Urinary incontinence during pregnancy.
Conditions
Interventions
In the experimental group, 55 pregnant women with urinary incontinence in the second trimester of pregnancy will perform, biweekly, six sessions of strengthening the pelvic floor muscles supervised by
repeating the sequence three times. EXERCISE 3: Steer 10 contractions sustained for 6 to 8 seconds, with intervals of 12 to 16 seconds between contractions
repeating the sequence ten times. In the control group, 45 women with urinary incontinence in the second trimester of pregnancy will receive verbal advice by the nurse or midwife who perform the anten
repeating this sequence three times
2) contract the pelvic floor and count slowly to 8
relax, rest, and count slowly until 8 (at the end of pregnancy, resting lying on the left side)
repeating this s
Other
E02.779.483
Sponsors
Escola de Enfermagem da Universidade de São Paulo
Escola de Enfermagem da Universidade de São Paulo
Eligibility
Sex/Gender
Female
Age
18 Years to No maximum
Inclusion criteria
Inclusion criteria: Having urinary incontinence during the current pregnancy, until the 24th week; Not having undergone surgery urogenital prior; Not having diseases that can interfere with pelvic floor muscle strength (prolapse of pelvic organ, neurological diseases, diabetes, pelvic injury or spinal); Be 18 years old or more; Having completed elementary school; Having difficulty in understanding Portuguese language or in communication.
Exclusion criteria
Exclusion criteria: Having multiple pregnancy; Having obstetric complications during pregnancy (haemorrhagic syndromes, isthmus-cervical insufficiency, premature labour, recurrent urinary tract infection); Offer resistance against the insertion of the perineometer in the vagina; Not adherence to complete physiotherapy.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Urinary incontinence (UI) verified by the difference of the frequency of UI reported by pregnant women in both groups at the end of the study. The difference in proportion of expected urinary incontinence between the experimental and control groups at the end of pregnancy was 28 percentage points (43% versus 71%, respectively).;The difference in proportion of observed UI between the experimental and control groups at the end of pregnancy was 25,3 percentage points (29.2% versus 54.5%, respectively). | — |
Secondary
| Measure | Time frame |
|---|---|
| 1) Interference of urinary incontinence in the pregnant women's life, assessed by International Consultation on Incontinence Questionnaire-Short Form (ICIQ-SF) score (from 0 to 21).;1) The mean of the ICIQ-SF score in the experimental group decreased from 8.6 to 6.8. In the control group, the mean ICIQ-SF score increased from 7.6 to 9.3.;2) Pelvic floor muscle strength (PFMS), assessed by perineometry, in centimeters of water, using the perineometer Peritron™.;2) The mean of the PFMS in the experimental group increased from 25.8 to 29.1 cmH2O. In the control group, the mean pf the PFMS decreased from 25.7 cm H2O to 23.7 cm H2O. | — |
Countries
Brazil
Contacts
Public ContactMaria Luiza Riesco
Escola de Enfermagem da Universidade de São Paulo
Outcome results
None listed