Publication:
Is a 6-week supervised pelvic floor muscle exercise program effective in preventing stress urinary incontinence in late pregnancy in primigravid women?: A randomized controlled trial

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Issued Date

2016

Resource Type

Article

File Type

application/pdf

ISSN

3012115

DOI

10.1016/j.ejogrb.2015.11.039

Other identifier(s)

2-s2.0-84960127551

Rights Holder(s)

Scopus

Bibliographic Citation

European Journal of Obstetrics and Gynecology and Reproductive Biology. Vol 197, (2016), p.103-110

Suggested Citation

Sangsawang B., Sangsawang N. Is a 6-week supervised pelvic floor muscle exercise program effective in preventing stress urinary incontinence in late pregnancy in primigravid women?: A randomized controlled trial. European Journal of Obstetrics and Gynecology and Reproductive Biology. Vol 197, (2016), p.103-110. doi:10.1016/j.ejogrb.2015.11.039 Retrieved from: https://hdl.handle.net/20.500.14740/5698

Title

Is a 6-week supervised pelvic floor muscle exercise program effective in preventing stress urinary incontinence in late pregnancy in primigravid women?: A randomized controlled trial

Author(s)

Sangsawang B.
 Sangsawang N.

Abstract

Objective The study investigated the effect of a 6-week supervised pelvic floor muscle exercise (PFME) program to prevent stress urinary incontinence (SUI) at 38 weeks' gestation. Study design We conducted a randomized controlled trial into two arms design: one intervention group and one control group, using the randomly computer-generated numbers. A research assistant, who was not involved with care of the participants, randomly drawn up and opened the envelope for each participant to allocate into the intervention group and the control group. The investigators could not be blinded to allocation. Seventy primigravid women who had continent with gestational ages of 20-30 weeks were randomly assigned to participate in the intervention (n = 35) and control groups (n = 35). The intervention was a supervised 6-week PFME program with verbal instruction and a handbook, three training sessions of 45 min with the main researcher (at 1st, 3rd and 5th week of the program) and self-daily training at home for an overall period of 6 weeks. The control condition was the PFME and the stop test had been trained by the main researcher to all of the participants in the intervention group. Outcomes The primary outcome was self-reported of SUI, and the secondary outcome was the severity of SUI in pregnant women which comprises of frequency, volume of urine leakage and score of perceived severity of SUI in late pregnancy at 38th weeks of pregnancy. Statistical analysis was performed using Chi-square test, Independent-sample t-test, and Mann-Whitney U-test. Significance P-value was <0.05. Results At the end of the intervention, 2 of 35 women in the intervention group and 5 of 35 women in the control group dropped out of the study. Therefore, the total of the study participants consisted of 63 pregnant women (33 in the intervention group and 30 in the control group). Fewer women in the intervention group reported SUI than the control group: 9 of 33 (27.3%) versus 16 of 30 (53.3%) at 38 weeks' gestational age (OR 3.05, 95% CI 1.07-8.70, P = 0.018). Conclusions The 6-week supervised PFME program was effective in preventing SUI and decreasing the SUI severity in pregnant women who reported SUI at late pregnancy. The women who performed PFME program under the training sessions once every two weeks found that the program demands less time, incurs lower costs and possibly offers more motivation to exercise. This 6-week supervised PFME program may be suitable in real clinical situation. © 2015 Elsevier Ireland Ltd.

Subject(s)

Caffeine
 Adult
 Alcohol consumption
 Article
 Body mass
 Clinical article
 Clinical effectiveness
 Comparative study
 Controlled study
 Disease severity
 Employment status
 Female
 Follow up
 Gestational age
 Human
 Outcome assessment
 Patient monitoring
 Pelvic floor muscle training
 Primigravida
 Priority journal
 Prophylaxis
 Randomized controlled trial
 Scoring system
 Self report
 Smoking
 Stress incontinence
 Third trimester pregnancy
 Treatment duration
 Treatment response
 Urinary frequency
 Urine incontinence
 Urine volume
 Adolescent
 Kinesiotherapy
 Pelvis floor
 Physiotherapy
 Pregnancy
 Pregnancy Complications
 Procedures
 Severity of illness index
 Third trimester pregnancy
 Urinary Incontinence, Stress
 Young adult
 Adolescent
 Adult
 Exercise Therapy
 Female
 Gravidity
 Humans
 Pelvic Floor
 Physical Therapy Modalities
 Pregnancy
 Pregnancy Complications
 Pregnancy Trimester, Third
 Self Report
 Severity of Illness Index
 Urinary Incontinence, Stress
 Young Adult

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https://hdl.handle.net/20.500.14740/5698

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Scopus: Year 1983-2021

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