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International Urogynecology Journal

, Volume 27, Issue 2, pp 255–260 | Cite as

Impact of pelvic floor muscle training in the postpartum period

  • Louise-Helene Gagnon
  • Jodi Boucher
  • Magali Robert
Original Article

Abstract

Introduction and hypothesis

Our study piloted a novel, two-tiered approach to delivering pelvic floor muscle training (PFMT) to postpartum women involving a standardized group workshop followed by the opportunity to self-select for individual PFMT sessions. The aim of the study was to evaluate the outcomes in women who self-selected for individual PFMT using validated quality of life (QoL) questionnaires, the Pelvic Floor Distress Inventory-20 (PFDI-20), the Pelvic Floor Impact Questionnaire-7 (PFIQ-7), the Pelvic Organ Prolapse/Urinary Incontinence Sexual Questionnaire-12 (PISQ-12), as well as the Modified Oxford Scale (MOS) for strength. Women’s satisfaction with the program was also assessed.

Methods

This was a single-center prospective cohort study conducted between December 2013 and September 2014. Changes from baseline to postintervention QoL and MOS scores were tested using the Wilcoxon signed-rank test.

Results

Two hundred and eighteen women attended the workshop, 54 enrolled in PFMT sessions, and 50 completed follow-up. Significant improvements were seen in the PFDI-20 (mean change −41.8, p < 0.001) and PFIQ-7 (mean change −23.0, p < 0.001) questionnaires. Results for the PISQ-12 could not be tabulated, as there were too many missing responses. The MOS score was significantly improved from baseline (4; range {0–5} compared with 3; range {0–4}; p < 0.001). Forty-nine of 50 women’s expectations for the program were met [9 of 10; standard deviation (SD) 1.4].

Conclusion

Results suggest that a two-tiered, self-selection approach to administering PFMT in the postpartum period contributes to significant improvements in pelvic floor function, QoL, MOS strength, and to high satisfaction rates.

Keywords

Pelvic floor muscle training Quality of life Postpartum 

Notes

Acknowledgments

The following people contributed to data collection and analysis: Kirk Stephenson and Selphee Tang. The authors are grateful for support from the Canadian Foundation for Women’s Health and the Canadian Continence Foundation supported by Watson Pharma Company.

Conflicts of interest

None.

Supplementary material

192_2015_2822_MOESM1_ESM.docx (672 kb)
ESM 1 (DOCX 671 kb)

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Copyright information

© The International Urogynecological Association 2015

Authors and Affiliations

  • Louise-Helene Gagnon
    • 1
  • Jodi Boucher
    • 2
  • Magali Robert
    • 3
  1. 1.Division of Urogynecology, Department of Obstetrics and GynecologyUniversity of CalgaryCalgaryCanada
  2. 2.Division of UrogynecologyUniversity of CalgaryCalgaryCanada
  3. 3.Division of Urogynecology, Department of Obstetrics and GynecologyUniversity of CalgaryCalgaryCanada

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