Urinary Incontinence
Conditions
Keywords
urinary incontinence, pelvic floor muscle training, nulliparous, pregnancy
Brief summary
Comparison of urinary incontinence during third trimester of nulliparous on pelvic floor muscle training in Rajavithi hospital
Detailed description
Outcomes 1. primary outcome \>\> UI at third trimester 2. secondary outcome \>\> quality of life, duration of second stage of labor * Inclusion criteria nulliparous GA 20-24 week gestation singleton Age 18-35 years old Can communicate and understand Thai language Cooperating to join research * Exclusion criteria DFIU Maternal medical condition or high risk pregnancy such as multifetal gestation, chronic hypertension, pregestational DM, epilepsy, autoimmune disease, polyhydramnios asthma * Pre-excisting urinary incontinence * prepregnancy BMI\>=30 kg/m2 * smoking * 2 groups study \>\> control and intervention group * Both groups were evaluated urinary incontinence(UI) at third trimester with UDI-6 and IIQ-7 questionaires * Intervention group was trianed pelvic floor muscle strength and evaluate strength with Brink score by researcher who was trained and tested pelvic floor muscle strength by urogynecologist at day 1 then reassess Brink score at 4 weeks * program of pelvic floor muscle training ( PFMT) consist of contract and whole pelvic floor muscle 10 seconds and relaxation 10 second total 20 times per set total 3 set per day * intervention group was followed up once a week by telephone about compliance of program, general symptom and notice for self recording sheet * PFMT program follow up total 12 weeks
Interventions
OTHERPFMT
* program of PFMT consist of contract and hold pelvic floor muscle 10 seconds and relax 10 seconds 20 times per set totally 3 set per day * follow up by telephone once a week about compliance of program PFMT, general symptoms, notice recording book * at third trimester evaluate UI by questionaire (UDI-6, IIQ-7)
OTHERnon PFMT
Randomized to non PFMT group follow up and evaluate UI at third trimester sames as intervention group
Sponsors
Department of Medical Services Ministry of Public Health of Thailand
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
NONE
Intervention model description
To compare urinary incontinence, qaulity of life, duration of second stage of labor between pelvic floor muscle training(PFMT) group and nonPFMT group Researcher assess pelvic floor muscle strength by Brink score who verified by urogynecologist , given PFMT program and VDO education, follow up by telephone for compliance, and reassess pelvic floor muscle strength at 4 weeks after consented
Eligibility
Sex/Gender
FEMALE
Age
18 Years to 35 Years
Healthy volunteers
Yes
Inclusion criteria
* nulliparous * gestational gae 20-24 week * age 18-35 year * can communicate and understand Thai language * co-operate to join research
Exclusion criteria
* DFIU * maternal medical condition or high risk pregnancy such as multifetal gestation , pregestational DM, chonic hypertension , epilepsy, autoimmune disease, polyhydramnios, asthma * pre-excisting urinary incontinence * prepregnant BMI \>=30 kg/m2 * smoking
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Urinary incontinence at third trimester both group | GA 36-38 wk | Use Questionaires Urinary Distress Inventory (UDI-6) include 6 domains( Frequency, Urgency incontinence, Stress incontinence, Drops, Emptying difficulty, Pain /discomfort each domain raw score from 0-3 (0=not at all, 1= a little bit, 2=moderately, 3=greatly) (total raw score 18 point ) define score total 100 point if at least 16.7% means urinary incontinence and below 16.7% means nornal ( continence= no UI ) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Quality of life at third trimester both group | GA 36-38 wk | Incontinence impact questionaires (IIQ-7) includes Household chores, Physical recreation, Entertainment activities, Travel ability, Social activities, Emotional health, Feeling frustrated. Each domain has raw score 0-3 (0=not at all, 1= a little bit, 2=moderately, 3=greatly), total raw score 21 points. It's defined total score 100 point if at least 70 means impact qaulity of life |
| Duration of second stage of labor in both group | date of delivery | use partograph and labor record, Duration of second stage of labor define as times of cervical fully dilatation until baby delivery difine as minutes |
| Correlation between urinary incontinence and quality of life | GA 36-38 wk | questionaire UDI-6 , IIQ-7 hypothesis high score of UDI6 associated poor quality of life |
Countries
Thailand
Outcome results
None listed