar