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Published in: International Urogynecology Journal 7/2007

01-07-2007 | Original Article

Do pregnant women exercise their pelvic floor muscles?

Authors: Kari Bø, Lene A.H. Haakstad, Nanna Voldner

Published in: International Urogynecology Journal | Issue 7/2007

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Abstract

The aims of the present study were to assess the number of women performing pelvic floor muscle training (PFMT) during pregnancy and to compare the background variables in those exercising and in those who did not. Four hundred and sixty-seven pregnant women (response rate 84%), mean age 31.5 years (range 20–49), answered a questionnaire on general physical activity level during pregnancy including PFMT. The questionnaire was sent out in week 32 of gestation and answered within week 36. Twenty-four percent reported problems with urinary incontinence and 9% flatus/fecal incontinence. The percentages of pregnant women performing PFMT at least once a week before pregnancy and during trimesters 1, 2, and 3 were 7, 12.9, 17.6, and 17.4%, respectively. More women with lower prepregnancy BMI and with present and past pelvic girdle pain were performing regular PFMT. No significant differences were found in any other background variables. It is concluded that relatively few women perform regular PFMT during pregnancy. In conclusion, only 17% of pregnant Norwegian women reported performing PFMT during pregnancy.
Literature
1.
go back to reference Hunskaar S, Burgio K, Clark A, Lapitan MC, Nelson R, SillenU, Thom D (2005) Epidemiology of urinary (UI) and faecal (FI) incontinence and pelvic organ prolapse (POP). In: Abrams P, Cardozo L, Khoury S, Wein A (eds) Incontinence. 3rd international consultation on incontinence. Health Publication, vol 1: basics & evaluation, chapter 5, pp 255–312 Hunskaar S, Burgio K, Clark A, Lapitan MC, Nelson R, SillenU, Thom D (2005) Epidemiology of urinary (UI) and faecal (FI) incontinence and pelvic organ prolapse (POP). In: Abrams P, Cardozo L, Khoury S, Wein A (eds) Incontinence. 3rd international consultation on incontinence. Health Publication, vol 1: basics & evaluation, chapter 5, pp 255–312
2.
go back to reference Kegel AH (1948) Progressive resistance exercise in the functional restoration of the perineal muscles. Am J Obstet Gynecol 56:238–248PubMed Kegel AH (1948) Progressive resistance exercise in the functional restoration of the perineal muscles. Am J Obstet Gynecol 56:238–248PubMed
3.
go back to reference Sampselle CM, Miller JM, Mims BL, DeLancey J, Ashton-Miller JA, Antonakos CL (1998) Effect of pelvic muscle exercise on transient incontinence during pregnancy and after birth. Obstet Gynecol 91:406–412PubMedCrossRef Sampselle CM, Miller JM, Mims BL, DeLancey J, Ashton-Miller JA, Antonakos CL (1998) Effect of pelvic muscle exercise on transient incontinence during pregnancy and after birth. Obstet Gynecol 91:406–412PubMedCrossRef
4.
go back to reference Reilly E, Freeman R, Waterfield M, Waterfield A, Steggles P, Pedlar F (2002) Prevention of postpartum stress incontinence in primigravidae with increased bladder neck mobility: a randomised controlled trial of antenatal pelvic floor exercises. BJOG 109:68–76PubMedCrossRef Reilly E, Freeman R, Waterfield M, Waterfield A, Steggles P, Pedlar F (2002) Prevention of postpartum stress incontinence in primigravidae with increased bladder neck mobility: a randomised controlled trial of antenatal pelvic floor exercises. BJOG 109:68–76PubMedCrossRef
5.
go back to reference Mørkved S, Bø K, Schei B, Salvesen KÅ (2003) Pelvic floor muscle training during pregnancy to prevent urinary incontinence: a single-blind randomized controlled trial. Obstet Gynecol 101:313–319PubMedCrossRef Mørkved S, Bø K, Schei B, Salvesen KÅ (2003) Pelvic floor muscle training during pregnancy to prevent urinary incontinence: a single-blind randomized controlled trial. Obstet Gynecol 101:313–319PubMedCrossRef
6.
go back to reference Kegel AH (1952) Stress incontinence and genital relaxation; a nonsurgical method of increasing the tone of sphincters and their supporting structures. Clin Symp 4:35–51PubMed Kegel AH (1952) Stress incontinence and genital relaxation; a nonsurgical method of increasing the tone of sphincters and their supporting structures. Clin Symp 4:35–51PubMed
7.
go back to reference Bø K, Larsen S, Oseid S, Kvarstein B, Hagen R, Jørgensen J (1988) Knowledge about and ability to correct pelvic floor muscle exercises in women with urinary stress incontinence. Neurourol Urodyn 7:261–262 Bø K, Larsen S, Oseid S, Kvarstein B, Hagen R, Jørgensen J (1988) Knowledge about and ability to correct pelvic floor muscle exercises in women with urinary stress incontinence. Neurourol Urodyn 7:261–262
