Do perineal exercises during pregnancy prevent the development of urinary incontinence? A systematic review

International Journal of Urology : Official Journal of the Japanese Urological Association
Andrea LemosJosé Eulálio Cabral-Filho

Abstract

The aim of the current article was to conduct a systematic review of the performance of perineal exercises during pregnancy and their utility in the prevention of urinary incontinence. Randomized controlled studies (RCT) of a low-risk obstetric population (primiparas or nulliparas) who had done perineal exercises only during pregnancy met the inclusion criteria. Articles published between 1966 and 2007 from periodicals indexed in the LILACS, SCIELO, PubMed/MEDLINE, SCIRUS and Cochrane Library databases were selected, using the following keywords: 'urinary incontinence', 'pregnancy', 'pelvic floor' and 'exercise'. The Jadad scale was applied to assess the internal validity of the RCT and two meta-analysis: one of fixed effects and the other of random effects were carried out with data extracted from the RCT, using the Stata 9.2 statistical software and adopting a significance level of 0.05. Four RCTs with high methodological quality, involving a total of 675 women were included. They indicated that perineal muscle exercise significantly reduced the development of urinary incontinence from 6 weeks to 3 months after delivery (odds ratio = 0.45; confidence interval: 0.3 to 0.66). However, when evaluating this effect during the 34th...Continue Reading

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Citations

Nov 9, 2012·BMC Public Health·Jenny McNeillFiona Alderdice
Sep 18, 2009·Social Science & Medicine·Nilmini N HemachandraLenore Manderson
Aug 1, 2012·The Journal of Obstetrics and Gynaecology Research·Claudia Pignatti FredericeNéville de Oliveira Ferreira
Mar 16, 2012·Neurourology and Urodynamics·Karl-Dietrich SievertDiane K Newman
Aug 22, 2015·International Urogynecology Journal·Marcos Massaru OkidoRicardo Carvalho Cavalli
Mar 1, 2011·American Journal of Obstetrics and Gynecology·Ruben BarakatMaria Zakynthinaki
Dec 17, 2009·Maturitas·M MenezesA Hextall
May 1, 2021·Medicina·Karolina Eva Romeikienė, Daiva Bartkevičienė

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