Is pelvic floor muscle training able to alter the response of cardiovascular autonomic modulation and provide a possible cardiovascular benefit to pregnant women?

2020 ◽  
Vol 39 (8) ◽  
pp. 2272-2283
Author(s):  
Mikaela Silva Corrêa ◽  
Aparecida M. Catai ◽  
Juliana C. Milan‐Mattos ◽  
Alberto Porta ◽  
Patricia Driusso
Keyword(s):  
Pelvic Floor ◽  
Pregnant Women ◽  
Pelvic Floor Muscle Training ◽  
Pelvic Floor Muscle ◽  
Autonomic Modulation ◽  
Muscle Training ◽  
Cardiovascular Benefit

scholarly journals Performance of self-reported and unsupervised antenatal pelvic floor muscle training and its effects on postpartum stress urinary incontinence among Chinese women: a cohort study

2020 ◽  
Vol 48 (6) ◽  
pp. 030006052091422
Author(s):  
Ling Chen ◽  
Xiaomin Chen ◽  
Dan Luo ◽  
Mei Jin ◽  
Yingjie Hu ◽  
...  
Keyword(s):  
Urinary Incontinence ◽  
Cohort Study ◽  
Stress Urinary Incontinence ◽  
Pelvic Floor ◽  
Pregnant Women ◽  
Pelvic Floor Muscle Training ◽  
Chinese Women ◽  
Pelvic Floor Muscle ◽  
Muscle Training ◽  
Postpartum Stress

Objectives We investigated performance of antenatal pelvic floor muscle training (PFMT) among Chinese pregnant women, to explore its effects on postpartum stress urinary incontinence (SUI). Methods We conducted a prospective cohort study in Shenzhen, China among 815 singleton pregnant women age ≥18 years, who were continent before pregnancy. Telephone follow-up was conducted at 6 weeks postpartum. Logistic univariable and multivariable regression analyses were used to estimate effects of antenatal PFMT (frequency and duration) on SUI postpartum among subgroups defined by SUI during pregnancy. The interactions of antenatal PFMT and PFMT duration on SUI postpartum were tested. Results Among 798 women included in the analysis, 127 (15.91%) had SUI at 6 weeks postpartum. Only 157 (19.67%) women performed antenatal PFMT, none under supervision. After adjusting potential confounders, neither frequency (odds ratio (OR) = 1.08, 95% confidence interval (CI) 0.89–1.32) nor duration (OR = 1.03, 95% CI 0.87–1.23) of antenatal PFMT was a significant factor in postpartum SUI. No interactions of antenatal PFMT and PFMT duration on SUI postpartum were found in any participants or subgroups. Conclusion No effect of self-reported, unsupervised, self-initiated antenatal PFMT on SUI 6 weeks postpartum was found. Low doses and no supervision may have contributed to the negative results.

The Characteristics of the Pelvic Floor Muscle Training Programs Used in Experimental Studies with Surface Electromyography in Non-Pregnant Women: A Systematic Review

2020 ◽  
Author(s):  
Magdalena PIERNICKA ◽  
Barbara DUDA-BIERNACKA ◽  
Monika BŁUDNICKA ◽  
Anna SZUMILEWICZ
Keyword(s):  
Pelvic Floor ◽  
Pregnant Women ◽  
Surface Electromyography ◽  
Training Programs ◽  
Pelvic Floor Muscle Training ◽  
Pelvic Floor Muscle ◽  
Experimental Studies ◽  
Adverse Outcomes ◽  
Muscle Training ◽  
Positive Effects

