التفاصيل البيبلوغرافية
| العنوان: |
Antenatal pelvic floor muscle training and urinary incontinence: a randomized controlled 7-year follow-up study. |
| المؤلفون: |
Stafne, Signe Nilssen1,2 (AUTHOR) signe.n.stafne@ntnu.no, Dalbye, Rebecka3 (AUTHOR), Kristiansen, Oda M.3 (AUTHOR), Hjelle, Yvonne E.3 (AUTHOR), Salvesen, Kjell Åsmund4,5 (AUTHOR), Mørkved, Siv1,2 (AUTHOR), Johannessen, Hege Hølmo6,7 (AUTHOR) |
| المصدر: |
International Urogynecology Journal. Jun2022, Vol. 33 Issue 6, p1557-1565. 9p. |
| مصطلحات موضوعية: |
*KEGEL exercises, *PELVIC floor, *URINARY incontinence, *LOGISTIC regression analysis, *PRENATAL care, *EXERCISE intensity |
| مصطلحات جغرافية: |
NORWAY |
| مستخلص: |
Introduction and hypothesis: Urinary incontinence is common postpartum. Our aims were to assess whether antenatal exercise including pelvic floor muscle training (PFMT) has long-term effects on urinary incontinence (UI) and to explore factors associated with UI 7 years postpartum. Methods: A follow-up of a two-centre randomized controlled trial performed at St. Olavs Hospital and Stavanger University Hospital, Norway. In the original trial women were randomized to a 12-week structured exercise protocol including PFMT or standard antenatal care during pregnancy. Link to an electronic questionnaire was sent by postal mail 7 years postpartum. Prevalence of UI was assessed with Sandvik severity index and compared between groups. Factors associated with UI were studied using multivariable logistic regression analysis. Results: The response rate was 35% (298/855). UI was reported by 78 (51%) in the intervention group and 63 (57%) in the control group (p = 0.539). In the multivariable logistic regression analyses, women with UI at inclusion had a five-fold increase in odds of UI at 7 years (OR 5.4, 95% CI 2.6, 11.5). Engaging in regular exercise was not significantly associated with UI at 7 years; however, UI was associated with lower exercise intensity (OR 2.4, 95% CI 1.2, 4.6). Conclusions: We found no group differences of antenatal exercise including PFMT on UI after 7 years among the responders. UI in pregnancy increased the risk of long-term UI. Regular exercise was not associated with UI at 7 years; however, women with UI were more than twice as likely to exercise at lower intensity than continent women. [ABSTRACT FROM AUTHOR] |
| قاعدة البيانات: |
Academic Search Index |
