post partum incontinence urine loss during physical effort
Conditions
Interventions
Intervention after vaginal delivery
At week 6-8 post-partum routine control all women with UI besides those women
who (still) participate in study I of motherfit are counselled by their
midwife/obs
Sponsors
Universiteit Maastricht
Eligibility
Age
18 Years to 99 Years
Inclusion criteria
Inclusion criteria: * adult woman after vaginal delivery * urinary incontinence (stress or mixed with predominant stress UI factor) * motivated for participation in the motherfit program * signed informed consent * competent to speak and understand Dutch language and to read and fill in forms independent * mApps on tablet (Apple or Android) or webApp available
Exclusion criteria
Exclusion criteria: - UI prior to pregnancy, still existing after vaginal delivery * suffering from significant exercise limitations or co-morbidities (physical or psychological) that would restrain a woman from participation in motherfit (group) training * history of chronic neurological disorders or diseases related to UI (f.i_ multiple sclerosis, cerebro-vascular accident, diabetes mellitus) * urinary tract infection (urine-sediment, urine culture) * history of anti-incontinence or urogynecological surgery * women who are expected to be lost to follow-up (e.g. because of a planned change of residency) * recent pelvic physiotherapy (
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| primary: 18 months post partum - ICIQ-UI-SF at 6 weeks (baseline), 4 months (end training), 9, and 18 months. | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary: 18 months post partum - Patient global impression of severity (PGI-S), - Incontinence Impact Questionnaire-7(IIQ-7): generic QoL (EQ-5D-5L) - Costs, costs questionnaire at 6 weeks post partum (baseline), 4 months (end training), 9, and 18 months. - Patient satisfaction at 4 months | — |
Countries
Netherlands
Outcome results
None listed