Background: We aimed to characterize the pelvic floor muscle training (PFMT) programs for non-pregnant women used in the experimental studies with surface electromyography, based on the four training components: the frequency, intensity, time and type of exercises. Then, to characterize the study groups in which the PFMT programs were applied and the effectiveness of these programs. Methods: This is a review of 29 papers published in the years 1986-2019, available in PubMed, MEDLINE and SPORTDiscus with Full Text databases. We used keywords: "pelvic floor", "muscle training" and "EMG or electromyography" Results: Only in six articles all training components were characterized. The frequency was given in 17 papers, and on average it was 4 ± 2 (M ± SD) times a week. The intensity was described in nine reports, most often the maximal contraction of the pelvic floor muscles was recommended. Researchers conducted their interventions on average for 10 ± 5 weeks. The exercise sessions lasted 25’ ± 10.49’. Type of exercises was specified in eleven papers and most often quick flicks were performed. In 90% of the studies the training programs were applied in women with pelvic floor muscle dysfunctions. In most works positive effects of PFMT were observed. No adverse outcomes of the use of electromyography were reported. Conclusion: The full training description should be presented in any scientific work, providing information on applied intensity, frequency, volume and type of pelvic floor muscle exercises to enable their replication and comparability between various interventions. It is important to pay more attention to preventive approach and the implementation of PFMT programs in healthy women. It is justified to use surface electromyography to support PFMT, regardless of health condition.

scholarly journals Knowledge, Attitude, and Practices (KAP) Survey Towards Pelvic Floor Muscle Training (PFMT) Among Pregnant Women

2020 ◽  
Vol Volume 12 ◽  
pp. 295-299 ◽  
Author(s):  
Teerayut Temtanakitpaisan ◽  
Suvit Bunyavejchevin ◽  
Pranom Buppasiri ◽  
Chompilas Chongsomchai
Keyword(s):  
Pelvic Floor ◽  
Pregnant Women ◽  
Pelvic Floor Muscle Training ◽  
Pelvic Floor Muscle ◽  
Muscle Training ◽  
Kap Survey

Assessment of foetal wellbeing in pregnant women subjected to pelvic floor muscle training: a controlled randomised study

2015 ◽  
Vol 26 (10) ◽  
pp. 1475-1481 ◽  
Author(s):  
Marcos Massaru Okido ◽  
Fabiana Lellis Valeri ◽  
Wellington Paula Martins ◽  
Cristine Homsi Jorge Ferreira ◽  
Geraldo Duarte ◽  
...  
Keyword(s):  
Pelvic Floor ◽  
Pregnant Women ◽  
Pelvic Floor Muscle Training ◽  
Pelvic Floor Muscle ◽  
Muscle Training ◽  
Randomised Study

scholarly journals Effects of pelvic floor muscle training in pregnant women

2020 ◽  
Vol 5 (5) ◽  
pp. e077
Author(s):  
Telma F. Pires ◽  
Patrícia M. Pires ◽  
Rui Costa ◽  
Rui Viana
Keyword(s):  
Pelvic Floor ◽  
Pregnant Women ◽  
Pelvic Floor Muscle Training ◽  
Pelvic Floor Muscle ◽  
Muscle Training

scholarly journals KEPT-app trial: a pragmatic, single-blind, parallel, cluster-randomised effectiveness study of pelvic floor muscle training among incontinent pregnant women: study protocol

BMJ Open ◽  
2021 ◽  
Vol 11 (1) ◽  
pp. e039076 ◽  
Author(s):  
Sherina Mohd Sidik ◽  
Aida Jaffar ◽  
Chai Nien Foo ◽  
Noor Azimah Muhammad ◽  
Rosliza Abdul Manaf ◽  
...  
Keyword(s):  
Urinary Incontinence ◽  
Cost Effectiveness ◽  
Pelvic Floor ◽  
Pregnant Women ◽  
Pelvic Floor Muscle Training ◽  
Pelvic Floor Muscle ◽  
Ethics Committee ◽  
Muscle Training ◽  
Cluster Randomised ◽  
Secondary Outcomes

