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

Ko, Po-Chun; Liang, Chen; Chang, Shuenn‐Dyh; Lee, Jian Tao; Chao, An‐Shine; Cheng, Po‐Jen

doi:10.1007/s00192-010-1248-4

Cited by 64 publications

(88 citation statements)

References 19 publications

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“…For antepartum PFMT: Intensive supervised PFMT reduces UI prevalence in late pregnancy and 3-6 months postpartum; [15,16] but this effect was no longer evident 6 years after the indexed delivery in pregnant women having their first baby (Level of Evidence: 2). [16] For postpartum PFMT: In primiparous and multiparous women at potentially greater risk of postpartum UI after a large baby or forceps delivery, intensive supervised PFMT reduces UI prevalence at 3 months postpartum but not at 1 year (Level of Evidence: 2).…”

Section: (1b) Pelvic Floor Muscle Training (Pfmt)mentioning

confidence: 99%

Conservative management for female urinary incontinence and pelvic organ prolapse review 2013: Summary of the 5th International Consultation on Incontinence

Dumoulin

Hunter

Moore

et al. 2014

Neurourology and Urodynamics

115

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AimsThe objective of the 5th International Consultation on Incontinence (ICI) chapter on Adult Conservative Management was to review and summarize the new evidence on conservative management of urinary incontinence (UI) and pelvic organ prolapse (POP) in order to compile a current reference source for clinicians, health researchers, and service planners. In this paper, we present the review highlights and new evidence on female conservative management. MethodsRevision and updates of the 4th ICI Report using systematic review covering years 2008-2012. ResultsEach section begins with a brief definition and description of the intervention followed by a summary, where possible, of both the state and level of evidence for prevention and treatment, and ends with a "grade of recommendation." The paper concludes with areas identified as requiring further research. ConclusionsFor UI, there are no prevention trials on lifestyle interventions. There are, however, few new intervention trials of lifestyle interventions involving weight loss and fluid intake with improved levels of evidence and grade of recommendation. Outside of pre-and post-natal pelvic floor muscle training (PFMT) trials for the prevention of female UI, there is a dearth of PFMT prevention trials for women with UI. PFMT remains the first-line treatment for female UI with high levels of evidence and grades of recommendation. Bladder training levels of evidence and grades of recommendation are maintained. For POP, new evidence supports the effectiveness of physiotherapy in the treatment of POP and there are now improved levels of evidence and grades of recommendation. Neurourol. Urodynam. 35:15-20, 2016.

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Section: (1b) Pelvic Floor Muscle Training (Pfmt)mentioning

confidence: 99%

Conservative management for female urinary incontinence and pelvic organ prolapse review 2013: Summary of the 5th International Consultation on Incontinence

Dumoulin

Hunter

Moore

et al. 2014

Neurourology and Urodynamics

115

View full text Add to dashboard Cite

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“…Ko, et al [16] A randomized controlled trial of antenatal pelvic floor exercises to prevent and treat urinary incontinence RCTs ++ 300 pregnant women 200 women were randomly assigned PFMT The remaining 100 were nonintervention group (usual antenatal care…”

Section: Discussionmentioning

confidence: 99%

“…In the cases where PFMT was used, the women were more likely to experience improvement or get cured entirely [5,16]. These women also reported fewer leakage episodes per day, better quality of life, and have less urine leakage on short pad tests as compared to non-treatment.…”

Section: Implications For Practicementioning

confidence: 92%

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Comparison between the Significant of Antenatal Pelvic Floor Exercises and Non-Intervention in Preventing Urinary Incontinence: A Systematic Literature Review

