Abstract:
OBJECTIVE:To assess the effect of pelvic floor muscle training (PFMT) on pelvic floor muscle strength and urinary incontinence (UI) in primiparous women who underwent a home training program between three and 9 months after delivery. DESIGN:Randomized controlled trial. POPULATION:One hundred primiparous women were consecutively recruited from four different antenatal clinics in the urban area of Stockholm, Sweden. Women with UI who had undergone normal term singleton vaginal delivery, 10-16 weeks postpartum were randomly allocated to either intervention or control group. METHODS:Maximally voluntary contraction (MVC) and endurance were measured with a perionometer. The Oxford grading scale was used to manually estimate the strength of the pelvic floor muscle and self-reported symptoms of UI was registered through the Bristol Female Lower Urinary Tract Symptoms Module (ICIQ FLUTS) questionnaire. MAIN OUTCOME MEASURES:Maximally voluntary contraction of the pelvic floor muscle measured with a perionometer. RESULTS:Maximally voluntary contraction increased significantly in both groups between baseline and follow up (p < 0.05). The median MVC in cmHg for the intervention and control group was 16.2 and 12.1 at baseline and 26.0 and 18.2 at follow up, respectively. The median endurance, in seconds, for the intervention and control group was 9.6 and 12.0 at baseline and 26.7 and 23.4 at follow up, respectively. Pelvic floor muscle strength measured with the Oxford Scale increased significantly in both groups between baseline and follow up (p < 0.05). CONCLUSION:The results indicate that home-based PFMT is effective. However, written training instructions were as efficient as home-based training with follow up visits every sixth week.
journal_name
Acta Obstet Gynecol Scandjournal_title
Acta obstetricia et gynecologica Scandinavicaauthors
Ahlund S,Nordgren B,Wilander EL,Wiklund I,Fridén Cdoi
10.1111/aogs.12173subject
Has Abstractpub_date
2013-08-01 00:00:00pages
909-15issue
8eissn
0001-6349issn
1600-0412journal_volume
92pub_type
杂志文章,随机对照试验abstract:OBJECTIVE:To compare 24-hour controlled-release vaginal dinoprostone pessary vs. gel for induction of labor at term in women with an unfavorable cervix. DESIGN:Randomized controlled trial. SETTING:University hospital. POPULATION:A total of 133 women with singleton pregnancies, fetal cephalic presentation, Bishop sco...
journal_title:Acta obstetricia et gynecologica Scandinavica
pub_type: 杂志文章,随机对照试验
doi:10.3109/00016340903575998
更新日期:2010-05-01 00:00:00
abstract::Seventy patients were treated for a subcutaneous abscess in the vulva. In 35 consecutive patients the abscess was treated conventionally with deroofing of the abscess and wet dressings. In the other 35 consecutive patients the abscess was treated by incision, curettage and primary suture under antibiotic cover with a ...
journal_title:Acta obstetricia et gynecologica Scandinavica
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更新日期:2005-06-01 00:00:00
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pub_type: 杂志文章,评审
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更新日期:2016-08-01 00:00:00
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