Title |
Effectiveness of an illustrated home exercise guide on promoting urinary continence during pregnancy: a pragmatic randomized clinical trial
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Published in |
Revista Brasileira de Ginecologia e Obstetrícia, October 2015
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DOI | 10.1590/so100-720320150005361 |
Pubmed ID | |
Authors |
Liamara Cavalcante de Assis, João Marcos Bernardes, Angélica Mércia Pascon Barbosa, Ana Carolina Monteiro Santini, Luana Schneider Vianna, Adriano Dias |
Abstract |
To evaluate the effectiveness of an illustrated home exercise guide targeting the pelvic floor muscles in promoting urinary continence during pregnancy. A randomized clinical trial was performed with 87 participants, evaluated six times during pregnancy and divided into three groups: Gsup, supervised; Gobs, not supervised, and Gref, women who did not perform the home exercises program. A miction diary and perineometry were used to evaluate urinary incontinence (primary outcome) and pelvic floor muscle strength (secondary outcome), respectively. The Kruskal-Wallis test with post hoc Dunn's and chi-square and Z tests with Bonferroni correction were used for continuous variables and proportions, respectively, with the level of significance set at 5%. At the end of the study, 6.9% of pregnant women in the Gsup and Gobs had urinary incontinence, while 96.6% of Gref women were incontinent. Regarding pelvic floor muscle function, Gsup and Gobs had mean contractions of 10 and 8.9 cmH2O, respectively, while Gref had a value of 4.7 cmH2O. Both results were significant. An illustrated home exercise guide targeting the pelvic floor muscles is effective in promoting urinary continence during pregnancy, even without permanent supervision. |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
Unknown | 96 | 100% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Student > Bachelor | 20 | 21% |
Student > Master | 12 | 13% |
Student > Ph. D. Student | 6 | 6% |
Professor | 5 | 5% |
Student > Postgraduate | 5 | 5% |
Other | 15 | 16% |
Unknown | 33 | 34% |
Readers by discipline | Count | As % |
---|---|---|
Nursing and Health Professions | 25 | 26% |
Medicine and Dentistry | 18 | 19% |
Sports and Recreations | 5 | 5% |
Agricultural and Biological Sciences | 3 | 3% |
Biochemistry, Genetics and Molecular Biology | 2 | 2% |
Other | 7 | 7% |
Unknown | 36 | 38% |