Alfarra¹

2017

J Nov Physiother

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IntroductionUrinary incontinence as defined by the International Continence Society is the complain of any involuntary leakage of urine [1][2][3]. The world Health Organization (WHO) has classified UI as one of the ten major health problems of present times among women [4]. Causes of UI can be divided into: dysfunction of the bladder or urethra, and neurological or gynecological causes. Gynecological components include: the weakening of pelvic floor muscles, gynecological and obstetrical operations and pelvic organ prolapse [5]. Existing evidence indicates that both natural delivery, as well as the pregnancy itself [6] has a prominent impact on the functioning of pelvic floor muscles and the occurrence of urinary incontinence. SUI occurs when intra-vesical pressure exceeds urethral closure pressure in the absence of a detrusor contraction. SUI may be due to bladder neck hyper-mobility or poor urethral closure pressure [7]. The pelvic floor muscles (PFM) function to elevate the bladder, preventing descent of the bladder neck during rises in intra-abdominal pressure and to occlude the urethra. The theoretical basis for physical therapy to treat SUI is to improve PFM function by increasing strength, coordination, speed and endurance [5] in order to maintain an elevated position of bladder neck during raised intra-abdominal pressure with adequate urethral closure force [8]. Since 1992, conservative management of SUI has been promoted by the US Department of Health and Human Services (AHCPER) as first -line treatment for SUI for its efficacy, low cost and low risk [9].According to Boyle [10], up to a third of women have urinary incontinence while about a 10 th of them have stool incontinence after delivery. Urinary incontinence is a major clinical problem with profound effects on the quality of life and day-to-day activities of the affected women. It's physically debilitating and socially incapacitating, with loss of self-confidence, helplessness, depression and anxiety all related to its occurrence. Affected women suffer social stigma and are withdrawn socially. As a result their productivity is significantly reduced and may lose interest in life.Chiarelli P [11] indicates that the prevalence of urinary incontinence among women increases during young adult life: a study with over 40000 women estimated a prevalence of 12.8% in women aged 18-22 years, 36.1% in women aged 40-49, and 35% in women aged 70-74 years.The severity of urinary incontinence varies in severity ranging from mild, moderate to severe forms. These levels of incontinence require different approaches in management in terms of duration and intensity. AbstractBackground: Urinary incontinence is a common symptom observed in modern times, which may affect 7-37% of women aged 20-39 and 9-39% after the age of 60. Pregnancy and natural delivery are important risk factors increasing the likelihood of incontinence. Conservative intervention such as pelvic floor muscle training (PFMT) is superior in preventing and treating urinary incontinence.

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“…www.kan.or.kr (Bø & Haakstad, 2011;Ko et al, 2011;Møkved et al, 2003;Reilly et al, 2002;Taskin et al, 1996) Table 1).…”

mentioning

confidence: 99%

Effect of Kegel Exercise to Prevent Urinary and Fecal Incontinence in Antenatal and Postnatal Women: Systematic Review

et al. 2013

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Purpose: The aim of this study was to review the literature to determine whether intensive pelvic floor muscle training during pregnancy and after delivery could prevent urinary and fecal incontinence. Methods: Randomized controlled trials (RCT) of low-risk obstetric populations who had done Kegel exercise during pregnancy and after delivery met the inclusion criteria. Articles published between 1966 and 2012 from periodicals indexed in Ovid Medline, Embase, Scopus, KoreaMed, NDSL and other databases were selected, using the following keywords: 'Kegel, pelvic floor exercise'. The Cochrane's Risk of Bias was applied to assess the internal validity of the RCT. Fourteen selected studies were analyzed by meta-analysis using RevMan 5.1. Results: Fourteen RCTs with high methodological quality, involving 6,454 women were included. They indicated that Kegel exercise significantly reduced the development of urinary and fecal incontinence from pregnancy to postpartum. Also, there was low clinical heterogeneity. Conclusion: There is some evidence that for antenatal and postnatal women, Kegel exercise can prevent urinary and fecal incontinence. Therefore, a priority task is to develop standardized Kegel exercise programs for Korean pregnant and postpartum women and make efficient use of these programs.

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

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

Cited by 64 publications

References 19 publications

Conservative management for female urinary incontinence and pelvic organ prolapse review 2013: Summary of the 5th International Consultation on Incontinence

Conservative management for female urinary incontinence and pelvic organ prolapse review 2013: Summary of the 5th International Consultation on Incontinence

Comparison between the Significant of Antenatal Pelvic Floor Exercises and Non-Intervention in Preventing Urinary Incontinence: A Systematic Literature Review

Effect of Kegel Exercise to Prevent Urinary and Fecal Incontinence in Antenatal and Postnatal Women: Systematic Review

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