Pelvic Floor Muscle Training Versus Watchful Waiting and Pelvic Floor Disorders in Postpartum Women: A Systematic Review and Meta-analysis

Female Pelvic Medicine & Reconstructive Surgery
You Maria WuYvonne Leong

Abstract

Pelvic floor muscle training (PFMT) is often recommended to treat postpartum urinary incontinence (UI). However, the role of postpartum PFMT in pelvic organ prolapse (POP), sexual function, and anal incontinence (AI) remains unclear. We therefore aim to assess the efficacy of postpartum PFMT on these pelvic floor disorders. This study is a meta-analysis consisting of randomized controlled trials (RCTs). We searched databases including CENTRAL, MEDLINE, EMBASE, CINAHL, and PEDro. We also sought after grey literature including conference proceedings. We included RCTs comparing PFMT versus watchful waiting in women with stage II or less POP within 1 year postpartum. Two authors independently performed study screening, risk of bias assessments, and data extraction. Fifteen RCTs (3845 patients) were included. Women undergoing PFMT less likely report bothersome POP symptoms (risk ratio [RR], 0.48 [0.30-0.76]; very low-quality evidence). There is no significant difference in the number of women with stage II or greater POP (RR, 0.74 [0.45-1.24]; moderate-quality evidence). Fewer women receiving PFMT report the presence of sexual dysfunction (RR, 0.48 [0.30-0.77]; low-quality evidence). There is no significant difference in AI symptoms...Continue Reading

References

Sep 1, 1986·Controlled Clinical Trials·R DerSimonian, N Laird
Jan 1, 1993·Diseases of the Colon and Rectum·J M Jorge, S D Wexner
Dec 16, 1998·International Urogynecology Journal and Pelvic Floor Dysfunction·P D Wilson, G P Herbison
Feb 24, 2004·Gastroenterology·Todd H Rockwood
Mar 12, 2004·International Urogynecology Journal and Pelvic Floor Dysfunction·Pauline ChiarelliJill Cockburn
Feb 26, 2005·The Australian & New Zealand Journal of Obstetrics & Gynaecology·H P Dietz, Lore Schierlitz
Apr 4, 2006·American Journal of Obstetrics and Gynecology·Divya A PatelJohn O L DeLancey
Apr 26, 2008·BMJ : British Medical Journal·Gordon H GuyattUNKNOWN GRADE Working Group
Apr 20, 2010·Acta Obstetricia Et Gynecologica Scandinavica·Nevin CitakCem Celik
Sep 11, 2010·Maturitas·Natalia PriceSimon R Jackson
Dec 1, 2012·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·UNKNOWN FIGO Committee for Ethical Aspects of Human Reproduction and Women's Health
Feb 26, 2013·Journal of Neuroradiology. Journal De Neuroradiologie·Thomas J Eluvathingal Muttikkal, Max Wintermark
Feb 26, 2013·International Urogynecology Journal·Stian Langeland Wesnes, Gunnar Lose
Jul 3, 2013·Health and Quality of Life Outcomes·Bradley C JohnstonGordon H Guyatt
Oct 24, 2013·BJOG : an International Journal of Obstetrics and Gynaecology·C M A GlazenerUNKNOWN ProLong Study Group
Jan 28, 2014·Obstetrics and Gynecology·Jennifer M WuAlayne D Markland
Jul 2, 2014·American Journal of Obstetrics and Gynecology·Kari BøMarie Ellstrøm Engh
Dec 17, 2014·Taiwanese Journal of Obstetrics & Gynecology·Murat BozkurtLevent Şahin
Dec 23, 2015·BJOG : an International Journal of Obstetrics and Gynaecology·M Kolberg TennfjordK Bø
Jun 9, 2016·BJOG : an International Journal of Obstetrics and Gynaecology·H H JohannessenS Mørkved
Aug 16, 2016·Journal of Health Care for the Poor and Underserved·Nathalie AugerAndré Costopoulos

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Citations

Oct 15, 2019·Current Opinion in Obstetrics & Gynecology·Shannon L WallaceKavita Mishra
Apr 14, 2020·Female Pelvic Medicine & Reconstructive Surgery·Alicia L GonzalesPeter C Jeppson
Apr 14, 2020·Female Pelvic Medicine & Reconstructive Surgery·Emily Von BargenEman Elkadry
May 1, 2021·Medicina·Karolina Eva Romeikienė, Daiva Bartkevičienė
Sep 23, 2020·Ultrasound in Obstetrics & Gynecology : the Official Journal of the International Society of Ultrasound in Obstetrics and Gynecology·Z MengistuH P Dietz

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