Pelvic floor muscle training for the prevention of urinary incontinence in antenatal and postnatal women

Xing, Weijie; Gu, Chunyi; Lizarondo, Lucylynn

doi:10.11124/jbisrir-2016-003277

Cited by 13 publications

(15 citation statements)

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“…Pelvic floor muscle training (PFMT) is the first line treatment for stress UI [11] and there is good evidence to show PFMT can cure or improve symptoms [12]. There is also evidence PFMT interventions can improve knowledge and skills about PFMT and UI [13] and PFMT can prevent UI [7,14] which suggests it should be a routine part of women's exercise activities.…”

Section: Introductionmentioning

confidence: 99%

Qualitative exploration of the acceptability of a postnatal pelvic floor muscle training intervention to prevent urinary incontinence

Grant

Currie

2020

BMC Women's Health

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Background: Childbirth is a major risk factor for urinary incontinence (UI). As a result, pelvic floor muscle training (PFMT) is commonly recommended during and after pregnancy to prevent the onset of UI. PFMT is often classed as a physical activity (PA) behaviour, hence PA guidelines for postnatal women encourage PFMT alongside aerobic activities. However, postnatal lifestyle interventions tend to overlook PFMT which can be detrimental to women's health and future health risks, including urinary incontinence. This study aimed to explore perceptions and acceptability of a postnatal physical activity and PFMT intervention with postnatal women in Scotland. Methods: We recruited women who had given birth within the last 5 years by displaying posters in health centres and community centres in Stirling and through Facebook. Data was gathered via online and face-to-face focus groups, that were audio recorded and transcribed verbatim. Analytic themes were initially organised under related concepts derived from the topic guide and thematic analysis conducted. Subsequent analysis was by the Framework technique. Results: A total of seven online and face-to-face focus group discussions with 31 women identified there was a clear intention behaviour gap for engagement in PA, with both psychological and logistical barriers identified such as motivation and childcare. This was distinct from PFMT where there was a feeling of helplessness around not knowing how to perform a correct PFMT contraction subsequently resulting in women not adhering to PFMT guidance. Women felt there was no accessible PFMT advice available through the NHS. Some participants had received PFMT advice after childbirth and spoke of the Squeezee app being useful in adhering to a PFMT regimen but they did require additional teaching on how to do correct contractions. There was need for clarity and practical support for PFMT in the postnatal period with an approved intervention incorporating an accessible app being suggested by participants. Conclusions: Women would like to be trained on postnatal PFMT but face barriers to accessing adequate information and education on how to do a PFMT contraction. An intervention combining PFMT training and an app would be the most useful for their needs and circumstances.

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Section: Introductionmentioning

confidence: 99%

Qualitative exploration of the acceptability of a postnatal pelvic floor muscle training intervention to prevent urinary incontinence

Grant

Currie

2020

BMC Women's Health

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“…Assessment for PFDI, pelvic and low back pain, nutrition, and breastfeeding are among some of the recommendations for improvement in maternal health during the prenatal and post-partum period (Van Delft et al, 2014;Xing, Zhang, Chunyi, & Lizarondo, 2017).…”

Section: Introductionmentioning

confidence: 99%

“…Reports of pain, UI, and nutritional deficits during the post-partum period are common and may negatively affect a new mother's mental, social, and physical HRQOL at home and work (Ansara, Cohen, Gallop, Kung, & Schei, 2004;Benjamin, Frawley, Shields, Van de Water, & Taylor, 2018;Kahn, Zuckerman, Bauchner, Homer, & Wise, 2002). Risk factors during labour include weakening and damage to the perineum and pelvic floor, irrespective of birth mode (Xing et al, 2017). Urinary and fecal incontinence, pelvic organ prolapse, sensory and emptying abnormalities of the lower urinary tract, colorectal-anal dysfunction (CRADI), dyspareunia, and chronic pain syndromes may be exacerbated by stretching and rupture of peripheral nerves, connective tissue, and muscle(s) (Leeman, Rogers, Borders, Teaf, & Qualls, 2016;Xing et al, 2017).…”

Section: Introductionmentioning

confidence: 99%

“…Risk factors during labour include weakening and damage to the perineum and pelvic floor, irrespective of birth mode (Xing et al, 2017). Urinary and fecal incontinence, pelvic organ prolapse, sensory and emptying abnormalities of the lower urinary tract, colorectal-anal dysfunction (CRADI), dyspareunia, and chronic pain syndromes may be exacerbated by stretching and rupture of peripheral nerves, connective tissue, and muscle(s) (Leeman, Rogers, Borders, Teaf, & Qualls, 2016;Xing et al, 2017). Furthermore, PFDI is linked to reduced quality of life and withdrawal from fitness and exercise activities, thus adding instability to the region (Humalajarvi et al, 2014).…”

Section: Introductionmentioning

confidence: 99%

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Effects of an 8‐week pelvic core stability and nutrition community programme on maternal health outcomes

