Effect of Pelvic Muscle Exercise on Transient Incontinence During Pregnancy and After Birth

Sampselle, Carolyn M.; Miller, Janis M.; Mims, Barbara; DeLancey, John O.L.; Ashton‐Miller, James A.; Antonakos, Cathy L.

doi:10.1097/00005392-199909010-00125

Cited by 79 publications

(193 citation statements)

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“…5,6 Antenatal pelvic floor muscle training (PFMT) has been shown to reduce the incidence of postnatal SUI in the short term. [7][8][9] However, in their 6-year follow-up study of postnatal PFMT, Glazener et al 10 showed a lack of long-term benefit with three-quarters of women still incontinent 6 years later.…”

Section: Introductionmentioning

confidence: 99%

The long‐term effectiveness of antenatal pelvic floor muscle training: eight‐year follow up of a randomised controlled trial

Agur

Steggles

Waterfield

et al. 2008

BJOG

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Objective To determine the long-term effectiveness of antenatal pelvic floor muscle training (PFMT) on stress urinary incontinence (SUI).Design Eight-year follow up of a randomised controlled trial (RCT).Setting Acute NHS Teaching Trust.Population Participants in an RCT of antenatal PFMT 8 years previously.Method Participants were asked about the presence of SUI, impact on quality of life, frequency of performance of PFMT and details of subsequent deliveries.Main outcome measure The prevalence of SUI at 8 years.Results One hundred and sixty-four (71%) of the original 230 women responded. The significant improvement in postnatal SUI originally shown in the PFMT group compared with controls (19.2 versus 32.7%, P = 0.02) at 3 months was not evident 8 years later (35.4 versus 38.8%, P = 0.7). On direct questioning, 68.4% of the study group claimed that they still performed PFMT as taught during the study, with 38.0% of them performing this twice or more per week. There was no difference in outcome between those who performed PFMT twice or more per week compared with those performing PFMT less frequently. There were no differences in quality-of-life domains between the study and the control groups at 8 years.Conclusion The initially beneficial effect of supervised antenatal PFMT on SUI did not continue for a long term despite the majority claiming to still perform PFMT. These findings are in keeping with those of other studies and raise concerns about the long-term efficacy of PFMT. Strategies to improve compliance with PFMT are required.Keywords Antenatal, muscle training, patient compliance, pelvic floor, stress urinary incontinence.Please cite this paper as: Agur W, Steggles P, Waterfield M, Freeman R. The long-term effectiveness of antenatal pelvic floor muscle training: eight-year follow up of a randomised controlled trial. BJOG 2008;115:985-990.

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Section: Introductionmentioning

confidence: 99%

The long‐term effectiveness of antenatal pelvic floor muscle training: eight‐year follow up of a randomised controlled trial

Agur

Steggles

Waterfield

et al. 2008

BJOG

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“…3,4 Various PFMT protocols in nonpregnant women have been reported in literature; however, the number of repetitions as well as the duration of contraction and rest between series have not been totally defined in any single protocol. [4][5][6][7][8][9] The recommended frequency of PFMT ranges from 2 to 3 times a week for up to a 3-month period, an amount of time necessary to obtain minimum hypertrophy and, consequently, muscle strength. 10 Although various studies have confirmed the efficiency of PFMT in the treatment of urinary incontinence, reports regarding PFMT for the pelvic floor muscles during preg-nancy and the puerperal periods are scarce.…”

Section: Introductionmentioning

confidence: 99%

“…10 Although various studies have confirmed the efficiency of PFMT in the treatment of urinary incontinence, reports regarding PFMT for the pelvic floor muscles during preg-nancy and the puerperal periods are scarce. 6,7,9,11 Several methods have been used to analyze pelvic floor function and dysfunction in women, including digital palpation and intravaginal devices, such as a perineometer, to assess muscular function and ability to generate pressure. [12][13][14][15][16][17] But few studies refer to such methods in the evaluation of the PFM during pregnancy and puerperium.…”

Section: Introductionmentioning

confidence: 99%

Effects of Pelvic Floor Muscle Training During Pregnancy

Oliveira

Lopes

Pereira

et al. 2007

Clinics

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OJETIVE:The objective of the present study was to evaluate the effect of pelvic floor muscle training in 46 nulliparous pregnant women. METHODS:The women were divided into 2 groups: an exercise group and a control group. Functional evaluation of the pelvic floor muscle was performed by digital vaginal palpation using the strength scale described by Ortiz and by a perineometer (with and without biofeedback). RESULTS:The functional evaluation of the pelvic floor muscles showed a significant increase in pelvic floor muscle strength during pregnancy in both groups (P < .001). However, the magnitude of the change was greater in the exercise group than in the control group (47.4% vs. 17.3%, P < .001). The study also showed a significant positive correlation (Spearman´s test, r = 0.643; P < .001) between perineometry and digital assessment in the strength of pelvic floor muscles. CONCLUSIONS: Pelvic floor muscle training resulted in a significant increase in pelvic floor muscle pressure and strength during pregnancy. A significant positive correlation between functional evaluation of the pelvic floor muscle and perineometry was observed during pregnancy. KEYWORDS:Exercise and movement techniques. Pelvic floor. Musculoskeletal diseases. Perineum. Pregnancy. Brief summary:To evaluate the effects of pelvic floor muscle training during pregnancy by evaluation of pelvic floor muscle function of the pelvic floor and by perineometry. The analysis of the effects of functional evaluation of the pelvic floor revealed a significant increase in pelvic floor muscle strength during pregnancy.

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“…According to Aslan et al (23), such results decrease urinary loss from 30 to 50% within a twelve-month period. The proper contraction of the pelvic floor (PF) muscles, especially the levator ani muscle, has been an efficient way to treat patients with UI and improve their toilet training (24,25).…”

Section: Methodsmentioning

confidence: 99%

Physical therapy treatment in incontinent women provided by a Public Health Service

et al. 2011

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INTRODUCTION: Urinary incontinence affects more than 50 million people worldwide, it has a great impact on quality of life by affecting social, domestic, occupational and sex life, regardless of age. Objective: The objective of this study was to analyze the effectiveness of physical therapy treatment in women attending the Urogynecology service of Hospital and Maternity Leonor Mendes de Barros. METHOD: We retrospectively assessed 65 records of patients with diagnosis of urinary incontinence treated between November 2005 and November 2006. In order to have their data analyzed, patients were divided into two groups; group MF, which underwent medical treatment and physiotherapy, and group M, which had only medical treatment. In order to compare both groups' quantitative data, the analysis was performed in Statistica® software using Mann Whitney's non-parametric test. The analysis of association between the quantitative variables was performed through the Chi-Square test at 5% (p > 0.05) significance level. RESULTS: We observed that 60.6% of patients who underwent physical therapy treatment and medical treatment had the urinary incontinence symptoms decreased or completely cured, while 80% of women belonging to the medical treatmen only-group underwent surgery. CONCLUSION: Thus, we conclude that physical therapy is essential in treatment protocols of urinary incontinence outpatient clinics and to prevent surgery.

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Effect of Pelvic Muscle Exercise on Transient Incontinence During Pregnancy and After Birth

Cited by 79 publications

References 0 publications

The long‐term effectiveness of antenatal pelvic floor muscle training: eight‐year follow up of a randomised controlled trial

The long‐term effectiveness of antenatal pelvic floor muscle training: eight‐year follow up of a randomised controlled trial

Effects of Pelvic Floor Muscle Training During Pregnancy

Physical therapy treatment in incontinent women provided by a Public Health Service

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