Are Home Based Pelvic Floor Muscle Exercises (PFMES) Effective in Prevention of Stress Urinary Incontinence During Pregnancy? A Randomized Controlled Trial

Authors

  • Maria Habib Department of Obstetrics and Gynaecology, KRL Hospital, Islamabad, Pakistan.
  • Irum Sohail Department of Obstetrics and Gynaecology, KRL Hospital, Islamabad, Pakistan.
  • Mehak Asim Khan Department of Obstetrics and Gynaecology, KRL Hospital, Islamabad, Pakistan.

Keywords:

Kegel exercises, PFMEs, Pregnancy, Antenatal period, Urinary incontinence, Prevention

Abstract

ABSTRACT: Objectives: To determine effectiveness of 8 weeks home based PFMEs in the prevention of stress urinary incontinence (SUI) during pregnancy and to see how many women were consistent with them. Materials And Methods: This randomized controlled trial was conducted in the outpatient department (OPD) of Obstetrics/Gynaecology, Kahuta Research Laboratories (KRL) hospital, Islamabad during Nov, 2017 to Jan,2018. After fulfilling the inclusion/exclusion criteria, women were randomly divided into two groups. One group learned to perform PFMEs. A telephonic survey was conducted after 8 weeks and
all the women in the study were asked about presence/absence of perceived urinary incontinence. Data were analysed using descriptive statistics. Results: A total of 120 women were randomized into the study. Amongst those who were followed, 63.4% from intervention group didn’t adhere to PFMEs and dropped out from study. A total of 42 women were analysed from both groups. Mean age was 25+-3 years and mean gestational age was 23+-4 weeks. Thirty nine percent were nullipara. Amongst women in the intervention group, majority were still continent after 8 weeks of PFMEs (86.6%) and only few experienced SUI (13.4%). However, when these women were matched with controls, fewer women as compared to intervention group were continent after 8 weeks (55.6%). Conclusion: Home based pelvic floor muscle exercises are very effective in prevention of stress urinary incontinence in only highly motivated patients.

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Published

2020-12-28

How to Cite

1.
Habib M, Sohail I, Khan MA. Are Home Based Pelvic Floor Muscle Exercises (PFMES) Effective in Prevention of Stress Urinary Incontinence During Pregnancy? A Randomized Controlled Trial. Nat J Health Sci [Internet]. 2020Dec.28 [cited 2024Mar.29];3(1):23-6. Available from: https://ojs.njhsciences.com/index.php/njhs/article/view/103

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Section

Research Article