Urinary Incontinence Clinical Trial
Official title:
A Comparison of Urinary Incontinence During Third Trimester of Nulliparous on Pelvic Floor Muscle Training in Rajavithi Hospital
Comparison of urinary incontinence during third trimester of nulliparous on pelvic floor muscle training in Rajavithi hospital
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
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