A Comparison of Urinary Incontinence During Third Trimester of Nulliparous on Pelvic Floor Muscle Training

Rajavithi Hospital

Status: Completed

Conditions: Urinary Incontinence

Treatments: Other: non PFMT; Other: PFMT

Study type: Interventional

Funder types: Other

Identifiers

NCT04525846

072/2562

Details and patient eligibility

About

Comparison of urinary incontinence during third trimester of nulliparous on pelvic floor muscle training in Rajavithi hospital

Full description

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

Enrollment: 150 patients

Sex: Female

Ages: 18 to 35 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• nulliparous
• gestational gae 20-24 week
• age 18-35 year
• can communicate and understand Thai language
• co-operate to join research

Exclusion criteria

• DFIU
• maternal medical condition or high risk pregnancy such as multifetal gestation , pregestational DM, chonic hypertension , epilepsy, autoimmune disease, polyhydramnios, asthma
• pre-excisting urinary incontinence
• prepregnant BMI >=30 kg/m2
• smoking

Trial design

Primary purpose: Prevention

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

---

150 participants in 2 patient groups

PFMT group

Experimental group

Description:

Researcher was trained and test pelvic floor muscle strength by urogynecologist with Brink scores, participants PFMT group were educated by VDO and recieved program of PFMT after consented form 4 weeks reassess Brink score for check compliance of PFMT and followed up by telephone weekly about compliance of PFMT, general symptom, notice self recording book total 12 weeks and evaluate urinary incontinence by UDI-6 questionaires at third trimester

Treatment:

Other: PFMT

non PFMT

Experimental group

Description:

Randomized to non PFMT group watchful waiting until 36-38 week gestation follow up and evaluate UI by UDI6 questionaires at third trimester sames as intervention group

Treatment:

Other: non PFMT