A randomized controlled trial of pelvic floor muscle exercises to treat postnatal urinary incontinence
- PMID: 9849757
- DOI: 10.1007/BF01901501
A randomized controlled trial of pelvic floor muscle exercises to treat postnatal urinary incontinence
Abstract
A randomized controlled trial was carried out to evaluate the extent to which a program of reinforced pelvic floor muscle exercises (PFME) reduces urinary incontinence 1 year after delivery. Two hundred and thirty women who were incontinent 3 months postpartum were randomized to either a control group doing standard postnatal pelvic floor muscle exercises (n = 117) or to an intervention group (n = 113) who saw a physiotherapist for instruction at approximately 3, 4, 6 and 9 months postpartum. Results collected 12 months after delivery included prevalence and frequency of incontinence and PFME, sexual satisfaction, perineometry measurements and pad tests. Twenty-six (22%) of the control group and 59 (52%) of the intervention group withdrew before the final assessment. The prevalence of incontinence was significantly less in the intervention group than in the control group (50% versus 76%, P=0.0003), and this group also did significantly more PFME. There were no significant differences between the groups as regards sexual satisfaction, perineometry measurements or pad test results.
Similar articles
-
Can postpartum pelvic floor muscle training reduce urinary and anal incontinence?: An assessor-blinded randomized controlled trial.Am J Obstet Gynecol. 2020 Mar;222(3):247.e1-247.e8. doi: 10.1016/j.ajog.2019.09.011. Epub 2019 Sep 14. Am J Obstet Gynecol. 2020. PMID: 31526791 Clinical Trial.
-
Prevention of postpartum stress incontinence in primigravidae with increased bladder neck mobility: a randomised controlled trial of antenatal pelvic floor exercises.BJOG. 2002 Jan;109(1):68-76. doi: 10.1111/j.1471-0528.2002.t01-1-01116.x. BJOG. 2002. PMID: 11845813 Clinical Trial.
-
Effect of electromyographic biofeedback as an add-on to pelvic floor muscle exercises on neuromuscular outcomes and quality of life in postmenopausal women with stress urinary incontinence: A randomized controlled trial.Neurourol Urodyn. 2017 Nov;36(8):2142-2147. doi: 10.1002/nau.23258. Epub 2017 May 16. Neurourol Urodyn. 2017. PMID: 28508398 Clinical Trial.
-
Pelvic floor muscle training for prevention and treatment of urinary and fecal incontinence in antenatal and postnatal women: a short version Cochrane review.Neurourol Urodyn. 2014 Mar;33(3):269-76. doi: 10.1002/nau.22402. Epub 2013 Apr 24. Neurourol Urodyn. 2014. PMID: 23616292 Review.
-
Pelvic floor muscle training for prevention and treatment of urinary and faecal incontinence in antenatal and postnatal women.Cochrane Database Syst Rev. 2008 Oct 8;(4):CD007471. doi: 10.1002/14651858.CD007471. Cochrane Database Syst Rev. 2008. Update in: Cochrane Database Syst Rev. 2012 Oct 17;10:CD007471. doi: 10.1002/14651858.CD007471.pub2. PMID: 18843750 Updated. Review.
Cited by
-
The effectiveness of group-based pelvic floor muscle training in preventing and treating urinary incontinence for antenatal and postnatal women: a systematic review.Int Urogynecol J. 2022 Jun;33(6):1407-1420. doi: 10.1007/s00192-021-04960-2. Epub 2021 Aug 28. Int Urogynecol J. 2022. PMID: 34453550 Free PMC article. Review.
-
Pelvic-Floor Dysfunction Prevention in Prepartum and Postpartum Periods.Medicina (Kaunas). 2021 Apr 16;57(4):387. doi: 10.3390/medicina57040387. Medicina (Kaunas). 2021. PMID: 33923810 Free PMC article. Review.
-
Pelvic floor muscle training for preventing and treating urinary and faecal incontinence in antenatal and postnatal women.Cochrane Database Syst Rev. 2020 May 6;5(5):CD007471. doi: 10.1002/14651858.CD007471.pub4. Cochrane Database Syst Rev. 2020. PMID: 32378735 Free PMC article.
-
Association of Knowledge and Presence of Pelvic Floor Disorders and Participation in Pelvic Floor Exercises: A Cross-sectional Study.Female Pelvic Med Reconstr Surg. 2021 May 1;27(5):310-314. doi: 10.1097/SPV.0000000000000813. Female Pelvic Med Reconstr Surg. 2021. PMID: 32217913 Free PMC article.
-
Pelvic Floor Muscle Exercise Education and Factors Associated with Implementation among Antenatal Women in Hospital Universiti Sains Malaysia.Korean J Fam Med. 2019 Jan;40(1):45-52. doi: 10.4082/kjfm.17.0136. Epub 2019 Jan 7. Korean J Fam Med. 2019. PMID: 30613064 Free PMC article.