Walton

Raigangar

Abraham

et al. 2019

Physiotherapy Res Intl

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Introduction Women, during the antenatal and post‐partum period, report pelvic, low back pain, stress and urge urinary incontinence, colorectal dysfunction, and other co‐morbidities that negatively affect health‐related quality of life. Exercise and nutrition are important considerations for improving maternal health in this period. Purpose The purpose of this study was to examine the effects of a community‐driven nutrition and exercise programme focused on pelvic floor and core stability, healthy nutrition, and breastfeeding counselling over an 8‐week period on pelvic floor and urinary distress (UDI), prolapse and colorectal distress for antenatal and post‐partum women with limited access to health care, and low socio‐economic resources from a Midwestern Region of the United States. Materials and methods Purposive sample of 35 females, ages 18–44, were recruited for this prospective, preintervention to postintervention study, following ethical approval from Institutional Review Board and voluntary written consent from participants. The Health History Questionnaire, SF‐36, Food Frequency Questionnaire, report of pelvic organ prolapse dysfunction (POPDI), colorectal‐anal dysfunction (CRADI), and UDI as measured by the Pelvic Floor Distress Inventory (PFDI) were completed before and after intervention. Results Thirty‐five women (n = 35) 18 to 44 years old (mean age of 22.72 ± 3.45 years) completed the study. A significant difference was found from preintervention to postintervention scores means for PFDI total scores, CRADI individual scores, and UDI individual scores (p < .05). POPDI scores decreased preintervention to postintervention but were not significant. A significant improvement in healthy nutrition and breastfeeding postintervention was also found (z = 3.21, p = .001). Further analysis showed significant, but weak, correlation between parity and POPDI (r = .366, p = .033); between parity and UDI (r = .384, p = .03); and between parity and PFDI (r = .419, p = .014). Discussion Our study found a significant reduction in pelvic floor dysfunction, urinary, and colorectal‐anal distress symptoms and improvement in breastfeeding and healthy nutrition following an 8‐week community‐driven nutrition and exercise programme focused on pelvic floor and core stability, healthy nutrition, and breastfeeding counselling.

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“…(11) Pelvic floor muscle training (PFMT) is the first line treatment for stress UI (12) and there is good evidence to show PFMT can cure or improve symptoms. (13) There is also evidence PFMT interventions can improve knowledge and skills about PFMT and UI (14) and PFMT can prevent UI (8,15) which suggests it should be a routine part of women's exercise activities.…”

Section: Introductionmentioning

confidence: 99%

Qualitative exploration of the acceptability of a postnatal pelvic floor muscle training intervention to prevent urinary incontinence

Grant

Currie

2019

Preprint

View full text Add to dashboard Cite

Background Childbirth is a major risk factor for urinary incontinence (UI). As a result, pelvic floor muscle training (PFMT) is commonly recommended during and after pregnancy to prevent the onset of UI. PFMT is often classed as a physical activity (PA) behaviour, hence PA guidelines for postnatal women encourage PFMT alongside aerobic activities. However, postnatal lifestyle interventions tend to overlook PFMT which can be detrimental to women’s health and future health risks, including urinary incontinence. This study aimed to explore perceptions and acceptability of a postnatal physical activity and PFMT intervention with postnatal women in Scotland.Methods We recruited women who had given birth within the last five years by displaying posters in health centres and community centres in Stirling and through Facebook. Data was gathered via online and face-to-face focus groups, which were audio recorded and transcribed verbatim. Analytic themes were initially organised under related concepts derived from the topic guide and thematic analysis conducted. Subsequent analysis was by the Framework technique.Results A total of seven online and face-to-face focus group discussions with 31 women identified there was a clear intention behaviour gap for engagement in PA with both psychological and logistical barriers identified such as motivation and childcare. This was distinct from PFMT where there was a feeling of helplessness around not knowing how to perform a correct PFMT contraction subsequently resulting in women not adhering to PFMT guidance. Women felt there was no accessible PFMT advice available through the NHS. Some participants had received PFMT advice after childbirth and spoke of the Squeezee app being useful in adhering to a PFMT regimen but they did require additional teaching on how to do correct contractions. There was need for clarity and practical support for PFMT in the postnatal period with an approved intervention incorporating an accessible app being suggested by participants.Conclusions Women would like to be trained on postnatal PFMT but face barriers to accessing adequate information and education on how to do a PFMT contraction. An intervention combining PFMT training and an app would be the most useful for their needs and circumstances.

show abstract

Pelvic floor muscle training for the prevention of urinary incontinence in antenatal and postnatal women

Cited by 13 publications

References 0 publications

Qualitative exploration of the acceptability of a postnatal pelvic floor muscle training intervention to prevent urinary incontinence

Qualitative exploration of the acceptability of a postnatal pelvic floor muscle training intervention to prevent urinary incontinence

Effects of an 8‐week pelvic core stability and nutrition community programme on maternal health outcomes

Qualitative exploration of the acceptability of a postnatal pelvic floor muscle training intervention to prevent urinary incontinence

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