APPEAL: Antenatal preventative pelvic floor muscle exercise intervention led by midwives to reduce postnatal urinary incontinence

Conditions

Postpartum urinary incontinence Urological and Genital Diseases

Christine MacArthur, Debra Bick, Victoria E. Salmon, Eleanor Jones, Jean Hay‐Smith et al. (16 authors)

BMJ Open2025-01-01

10.1136/bmjopen-2024-091248

Midwifery-led antenatal pelvic floor muscle exercise intervention to reduce postnatal urinary incontinence: APPEAL research programme including a feasibility and pilot cluster RCT

Christine MacArthur, Debra Bick, Victoria E. Salmon, Eleanor Jones, Jean Hay‐Smith et al. (16 authors)

Programme Grants for Applied Research2024-11-01

10.3310/tjdh7946

Antenatal preventative pelvic floor muscle exercise intervention led by midwives to reduce postnatal urinary incontinence (APPEAL): protocol for a feasibility and pilot cluster randomised controlled trial.

Bick D, Bishop J, Coleman T, Dean S, Edwards E, Frawley H, Gkini E, Hay-Smith J, Hemming K, Jones E, Oborn E, Pearson M, Salmon V, Webb S, MacArthur C.

2022-10-223 citations

10.1186/s40814-022-01185-y

Interventions

The intervention in this pilot and feasibility cluster randomized controlled trial comprises an antenatal midwife training package aimed at enhancing midwife ability and motivation to inform and suppo

Eligibility

Sex/Gender

Female

Inclusion criteria

Inclusion criteria: All women who receive antenatal care from a participating community midwifery team (cluster) during the trial period

Exclusion criteria

Exclusion criteria: Does not meet inclusion criteria

Design outcomes

Primary

Measure	Time frame
1. Dichotomous feasibility measures, such as recruitment and questionnaire return rates, as well as data completeness, will be reported as numbers and percentages 2. The feasibility and pilot cluster trial questionnaire will provide data to facilitate estimation of the sample size required for a future RCT 3. Outcome data on urinary incontinence and PFME will be collected from women at 10-12 weeks postnatally	—

Measure

Time frame

1. Dichotomous feasibility measures, such as recruitment and questionnaire return rates, as well as data completeness, will be reported as numbers and percentages 2. The feasibility and pilot cluster trial questionnaire will provide data to facilitate estimation of the sample size required for a future RCT 3. Outcome data on urinary incontinence and PFME will be collected from women at 10-12 weeks postnatally

—

Secondary

Measure	Time frame
There are no secondary outcome measures	—

Countries

England, United Kingdom

Contacts

Public ContactWilliam McKinnon

w.mckinnon@bham.ac.uk+44 (0)121 414 8335

Outcome results

None listed