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

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

Pregnant women