Conflict of interest: none.
Pelvic floor muscle training included in a pregnancy exercise program is effective in primary prevention of urinary incontinence: A randomized controlled trial
Article first published online: 6 FEB 2013
© 2013 Wiley Periodicals, Inc.
Neurourology and Urodynamics
Volume 33, Issue 1, pages 67–71, January 2014
How to Cite
Pelaez, M., Gonzalez-Cerron, S., Montejo, R. and Barakat, R. (2014), Pelvic floor muscle training included in a pregnancy exercise program is effective in primary prevention of urinary incontinence: A randomized controlled trial. Neurourol. Urodyn., 33: 67–71. doi: 10.1002/nau.22381
Mickey Karram led the peer-review process as the Associate Editor responsible for the paper.
- Issue published online: 11 DEC 2013
- Article first published online: 6 FEB 2013
- Manuscript Accepted: 14 JAN 2013
- Manuscript Received: 25 JUL 2012
- physical exercise;
- physical therapy;
To investigate the effect of pelvic floor muscle training (PFMT) taught in a general exercise class during pregnancy on the prevention of urinary incontinence (UI) in nulliparous continent pregnant women.
This was a unicenter two armed randomized controlled trial. One hundred sixty-nine women were randomized by a central computer system to an exercise group (EG) (exercise class including PFMT) (n = 73) or a control group (CG) (n = 96). 10.1% loss to follow-up: 10 from EG and 7 from CG. The intervention consisted of 70–75 sessions (22 weeks, three times per week, 55–60 min/session including 10 min of PFMT). The CG received usual care (which included follow up by midwifes including information about PFMT). Questions on prevalence and degree of UI were posed before (week 10–14) and after intervention (week 36–39) using the International Consultation on Incontinence Questionnaire-Urinary Incontinence Short Form (ICIQ-UI SF).
At the end of the intervention, there was a statistically significant difference in favor of the EG. Reported frequency of UI [Never: CG: 54/60.7%, EG: 60/95.2% (P < 0.001)]. Amount of leakage [None: CG: 45/60.7%, EG: 60/95.2% (P < 0.001)]. There was also a statistically significant difference in ICIQ-UI SF Score between groups after the intervention period [CG: 2.7 (SD 4.1), EG: 0.2 (SD 1.2) (P < 0.001)]. The estimated effect size was 0.8.
PFMT taught in a general exercise class three times per week for at least 22 weeks, without former assessment of ability to perform a correct contraction was effective in primary prevention of UI in primiparous pregnant women. Neurourol. Urodynam. 33:67–71, 2014. Copyright © 2013 Wiley Periodicals, Inc.