A Comparison of Urinary Incontinence During Third Trimester of Nulliparous on Pelvic Floor Muscle Training
Condition: Urinary Incontinence
MeSH terms: Urinary Incontinence; Enuresis
Study type: Interventional

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

Detailed 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
    

Intervention name(s): PFMT; non PFMT
Intervention type(s): Other; Other
Intervention description(s): 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
Allocation: Randomized
Intervention model: Parallel Assignment
Intervention model description: To compare urinary incontinence, qaulity of life, duration of second stage of labor between pelvic floor muscle training(PFMT) group and nonPFMT group Researcher assess pelvic floor muscle strength by Brink score who verified by urogynecologist , given PFMT program and VDO education, follow up by telephone for compliance, and reassess pelvic floor muscle strength at 4 weeks after consented
Masking: None (Open Label)
Primary purpose: Prevention
Keywords: urinary incontinence; pelvic floor muscle training; nulliparous; pregnancy