scholarly journals Use of Transabdominal Ultrasound Imaging in Retraining the Pelvic-Floor Muscles of a Woman Postpartum

2008 ◽  
Vol 88 (10) ◽  
pp. 1208-1217 ◽  
Author(s):  
Allison Ariail ◽  
Trace Sears ◽  
Elizabeth Hampton
Keyword(s):  
Urinary Incontinence ◽  
Pelvic Floor ◽  
Pelvic Floor Muscle ◽  
Transabdominal Ultrasound ◽  
Motor Tasks ◽  
Daily Routines ◽  
Vaginal Deliveries ◽  
History Of ◽  
Postpartum Stress

Background and PurposePostpartum stress urinary incontinence (SUI) often compromises a woman's ability to participate in normal daily routines or physical activities. Pelvic-floor muscle (PFM) training has been shown to be effective in improving urinary incontinence. Transabdominal ultrasound (TAUS) imaging is a new, noninvasive method for assessing the function of the PFMs. This case report describes the use of TAUS imaging in the strengthening of a patient's PFMs.Case DescriptionThe patient was a 29-year-old woman experiencing SUI with high-impact activities following a history of 2 vaginal deliveries, 1 resulting in a grade III perineal laceration. Intervention included PFM training with the use of TAUS imaging. A 1-year follow-up examination was performed to assess the long-term functional outcomes experienced by the patient. The patient's ability to maintain a PFM contraction during motor tasks was documented throughout the course of treatment to demonstrate her gain in PFM control.OutcomesThe patient gained strength in her PFMs, enabling her to maintain a PFM contraction during various motor tasks. She was able to return to a running program with no SUI symptoms. Her satisfaction level was high at 1 year.DiscussionThe use of TAUS imaging was a helpful assessment and biofeedback tool for re-education and rehabilitation of the PFMs for this patient.

scholarly journals Effectiveness and cost-effectiveness randomised controlled trial of basic versus biofeedback-mediated intensive pelvic floor muscle training for female stress or mixed urinary incontinence: protocol for the OPAL (optimising pelvic floor exercises to achieve long-term benefits) trial mixed methods longitudinal qualitative case study and process evaluation

BMJ Open ◽  
2019 ◽  
Vol 9 (2) ◽  
pp. e024152 ◽  
Author(s):  
Aileen Grant ◽  
Sarah Dean ◽  
Jean Hay-Smith ◽  
Suzanne Hagen ◽  
Doreen McClurg ◽  
...  
Keyword(s):  
Urinary Incontinence ◽  
Cost Effectiveness ◽  
Pelvic Floor ◽  
Pelvic Floor Muscle Training ◽  
Qualitative Case Study ◽  
Pelvic Floor Muscle ◽  
Muscle Training ◽  
Process Data

IntroductionFemale urinary incontinence (UI) is common affecting up to 45% of women. Pelvic floor muscle training (PFMT) is the first-line treatment but there is uncertainty whether intensive PFMT is better than basic PFMT for long-term symptomatic improvement. It is also unclear which factors influence women’s ability to perform PFMT long term and whether this has impacts on long-term outcomes. OPAL (optimising PFMT to achieve long-term benefits) trial examines the effectiveness and cost-effectiveness of basic PFMT versus biofeedback-mediated PFMT and this evaluation explores women’s experiences of treatment and the factors which influence effectiveness. This will provide data aiding interpretation of the trial findings; make recommendations for optimising the treatment protocol; support implementation in practice; and address gaps in the literature around long-term adherence to PFMT for women with stress or mixed UI.Methods and analysisThis evaluation comprises a longitudinal qualitative case study and process evaluation (PE). The case study aims to explore women’s experiences of treatment and adherence and the PE will explore factors influencing intervention effectiveness. The case study has a two-tailed design and will recruit 40 women, 20 from each trial group; they will be interviewed four times over 2 years. Process data will be collected from women through questionnaires at four time-points, from health professionals through checklists and interviews and by sampling 100 audio recordings of appointments. Qualitative analysis will use case study methodology (qualitative study) and the framework technique (PE) and will interrogate for similarities and differences between the trial groups regarding barriers and facilitators to adherence. Process data analyses will examine fidelity, engagement and mediating factors using descriptive and interpretative statistics.Ethics and disseminationApproval from West of Scotland Research Ethics Committee 4 (16/LO/0990). Findings will be published in journals, disseminated at conferences and through the final report.Trial registration numberISRCTN57746448.

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.

Sign in / Sign up

Export Citation Format

Share Document