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
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
PREVENTION
Masking
NONE
Enrollment
150
* program of PFMT consist of contract and hold pelvic floor muscle 10 seconds and relax 10 seconds 20 times per set totally 3 set per day * follow up by telephone once a week about compliance of program PFMT, general symptoms, notice recording book * at third trimester evaluate UI by questionaire (UDI-6, IIQ-7)
Randomized to non PFMT group follow up and evaluate UI at third trimester sames as intervention group
Rajavithi Hospital
Bangkok, Thailand
Urinary incontinence at third trimester both group
Use Questionaires Urinary Distress Inventory (UDI-6) include 6 domains( Frequency, Urgency incontinence, Stress incontinence, Drops, Emptying difficulty, Pain /discomfort each domain raw score from 0-3 (0=not at all, 1= a little bit, 2=moderately, 3=greatly) (total raw score 18 point ) define score total 100 point if at least 16.7% means urinary incontinence and below 16.7% means nornal ( continence= no UI )
Time frame: GA 36-38 wk
Quality of life at third trimester both group
Incontinence impact questionaires (IIQ-7) includes Household chores, Physical recreation, Entertainment activities, Travel ability, Social activities, Emotional health, Feeling frustrated. Each domain has raw score 0-3 (0=not at all, 1= a little bit, 2=moderately, 3=greatly), total raw score 21 points. It's defined total score 100 point if at least 70 means impact qaulity of life
Time frame: GA 36-38 wk
Duration of second stage of labor in both group
use partograph and labor record, Duration of second stage of labor define as times of cervical fully dilatation until baby delivery difine as minutes
Time frame: date of delivery
Correlation between urinary incontinence and quality of life
questionaire UDI-6 , IIQ-7 hypothesis high score of UDI6 associated poor quality of life
Time frame: GA 36-38 wk
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