Does Perinatal Period Pelvic Floor Muscle Exercises Affect Urinary Incontinence? A Systematic Review and Meta-Analysis of Randomized Controlled Trials

Aysu Yıldız Karaahmet; Fatma Şule Bilgiç; Murat Ekmez

Makale detayları

Does Perinatal Period Pelvic Floor Muscle Exercises Affect Urinary Incontinence? A Systematic Review and Meta-Analysis of Randomized Controlled Trials

Yazarlar:

Aysu Yıldız Karaahmet | Fatma Şule Bilgiç | Murat Ekmez

Yayıncı:

İstanbul Gelisim University

Ana Başlıklar:

Doğum ve Kadın Hastalıkları Hemşireliği

Dergi:

İstanbul Gelişim Üniversitesi Sağlık Bilimleri Dergisi Issue 24, pp.1308-1320

Belge Tipi:

Makale

Yayın Tarihi:

12/2024

Belge Dili:

İngilizce

Document ID (Org No.):

2001334422

pISSN:

2536-4499

Anahtar kelimeler:

Özet:

 Aim: Pelvic floor dysfunction PFD consists of urinary incontinence UI, anal incontinence, pelvic organ prolapses, and sexual dysfunction. This study aimed to conduct a systematic compilation and meta-analysis of randomized controlled studies examining urinary incontinence symptom severity and quality of life of pelvic floor muscle exercises performed on women during pregnancy, birth, and postpartum period. Method: Databases, including PubMed, Cochrane Library, and Web of Science, were scanned using MeSH-based keywords. Only randomized controlled trials RCT were included. The data were analyzed using the Review Manager computer program Version 5.3. Results: Pooled standardized differences in incontinence mean SMD between pre-intervention groups were -0.09 95 CI: -0.018, -0.00, p0.04. Initially, the exercise group had lower average scores in UDI-6 mean difference MD -3.32 -4.61-2.03, p0.00001. MD was higher after exercise MD  -2.85 -3.10 -2.61, p0.00001. There was little evidence of a difference in quality of life between the intervention and control groups as measured by ICIQ-SF. Initially, the exercise group had lower average scores on ICIQ-SF MD  -0.07 -0.21-0.08, p0.37. MD was higher after exercise MD  -0.06 -0.16-0.04, p0.45, but there was no statistically significant difference. Conclusion: Evidence has shown an effect of pelvic floor muscle training on urinary incontinence and quality of life in the postpartum period in primiparous women. However, high-quality randomized controlled studies are needed.

 Aim: Pelvic floor dysfunction PFD consists of urinary incontinence UI, anal incontinence, pelvic organ prolapses, and sexual dysfunction. This study aimed to conduct a systematic compilation and meta-analysis of randomized controlled studies examining urinary incontinence symptom severity and quality of life of pelvic floor muscle exercises performed on women during pregnancy, birth, and postpartum period. Method: Databases, including PubMed, Cochrane Library, and Web of Science, were scanned using MeSH-based keywords. Only randomized controlled trials RCT were included. The data were analyzed using the Review Manager computer program Version 5.3. Results: Pooled standardized differences in incontinence mean SMD between pre-intervention groups were -0.09 95 CI: -0.018, -0.00, p0.04. Initially, the exercise group had lower average scores in UDI-6 mean difference MD -3.32 -4.61-2.03, p0.00001. MD was higher after exercise MD  -2.85 -3.10 -2.61, p0.00001. There was little evidence of a difference in quality of life between the intervention and control groups as measured by ICIQ-SF. Initially, the exercise group had lower average scores on ICIQ-SF MD  -0.07 -0.21-0.08, p0.37. MD was higher after exercise MD  -0.06 -0.16-0.04, p0.45, but there was no statistically significant difference. Conclusion: Evidence has shown an effect of pelvic floor muscle training on urinary incontinence and quality of life in the postpartum period in primiparous women. However, high-quality randomized controlled studies are needed.

 Aim: Pelvic floor dysfunction PFD consists of urinary incontinence UI, anal incontinence, pelvic organ prolapses, and sexual dysfunction. This study aimed to conduct a systematic compilation and meta-analysis of randomized controlled studies examining urinary incontinence symptom severity and quality of life of pelvic floor muscle exercises performed on women during pregnancy, birth, and postpartum period. Method: Databases, including PubMed, Cochrane Library, and Web of Science, were scanned using MeSH-based keywords. Only randomized controlled trials RCT were included. The data were analyzed using the Review Manager computer program Version 5.3. Results: Pooled standardized differences in incontinence mean SMD between pre-intervention groups were -0.09 95 CI: -0.018, -0.00, p0.04. Initially, the exercise group had lower average scores in UDI-6 mean difference MD -3.32 -4.61-2.03, p0.00001. MD was higher after exercise MD  -2.85 -3.10 -2.61, p0.00001. There was little evidence of a difference in quality of life between the intervention and control groups as measured by ICIQ-SF. Initially, the exercise group had lower average scores on ICIQ-SF MD  -0.07 -0.21-0.08, p0.37. MD was higher after exercise MD  -0.06 -0.16-0.04, p0.45, but there was no statistically significant difference. Conclusion: Evidence has shown an effect of pelvic floor muscle training on urinary incontinence and quality of life in the postpartum period in primiparous women. However, high-quality randomized controlled studies are needed.