IntroductionPelvic floor muscle training (PFMT) strongly recommended to incontinent pregnant women. The Kegel Exercise Pregnancy Training-app trial is a multicentre cluster-randomised study aims to assess the effectiveness and its cost-effectiveness of the mobile app guidance in PFMT among incontinent pregnant women.Methods and analysis370 pregnant women (aged 18 years old and above) will be recruited with International Consultation on Incontinence Questionnaire-Urinary Incontinence-Short Form. Ten clusters (primary care clinics) will be randomly assigned to either PFMT or usual care in a 1:1 ratio by an independent researcher (sealed envelope). The primary outcome will be urinary incontinence, and the secondary outcomes (quality of life; PFMT adherence, psychological status and mobile apps’ usability) will be assessed at four measurement time points (t0: baseline) and postintervention (t1: 4 weeks, t2: 8 weeks and t3: 8 weeks postnatal). T-test analysis will determine any significant differences at the baseline between the control and intervention groups. The mixed-model analysis will determine the effectiveness of the intervention at the population-average level for both the primary and secondary outcomes. For the cost-effectiveness analysis, expenditures during the study and 6 months after the intervention will be compared between the groups using the multiway sensitivity analysis. The recruitment planned will be in December 2020, and the planned end of the study will be in August 2021.Ethics and disseminationThis study protocol was approved by the Ethics Committee for Research Involving Human Subjects, Universiti Putra Malaysia (JKEUPM-2019–368) and Medical Research and Ethics Committee (MREC), Ministry of Health Malaysia, NMRR-19-412-47116 (IIR) with the ANZCTR registration. This study will obtain informed written consent from all the study participants. The results which conform with the Consolidated Standards of Reporting Trials and the Recommendations for Interventional Trials will be published for dissemination in peer-reviewed journals and conference proceedings.Trial registration numberACTRN12619000379112.

Persuasive Technology in a mHealth application for Pelvic Floor Muscle Training among pregnant women (Preprint)

2021 ◽  
Author(s):  
Aida Jaffar ◽  
Chai-Eng Tan ◽  
Sherina Mohd-Sidik ◽  
Novia Indriaty Admodisastro ◽  
Felicity Goodyear-Smith
Keyword(s):  
Pelvic Floor ◽  
Pregnant Women ◽  
Behaviour Change ◽  
Pelvic Floor Muscle Training ◽  
Pelvic Floor Muscle ◽  
Change Theory ◽  
Persuasive Technology ◽  
Muscle Training ◽  
Persuasive Strategies ◽  
Mhealth Apps

BACKGROUND Urinary incontinence common among pregnant women with first-line management is pelvic floor muscle training (PFMT). To develop a mHealth app in self-management of UI is by designing a unique PFMT app for pregnant women. The development should be based on the behavioural change theory and should be able to persuasive towards them. Persuasive strategies are essential to attract the patients' attention or targeted population to adhere to the app. The Behaviour Change Wheel Framework (BCW) provides a systematic approach with methodology replicable which consists of nineteen frameworks that may be able to focus on the appropriate intervention. OBJECTIVE This study is to identify the mHealth applications for PFMT published in peer-reviewed journals, describe the principles of persuasion used for each app, and suggest a mHealth application’s design based on the COM-B theoretical framework. METHODS A systematic literature review approach was performed to find the eligible articles. This literature search aimed to answer three main research questions: 1) What are the mHealth apps for PFMT available in the databases? 2) What are the persuasive strategies used in their studies? and 3) What is the successful outcome of PFMT adherence with the selected persuasive strategies used? The databases that we searched were MEDLINE, CINAHL, Web of Science, and Scopus database using PRISMA flowchart. The search keywords were as follows: (“pelvic floor muscle training” OR “pelvic floor muscle exercise” OR “Kegel exercise”) AND (“women” OR “pregnant women” OR “pregnancy” OR “postpartum”) AND (“digital health” OR “mHealth” OR “mobile health” OR “mobile application” OR “smartphone” OR “mobile app” OR “smartphone app”). Full-text articles were further assessed and discussed by the two reviewers, and the consensus was achieved through discussion with the third reviewer. RESULTS The search found 169 records screened for titles and abstracts, 53 full texts were reviewed, and 11 articles met with the selection criteria and were included in the review. A total of 3546 PFMT mHealth app users with a mean age range from 29.3 to 54 years old. 9 mHealth apps were designed for PFMT with 4 out of 9 may have used the authority strategies to improve PFMT adherence. 1 out of 9 used operant conditioning as the behaviour change theory. These apps reported favourable PFMT adherence outcomes. CONCLUSIONS Persuasive technology with BCW framework will enable healthcare providers to approach the target behaviour holistically and develop the intervention comprehensively in general practice. The future mHealth app will enable pregnant women to adhere to the PFMT and adopt this as new behaviour even after the postnatal period.

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