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A randomized controlled trial was made to determine the effectiveness of prenatal pilates-supported childbirth preparation training on birth outcomes, incontinence during pregnancy, and the postpartum period.
One of the risk factors for the development of stress incontinence in women is pregnancy and childbirth. This problem increases as pregnancy progresses and continues in the postpartum period.
It was tested the hypothesis, there is no difference in the development of urinary incontinence in the prenatal and postpartum periods among women who receive Pilates-assisted childbirth preparation training and women who were into the usual care.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Experimental: Study group | Experimental | In this study, the study group was provided with prenatal pilates-assisted childbirth preparation training and follow-up, in addition to the usual care provided by health professionals. |
|
| Control group | No Intervention | The control group was in the usual care. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Prenatal Pilates Assisted Childbirth Preparation Training | Behavioral | Training was given twice a week for two hours a day (one hour of theory, one An hour of exercise = 45 minutes of pregnant plates and 15 minutes of breathing exercises) total eight weeks. |
| Measure | Description | Time Frame |
|---|---|---|
| Pre-intervention | During the prenatal period, evaluation of incontinence score with the Michigan Incontinence Severity Index Form (minimum score : 0- maximum score:40) during an assessment at registration before intervention (before education and pilates). A score higher than the given cut-off values indicates that the severity of incontinence is worsening. | During assessment at registration |
| Intervention- Childbirth training program and prenatal pilates intervention | Evaluation of incontinence score with the Michigan Incontinence Severity Index Form ( minimum score: 0 -maximum score: 40 cut of the point: 7 and above ) after the intervention. Questions 1st-3th on the MISIF scale indicate stress incontinence severity, 4th-6th questions measure the severity of urge incontinence, and 1st-8th questions measure the severity of incontinence. There points above indicate stress incontinence and the total score of questions 4-6 indicates 5 points and above for urge incontinence severity.A score higher than the given cut-off values indicates that the severity of incontinence is worsening. | Immediately after at the end of the eight-week prenatal pilates-supported birth preparation training |
| Measure | Description | Time Frame |
|---|---|---|
| Postpaortum period- Post-discharge | Evaluation of incontinence score with the Michigan Incontinence Severity Index Form( minimum score: 0 - maximum score: 40; seven and above was accepted as the cut-off point) after discharge, after one month of childbirth. Questions 1st-3th on the Michigan Incontinence Severity Index Form indicate stress incontinence severity, 4th-6th questions measure the severity of urge incontinence, and 1st-8th questions measure the severity of incontinence. There points and above indicate stress incontinence and the total score of questions 4-6 indicates 5 points and above for urge incontinence severity.A score higher than the given cut-off values indicates that the severity of incontinence is worsening. |
| Measure | Description | Time Frame |
|---|---|---|
| Birth Outcomes | To evaluate the effect of prenatal pilates-assisted birth preparation training on the duration of birth (hours, minutes), the analgesia/anesthesia used, and the mode of birth rate (number and percentage) with the questionnaire | After labor in 48 hour |
Inclusion Criteria:
Exclusion Criteria:
for pregnancy
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| Name | Affiliation | Role |
|---|---|---|
| Gonca Buran, Asis Prof | Uludag University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Bursa Uludağ Üniversitesi | Nilufer | Bursa | 16059 | Turkey (Türkiye) |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 29861243 | Background | Mazzarino M, Kerr D, Morris ME. Pilates program design and health benefits for pregnant women: A practitioners' survey. J Bodyw Mov Ther. 2018 Apr;22(2):411-417. doi: 10.1016/j.jbmt.2017.05.015. Epub 2017 May 31. | |
| 27307713 | Background | Sargin MA, Yassa M, Taymur BD, Ergun E, Akca G, Tug N. Adaptation and validation of the Michigan Incontinence Severity Index in a Turkish population. Patient Prefer Adherence. 2016 May 26;10:929-35. doi: 10.2147/PPA.S106209. eCollection 2016. |
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The data sets generated during and/or analyzed during the current study are available from the corresponding author on reasonable request.
6 months after publication
relevance to the topic of the study and approval of all co-authors within 1 month of receiving the request.
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| ID | Term |
|---|---|
| D014549 | Urinary Incontinence |
| D006967 | Hypersensitivity |
| ID | Term |
|---|---|
| D014555 | Urination Disorders |
| D014570 | Urologic Diseases |
| D052776 | Female Urogenital Diseases |
| D005261 | Female Urogenital Diseases and Pregnancy Complications |
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Following recruitment, the pregnant women were divided into a study and a control group by randomization (1:1 randomization)
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The data will be collected by the assistant researcher and entered into the SPSS program as A and B groups. Analyzes will be performed by the principal investigator who is blind to the groups.
|
| Post-discharge - one month after birth |
| 31139858 | Result | Ahlund S, Rothstein E, Radestad I, Zwedberg S, Lindgren H. Urinary incontinence after uncomplicated spontaneous vaginal birth in primiparous women during the first year after birth. Int Urogynecol J. 2020 Jul;31(7):1409-1416. doi: 10.1007/s00192-019-03975-0. Epub 2019 May 28. |
| 33835213 | Result | Chang SR, Lin WA, Chang TC, Lin HH, Lee CN, Lin MI. Risk factors for stress and urge urinary incontinence during pregnancy and the first year postpartum: a prospective longitudinal study. Int Urogynecol J. 2021 Sep;32(9):2455-2464. doi: 10.1007/s00192-021-04788-w. Epub 2021 Apr 9. |
| 28543751 | Result | Dias NT, Ferreira LR, Fernandes MG, Resende APM, Pereira-Baldon VS. A Pilates exercise program with pelvic floor muscle contraction: Is it effective for pregnant women? A randomized controlled trial. Neurourol Urodyn. 2018 Jan;37(1):379-384. doi: 10.1002/nau.23308. Epub 2017 May 23. |
| 39083052 | Derived | Buran G, Erim Avci S. The effect of pregnancy pilates-assisted childbirth preparation training on urinary incontinence and birth outcomes: a randomized-controlled study. Arch Gynecol Obstet. 2024 Nov;310(5):2725-2735. doi: 10.1007/s00404-024-07653-5. Epub 2024 Jul 31. |
| D000091642 | Urogenital Diseases |
| D052801 | Male Urogenital Diseases |
| D059411 | Lower Urinary Tract Symptoms |
| D020924 | Urological Manifestations |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D007154 | Immune System Diseases |