Learning about pelvic floor muscle exercises before and during pregnancy: a cross-sectional study

Daly, Déirdre; Cusack, Cinny; Begley, Cecily

doi:10.1007/s00192-018-3848-3

Cited by 16 publications

(10 citation statements)

References 26 publications

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“…The small increase in knowledge scores in the control group may be explained by the fact that the control group could have been exposed to other informative sources regarding PFME via the Internet, publications and magazines, or antenatal classes. 5,23,24) This result may reflect that the control group only had cursory knowledge from other resources as compared to the intervention group that received more detailed information concerning urinary incontinence and PFME.…”

Section: Discussionmentioning

confidence: 98%

Effectiveness of a Pelvic Floor Muscle Exercise Intervention in Improving Knowledge, Attitude, Practice, and Self-Efficacy among Pregnant Women: A Randomized Controlled Trial

et al. 2022

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Background: The awareness and practice of pelvic floor muscle exercise (PFME) in the prevention and reduction of the rate of urinary incontinence among pregnant women was considerably poor, despite the increased prevalence of urinary incontinence during pregnancy across Malaysia. There healthcare providers do not give adequate attention to the potential impact of PFME on urinary incontinence and there is limited local intervention addressed urinary incontinence during pregnancy. The objective of this study was to determine the effectiveness of a newly developed PFME intervention in terms of knowledge, attitude, practice, self-efficacy, and urinary symptoms.Methods: A single-blinded, two-armed, randomized control trial was included pregnant women from 18 to 20 weeks of gestation and was conducted at the Maternity Hospital of Kuala Lumpur. The intervention group received PFME in addition to the usual perinatal care. The data were collected using validated questionnaires at 4 time points: baseline, post-intervention in the early third trimester, late third trimester, and early postnatal period. The intervention effects were analyzed using a generalized estimating equation.Results: The primary analysis included pregnant women who had at least one follow-up; 122 women (71.8%) in the intervention group had significant improvement in knowledge, attitude, practice, and self-efficacy, as well as in the severity of urinary incontinence over time. However, improvement was not observed in self-reported urinary incontinence.Conclusion: PFME can be considered an effective initial intervention to provide information about urinary incontinence prevention to pregnant women.

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Section: Discussionmentioning

confidence: 98%

Effectiveness of a Pelvic Floor Muscle Exercise Intervention in Improving Knowledge, Attitude, Practice, and Self-Efficacy among Pregnant Women: A Randomized Controlled Trial

et al. 2022

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“…Recent evidence suggests that advanced maternal age at pregnancy, timing of delivery, pregnancy, obstetric trauma and mode of delivery, infant birthweight, infant head circumference, obesity and ageing, and bladder neck hypermobility are the risk factors for UI 6 – 8 . Age at first birth is associated with mortality 9 , BMI 10 , and cancer 11 .…”

Section: Introductionmentioning

confidence: 99%

Age at first birth and risk of urinary incontinence after delivery: a dose–response meta-analysis

Ren

Zou

et al. 2022

Sci Rep

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Studies investigating the impact of age at first birth on urinary incontinence after delivery have reached inconsistent conclusions. We performed this systematic review and meta-analysis of studies assessing the risk of urinary incontinence after delivery, regardless of the type, with age at first birth. MEDLINE via PubMed and Web of science databases were searched up to March 13, 2021. Restricted cubic splines were used to model the dose–response association. Twelve publications were included in this meta-analysis. The summary odds ratio (OR) and 95% confidence interval (CI) per 1-year increase in age at first birth were 1.01 (95% CI (0.99, 1.02)) for urinary incontinence (America: 1.00 (0.99, 1.00); Europe: 1.03 (1.00, 1.06); Asian: 0.99 (0.89, 1.10)). A non-linear dose–response (Pnonlinearity < 0.01) indicated that age at first birth older than 32 (P < 0.05) increases the risk of urinary incontinence. First birth before age 32 make decrease the risk of urinary incontinence after delivery.

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“…There is a great need for development in midwifery research. This could and should then lead to evidence-based and thus more consistent instruction by midwives in this area 26 .…”

Section: Overview/reviewmentioning

confidence: 97%

“…Hier besteht im Bereich der Hebammenforschung großer Entwicklungsbedarf. Dies könnte und sollte dann auch zu einer evidenzbasierten und damit einheitlicheren Anleitung durch Hebammen in diesem Bereich führen 26 .…”

Section: Präpartale Möglichkeiten Einer Beckenbodenprotektionunclassified

Aspects of Pelvic Floor Protection in Spontaneous Delivery – a Review

Hübner

Rothe²,

Plappert

et al. 2022

Geburtshilfe Frauenheilkd

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The necessity of increasingly addressing aspects of pelvic floor protection, i.e., prevention of the most frequent female pelvic floor disorders, such as urinary incontinence, faecal incontinence and pelvic organ prolapse, is the result of the steadily improving understanding of the association of pregnancy and delivery with the prevalence of these disorders. About a quarter of all women experience one or more such symptoms during their life. Apart from age and weight, pregnancies and births play an important part. While initial discussion of pelvic floor protection often focused very rapidly on the mode of delivery and elective caesarean section as a possible protective intervention, it has become apparent in the last few decades how varied and wide-ranging the options are that can be used to protect against pelvic floor disorders. The mode of delivery as such is “only” one element among numerous other considerations and has diminished markedly in importance. Interprofessionality and interdisciplinarity undoubtedly represent an important development as resulting recommendations must always be incorporated in an overall context that considers mother and child at the same time. Considering the pelvic floor only certainly does not make sense. This review article will analyze in greater detail important pre-, intra- and postpartum aspects that in their entirety can provide insight into the various aspects of pelvic floor protection. The authors regard the following article as an additional basis for discussion on achieving a sustained reduction in the incidence and prevalence of female pelvic floor disorders.

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Learning about pelvic floor muscle exercises before and during pregnancy: a cross-sectional study

Cited by 16 publications

References 26 publications

Effectiveness of a Pelvic Floor Muscle Exercise Intervention in Improving Knowledge, Attitude, Practice, and Self-Efficacy among Pregnant Women: A Randomized Controlled Trial

Effectiveness of a Pelvic Floor Muscle Exercise Intervention in Improving Knowledge, Attitude, Practice, and Self-Efficacy among Pregnant Women: A Randomized Controlled Trial

Age at first birth and risk of urinary incontinence after delivery: a dose–response meta-analysis

Aspects of Pelvic Floor Protection in Spontaneous Delivery – a Review

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