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Review: some evidence shows that pelvic floor muscle training reduces urinary incontinence in pregnant and postpartum women at ⩽12 months

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J Hay-Smith

Dr J Hay-Smith, University of Otago, Wellington, New Zealand; jean.hay-smith@otago.ac.nz

QUESTION

In pregnant or postnatal women, is pelvic floor muscle training (PFMT) effective for preventing and/or treating urinary (UI) and faecal incontinence (FI)?

REVIEW SCOPE

Included studies were randomised controlled trials (RCTs) or quasi-RCTs that evaluated PFMT for reducing UI and/or FI in pregnant or postnatal women. See data supplement for further details about PFMT. The primary outcome was self-reported UI or FI.

REVIEW METHODS

Cochrane Incontinence Group Specialised Register (Apr 2008) and reference lists were searched for RCTs. 16 RCTs were included. Study method quality was assessed: risk of bias was low in 4 RCTs, low to moderate in 2, and moderate in 10.

MAIN RESULTS

Prevention. In nulliparous or primiparous …

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