An Evaluative Research of Preventive Effect of Antenatal Kegel Exercise on Postpartum Stress Urinary Incontinence

Objective: The aim of this study was to evaluate the effects andÂ effectiveness of antenatal Kegel exercise on prevention ofÂ postpartum stress urinary incontinence. Methods: Totally 92Â pregnant women who had Perinatal care card in Nanjing GeneralÂ Hospital of Nanjing Military Command were randomly dividedÂ into two groups. The pregnant women in the control groupÂ received routine health education, while the pregnant women whoÂ has 37 weeks of pregnancy in the experimental group receivedÂ antenatal Kegel exercise and motivational interviewingÂ intervention. The experimental group exercise 150-200 times everyÂ day. The incidence of SUI were measured after puerperaeÂ deliveried 42 days and 3 months.Â Results:Â The incidence of SUIÂ was much more lower in the experimental group; the significantÂ difference was found between the two groups. Conclusion:Â Antenatal Kegel exercise is more effective than routine healthÂ education on the prevention of postpartum stress urinaryÂ incontinence.

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Performance of self-reported and unsupervised antenatal pelvic floor muscle training and its effects on postpartum stress urinary incontinence among Chinese women: a cohort study

Journal of International Medical Research ◽

10.1177/0300060520914226 ◽

2020 ◽

Vol 48 (6) ◽

pp. 030006052091422

Author(s):

Ling Chen ◽

Xiaomin Chen ◽

Dan Luo ◽

Mei Jin ◽

Yingjie Hu ◽

...

Keyword(s):

Urinary Incontinence ◽

Cohort Study ◽

Stress Urinary Incontinence ◽

Pelvic Floor ◽

Pregnant Women ◽

Pelvic Floor Muscle Training ◽

Chinese Women ◽

Pelvic Floor Muscle ◽

Muscle Training ◽

Postpartum Stress

Objectives We investigated performance of antenatal pelvic floor muscle training (PFMT) among Chinese pregnant women, to explore its effects on postpartum stress urinary incontinence (SUI). Methods We conducted a prospective cohort study in Shenzhen, China among 815 singleton pregnant women age ≥18 years, who were continent before pregnancy. Telephone follow-up was conducted at 6 weeks postpartum. Logistic univariable and multivariable regression analyses were used to estimate effects of antenatal PFMT (frequency and duration) on SUI postpartum among subgroups defined by SUI during pregnancy. The interactions of antenatal PFMT and PFMT duration on SUI postpartum were tested. Results Among 798 women included in the analysis, 127 (15.91%) had SUI at 6 weeks postpartum. Only 157 (19.67%) women performed antenatal PFMT, none under supervision. After adjusting potential confounders, neither frequency (odds ratio (OR) = 1.08, 95% confidence interval (CI) 0.89–1.32) nor duration (OR = 1.03, 95% CI 0.87–1.23) of antenatal PFMT was a significant factor in postpartum SUI. No interactions of antenatal PFMT and PFMT duration on SUI postpartum were found in any participants or subgroups. Conclusion No effect of self-reported, unsupervised, self-initiated antenatal PFMT on SUI 6 weeks postpartum was found. Low doses and no supervision may have contributed to the negative results.

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Predictors of Success for Physiotherapy Treatment in Women With Persistent Postpartum Stress Urinary Incontinence

Archives of Physical Medicine and Rehabilitation ◽

10.1016/j.apmr.2010.03.006 ◽

2010 ◽

Vol 91 (7) ◽

pp. 1059-1063 ◽

Cited By ~ 20

Author(s):

Chantale Dumoulin ◽

Daniel Bourbonnais ◽

Mélanie Morin ◽

Denis Gravel ◽

Marie-Claude Lemieux

Keyword(s):

Urinary Incontinence ◽

Stress Urinary Incontinence ◽

Predictors Of Success ◽

Physiotherapy Treatment ◽

Postpartum Stress

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Assessment of the Effectiveness of Pelvic Floor Muscle Training (PFMT) and Extracorporeal Magnetic Innervation (ExMI) in Treatment of Stress Urinary Incontinence in Women: A Randomized Controlled Trial

BioMed Research International ◽

10.1155/2020/1019872 ◽

2020 ◽

Vol 2020 ◽

pp. 1-7 ◽

Cited By ~ 1

Author(s):

Magdalena Weber-Rajek ◽

Agnieszka Strączyńska ◽

Katarzyna Strojek ◽

Zuzanna Piekorz ◽

Beata Pilarska ◽

...

Keyword(s):

Urinary Incontinence ◽

Stress Urinary Incontinence ◽

Pelvic Floor ◽

Pelvic Floor Muscle Training ◽

Pelvic Floor Muscle ◽

Controlled Trial ◽

Control Group ◽

Muscle Training ◽

Extracorporeal Magnetic Innervation ◽

Experimental Group

Objective. The purpose of this study is to assess the effectiveness of pelvic floor muscle training and extracorporeal magnetic innervation in treatment of urinary incontinence in women with stress urinary incontinence. Methods. The randomized controlled trial enrolled 128 women with stress urinary incontinence who were randomly allocated to either one out of two experimental groups (EG1 or EG2) or the control group (CG). Subjects in the experimental group 1 (EG1) received 12 sessions of pelvic floor muscle training, whereas subjects in the experimental group 2 (EG2) received 12 sessions of extracorporeal magnetic innervation. Subjects in the control group (CG) did not receive any therapeutic intervention. The following instruments were used to measure results in all study groups at the initial and final assessments: Revised Urinary Incontinence Scale (RUIS), Beck Depression Inventory (BDI-II), General Self-Efficacy Scale (GSES), and King’s Health Questionnaire (KHQ). Results. In both experimental groups, a statistically significant decline in depressive symptoms (BDI-II) and an improvement in urinary incontinence severity (RUIS) and quality of life (KHQ) were found in the following domains: “social limitations,” “emotions,” “severity measures,” and “symptom severity scale.” Moreover, self-efficacy beliefs (GSES) improved in the experimental group that received ExMI (EG2). No statistically significant differences were found between all measured variables in the control group. Comparative analysis of the three study groups showed statistically significant differences at the final assessment in the quality of life in the following domains: “physical limitations,” “social limitations,” “personal relationships,” and “emotions.” Conclusion. Pelvic floor muscle training and extracorporeal magnetic innervation proved to be effective treatment methods for stress urinary incontinence in women. The authors observed an improvement in both the physical and psychosocial aspects.

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