8.
go back to reference Bump R, Hurt WG, Fantl JA, Wyman JF (1991) Assessment of Kegel exercise performance after brief verbal instruction. Am J Obstet Gynecol 165:322–329PubMed Bump R, Hurt WG, Fantl JA, Wyman JF (1991) Assessment of Kegel exercise performance after brief verbal instruction. Am J Obstet Gynecol 165:322–329PubMed
9.
go back to reference Benvenuti F, Caputo GM, Bandinelli S, Mayer F, Biagini C, Somavilla A (1987) Reeducative treatment of female genuine stress incontinence. Am J Phys Med 664:155–168 Benvenuti F, Caputo GM, Bandinelli S, Mayer F, Biagini C, Somavilla A (1987) Reeducative treatment of female genuine stress incontinence. Am J Phys Med 664:155–168
10.
go back to reference Ashworth PD, Hagan MT (1993) Some social consequences of noncompliance with pelvic floor exercises. Physiotherapy 79:465–471CrossRef Ashworth PD, Hagan MT (1993) Some social consequences of noncompliance with pelvic floor exercises. Physiotherapy 79:465–471CrossRef
11.
go back to reference Abrams P, Cardozo L, Fall M, Griffiths D, Rosier P, Ulmsten U, van Kerrebroeck P, Victor A, Wein A (2002) The standardisation of terminology of lower urinary tract function: report from the Standardization Sub-committee of the International Continence Society. Am J Obstet Gynecol 187:116–126PubMedCrossRef Abrams P, Cardozo L, Fall M, Griffiths D, Rosier P, Ulmsten U, van Kerrebroeck P, Victor A, Wein A (2002) The standardisation of terminology of lower urinary tract function: report from the Standardization Sub-committee of the International Continence Society. Am J Obstet Gynecol 187:116–126PubMedCrossRef
12.
go back to reference Mason L, Glenn S, Walton I, Hughes C (2001) The instruction in pelvic floor exercises provided to women during pregnancy or following delivery. Midwifery 1:55–64CrossRef Mason L, Glenn S, Walton I, Hughes C (2001) The instruction in pelvic floor exercises provided to women during pregnancy or following delivery. Midwifery 1:55–64CrossRef
13.
go back to reference Haakstad LAH, Voldner N, Henriksen T, Bø K (2006) Physical activity level and weight gain in a cohort of pregnant Norwegian women. Acta Obstet Gynecol Scand (submitted) Haakstad LAH, Voldner N, Henriksen T, Bø K (2006) Physical activity level and weight gain in a cohort of pregnant Norwegian women. Acta Obstet Gynecol Scand (submitted)
14.
go back to reference Eliasson K, Norlander I, Larson B, Hammarstrom M, Mattesson E (2005) Influence of physical activity on urinary leakage in primiparous women. Scand J Med Sci Sports 15(2):87–94PubMedCrossRef Eliasson K, Norlander I, Larson B, Hammarstrom M, Mattesson E (2005) Influence of physical activity on urinary leakage in primiparous women. Scand J Med Sci Sports 15(2):87–94PubMedCrossRef
15.
go back to reference Mason L, Glenn S, Walton I, Huges C (2001) Do women practice pelvic floor exercises during pregnancy or following delivery? Physiotherapy 87:662–670CrossRef Mason L, Glenn S, Walton I, Huges C (2001) Do women practice pelvic floor exercises during pregnancy or following delivery? Physiotherapy 87:662–670CrossRef
16.
go back to reference Bø K, Hagen RH, Kvarstein B, Jørgensen J, Larsen S (1990) Pelvic floor muscle exercise for the treatment of female stress urinary incontinence: III. Effects of two different degrees of pelvic floor muscle exercise. Neurourol Urodyn 9:489–502CrossRef Bø K, Hagen RH, Kvarstein B, Jørgensen J, Larsen S (1990) Pelvic floor muscle exercise for the treatment of female stress urinary incontinence: III. Effects of two different degrees of pelvic floor muscle exercise. Neurourol Urodyn 9:489–502CrossRef
17.
go back to reference Chiarelli P, Murphy B, Cockburn J (2003) Women’s knowledge, practices, and intentions regarding correct pelvic floor exercises. Neurourol Urodyn 22:246–249PubMedCrossRef Chiarelli P, Murphy B, Cockburn J (2003) Women’s knowledge, practices, and intentions regarding correct pelvic floor exercises. Neurourol Urodyn 22:246–249PubMedCrossRef
18.
go back to reference McLennon MT, Melick CF, Alten B, Young J, Hoehn MR (2005) Patients’ knowledge of potential pelvic floor changes associated with pregnancy and delivery. Int Urogynecol J 17:22–26CrossRef McLennon MT, Melick CF, Alten B, Young J, Hoehn MR (2005) Patients’ knowledge of potential pelvic floor changes associated with pregnancy and delivery. Int Urogynecol J 17:22–26CrossRef
Metadata
Title
Do pregnant women exercise their pelvic floor muscles?
Authors
Kari Bø
Lene A.H. Haakstad
Nanna Voldner
Publication date
01-07-2007
Publisher
Springer-Verlag
Published in
International Urogynecology Journal / Issue 7/2007
Print ISSN: 0937-3462
Electronic ISSN: 1433-3023
DOI
https://doi.org/10.1007/s00192-006-0235-2

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