The authors have stated explicitly that there are no conflicts of interest in connection with this article.
Main Research Article
Is home-based pelvic floor muscle training effective in treatment of urinary incontinence after birth in primiparous women? A randomized controlled trial
Article first published online: 10 JUN 2013
© 2013 Nordic Federation of Societies of Obstetrics and Gynecology
Acta Obstetricia et Gynecologica Scandinavica
Volume 92, Issue 8, pages 909–915, August 2013
How to Cite
Is home-based pelvic floor muscle training effective in treatment of urinary incontinence after birth in primiparous women? A randomized controlled trial. Acta Obstet Gynecol Scand 2013; 92: 909–915., , , , .
- Issue published online: 16 JUL 2013
- Article first published online: 10 JUN 2013
- Accepted manuscript online: 14 MAY 2013 09:36AM EST
- Manuscript Accepted: 6 MAY 2013
- Manuscript Received: 5 OCT 2012
- first-time mothers;
- stress incontinence
To assess the effect of pelvic floor muscle training (PFMT) on pelvic floor muscle strength and urinary incontinence (UI) in primiparous women who underwent a home training program between three and 9 months after delivery.
Randomized controlled trial.
One hundred primiparous women were consecutively recruited from four different antenatal clinics in the urban area of Stockholm, Sweden. Women with UI who had undergone normal term singleton vaginal delivery, 10–16 weeks postpartum were randomly allocated to either intervention or control group.
Maximally voluntary contraction (MVC) and endurance were measured with a perionometer. The Oxford grading scale was used to manually estimate the strength of the pelvic floor muscle and self-reported symptoms of UI was registered through the Bristol Female Lower Urinary Tract Symptoms Module (ICIQ FLUTS) questionnaire.
Main outcome measures
Maximally voluntary contraction of the pelvic floor muscle measured with a perionometer.
Maximally voluntary contraction increased significantly in both groups between baseline and follow up (p < 0.05). The median MVC in cmHg for the intervention and control group was 16.2 and 12.1 at baseline and 26.0 and 18.2 at follow up, respectively. The median endurance, in seconds, for the intervention and control group was 9.6 and 12.0 at baseline and 26.7 and 23.4 at follow up, respectively. Pelvic floor muscle strength measured with the Oxford Scale increased significantly in both groups between baseline and follow up (p < 0.05).
The results indicate that home-based PFMT is effective. However, written training instructions were as efficient as home-based training with follow up visits every sixth week.