 Amaç: Pelvik taban disfonksiyonu PTD, idrar kaçırma İK, anal inkontinans, pelvik organ prolapsusu ve cinsel işlev bozukluğundan oluşur. Bu çalışmada gebelik, doğum ve doğum sonrası dönemde kadınlara uygulanan pelvik taban kas egzersizlerinin üriner inkontinans semptom şiddeti ve yaşam kalitesini inceleyen randomize kontrollü çalışmaların sistematik derlemesi ve meta-analizinin yapılması amaçlandı. Yöntem: PubMed, Cochrane Library ve Web of Science gibi veri tabanları, MeSH tabanlı anahtar kelimeler kullanılarak tarandı. Yalnızca randomize kontrollü çalışmalar RKÇ dahil edildi. Veriler Review Manager bilgisayar programı Sürüm 5.3 kullanılarak analiz edildi. Bulgular: Müdahale öncesi gruplar arasında inkontinans ortalamasında birleştirilmiş standartlaştırılmış farklar -0,09 idi 95 GA: -0,018, -0,00, p0,04. Başlangıçta, egzersiz grubunun UDI-6da ortalama puanları daha düşüktü MD -3.32 -4.61-2.03, p0.00001. MD egzersiz sonrasında daha yüksekti MD  -2,85 -3,10 -2,61, p0,00001. ICIQ-SF ile ölçülen müdahaleler ve kontrol grupları arasında yaşam kalitesinde bir fark olmadığını gösteren çok az kanıt vardı. Başlangıçta egzersiz grubunun ICIQ-SFde ortalama puanları daha düşüktü MD  -0,07 -0,21-0,08, p0,37. MD egzersiz sonrası daha yüksekti MD  -0,06 -0,16-0,04; p0,45 ancak istatistiksel olarak anlamlı bir fark yoktu. Sonuç: Kanıtlar, ilk doğum yapan kadınlarda pelvik taban kas eğitiminin idrar kaçırma ve postpartum dönemde yaşam kalitesi üzerinde etkili olduğunu göstermiştir. Ancak yüksek kalitede randomize kontrollü çalışmalara ihtiyaç vardır.

Makale detayları

Does Perinatal Period Pelvic Floor Muscle Exercises Affect Urinary Incontinence? A Systematic Review and Meta-Analysis of Randomized Controlled Trials

Yazarlar:

Aysu Yıldız Karaahmet | Fatma Şule Bilgiç | Murat Ekmez

Yayıncı:

İstanbul Gelisim University

Ana Başlıklar:

Doğum ve Kadın Hastalıkları Hemşireliği

Dergi:

İstanbul Gelişim Üniversitesi Sağlık Bilimleri Dergisi Issue 24, pp.1308-1320

Belge Tipi:

Makale

Yayın Tarihi:

12/2024

Belge Dili:

İngilizce

Document ID (Org No.):

2001334422

pISSN:

2536-4499

Pregnancy

postpartum

urinary incontinence

quality of life

pelvic floor exerciseGebelik

doğum sonrası

idrar kaçırma

yaşam kalitesi

pelvik taban egzersizi

Sayı

Makale detayları

Yazarlar: Aysu Yıldız Karaahmet | Fatma Şule Bilgiç | Murat Ekmez

Yayıncı: İstanbul Gelisim University

Ana Başlıklar: Doğum ve Kadın Hastalıkları Hemşireliği

Dergi: İstanbul Gelişim Üniversitesi Sağlık Bilimleri Dergisi Issue 24, pp.1308-1320

Belge Tipi: Makale

Yayın Tarihi: 12/2024

Belge Dili: İngilizce

Document ID (Org No.): 2001334422

pISSN: 2536-4499

Sayı

Yazarlar:

Aysu Yıldız Karaahmet | Fatma Şule Bilgiç | Murat Ekmez

Yayıncı:

İstanbul Gelisim University

Ana Başlıklar:

Doğum ve Kadın Hastalıkları Hemşireliği

Dergi:

İstanbul Gelişim Üniversitesi Sağlık Bilimleri Dergisi Issue 24, pp.1308-1320

Belge Tipi:

Makale

Yayın Tarihi:

12/2024

Belge Dili:

İngilizce

Document ID (Org No.):

2001334422

pISSN:

2536-4499