Incontinence, Urinary, Training Group, Sensitivity
Conditions
Keywords
Pregnancy pilates, Urinary incontinence, childbirth training
Brief summary
A randomized controlled trial was made to determine the effectiveness of prenatal pilates-supported childbirth preparation training on birth outcomes, incontinence during pregnancy, and the postpartum period.
Detailed description
One of the risk factors for the development of stress incontinence in women is pregnancy and childbirth. This problem increases as pregnancy progresses and continues in the postpartum period. It was tested the hypothesis, there is no difference in the development of urinary incontinence in the prenatal and postpartum periods among women who receive Pilates-assisted childbirth preparation training and women who were into the usual care.
Interventions
BEHAVIORALPrenatal Pilates Assisted Childbirth Preparation Training
Training was given twice a week for two hours a day (one hour of theory, one An hour of exercise = 45 minutes of pregnant plates and 15 minutes of breathing exercises) total eight weeks.
Sponsors
Aydin Adnan Menderes University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
DOUBLE (Investigator, Outcomes Assessor)
Masking description
The data will be collected by the assistant researcher and entered into the SPSS program as A and B groups. Analyzes will be performed by the principal investigator who is blind to the groups.
Intervention model description
Following recruitment, the pregnant women were divided into a study and a control group by randomization (1:1 randomization)
Eligibility
Sex/Gender
FEMALE
Age
18 Years to 35 Years
Healthy volunteers
Yes
Inclusion criteria
* Being between the ages of 18-35, * Being in the 28th-30th week of pregnancy * Having a singleton pregnancy * Being nulliparous
Exclusion criteria
* Having chronic constipation * Having a chronic cough * Having a history of any psychiatric condition, multiple sclerosis, spinal cord injury, congenital or acquired anatomical abnormalities of the urogenital tract, bladder malignancy * Being overweight and obese * Giving birth outside of 37-42 weeks
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Pre-intervention | During assessment at registration | During the prenatal period, evaluation of incontinence score with the Michigan Incontinence Severity Index Form (minimum score : 0- maximum score:40) during an assessment at registration before intervention (before education and pilates). A score higher than the given cut-off values indicates that the severity of incontinence is worsening. |
| Intervention- Childbirth training program and prenatal pilates intervention | Immediately after at the end of the eight-week prenatal pilates-supported birth preparation training | Evaluation of incontinence score with the Michigan Incontinence Severity Index Form ( minimum score: 0 -maximum score: 40 cut of the point: 7 and above ) after the intervention. Questions 1st-3th on the MISIF scale indicate stress incontinence severity, 4th-6th questions measure the severity of urge incontinence, and 1st-8th questions measure the severity of incontinence. There points above indicate stress incontinence and the total score of questions 4-6 indicates 5 points and above for urge incontinence severity.A score higher than the given cut-off values indicates that the severity of incontinence is worsening. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Postpaortum period- Post-discharge | Post-discharge - one month after birth | Evaluation of incontinence score with the Michigan Incontinence Severity Index Form( minimum score: 0 - maximum score: 40; seven and above was accepted as the cut-off point) after discharge, after one month of childbirth. Questions 1st-3th on the Michigan Incontinence Severity Index Form indicate stress incontinence severity, 4th-6th questions measure the severity of urge incontinence, and 1st-8th questions measure the severity of incontinence. There points and above indicate stress incontinence and the total score of questions 4-6 indicates 5 points and above for urge incontinence severity.A score higher than the given cut-off values indicates that the severity of incontinence is worsening. |
Other
| Measure | Time frame | Description |
|---|---|---|
| Birth Outcomes | After labor in 48 hour | To evaluate the effect of prenatal pilates-assisted birth preparation training on the duration of birth (hours, minutes), the analgesia/anesthesia used, and the mode of birth rate (number and percentage) with the questionnaire |
Countries
Turkey (Türkiye)
Outcome results
None listed