A randomized controlled trial of antenatal pelvic floor exercises to prevent and treat urinary incontinence
- 1.5k Downloads
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.
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.
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.
PFME applied in pregnancy is effective in the treatment and prevention of urinary incontinence during pregnancy, and this effect may persist to postpartum period.
KeywordsPelvic floor muscle exercise Pregnancy Postpartum Urinary incontinence
Stress urinary incontinence
Pelvic floor muscle exercise
Incontinence Impact Questionnaire
Urogenital Distress Inventory
This work was supported by the Medical Research Project, Chang Gung Memorial Hospital (CMRPG370321 and BMRP412). The authors would like to thank Drs. Yao-Lung Chang, Chao-Nin Wang, and Ho-Yen Chueh, and physiotherapists of our urogynecological division for their assistance to accomplish this study.
Conflicts of interest
- 10.Reilly ETC, Freeman RM, Waterfield MR, Waterfield AE, Steggles P, Pedlar F (2002) Prevention of postpartum stress incontinence in primigravidae with increased bladder neck mobility: a randomized controlled trial of antenatal pelvic floor exercises. Br J Obstet Gynaecol 109:68–76CrossRefGoogle Scholar
- 11.Uebersax JS, Wyman JF, Shumaker SA, McClish DK, Fantl JA (1995) Short forms to assess life quality and symptom distress for urinary incontinence in women: the Incontinence Impact Questionnaire and the Urogenital Distress Inventory. Continence Program for Women Research Group. Neurourol Urodyn 14:131–139CrossRefPubMedGoogle Scholar
- 14.Shumaker SA, Wyman JF, Uebersax JS, McClish D, Fantl JA (1994) Health-related quality of life measures for women with urinary incontinence: the incontinence impact questionnaire and the urogenital distress inventory. Continence Program in Women (CPW) research group. Qual Life Res 3:291–306CrossRefPubMedGoogle Scholar