Effect of Pelvic Floor Muscle Training Included in General Fitness Classes During Pregnacy

Study Overview
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Brief Summary
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To investigate the effect of pelvic floor muscle training taught in a general exercise class during pregnancy to prevent urinary incontinence in nulliparous continent pregnant women.

Detailed Description
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Pregnancy and childbirth are known risk factors for development of female urinary incontinence (UI). Studies have found that Pelvic Floor Mucle Trainig (PFMT) is effective in preventing and reducing UI during pregnancy and after childbirth. However, in a recent study, no effect was found when PFMT were taught in a general fitness class without former palpation of the pelvic floor muscles (Bo y Haakstad, 2011).

Official Title
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Pelvic Floor Muscle Training Included in General Fitness Classes is Effective in Primary Prevention of Urinary Incontince in Pregnancy. A Randomized Controlled Trial

Conditions
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Pregnancy, Urinary Incontinence

Intervention / Treatment
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* Other: Exercise classes with pelvic floor muscle training


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Nulliparous with singleton baby Not suffering from urinary incontinence Giving birth at Hospital Universitario de Fuenlabrada Able to comunicate in Spanish Being healthy and able to exercise following American College of Obstetricians and Gynecologists (ACOG) guidelines Exclusion Criteria: Multiparity At risk of Premature birth Following another exercise program

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 50 Years

Sexes Eligible for Study
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Female

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Prevention
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Exercise group<br>Supervised exercise classes which included pelvic floor muscle training. 3 sessions per week. 55-60 min per session, with 10 minutes of pelvic floor muscle training. At least during 22 weeks. | Other: Exercise classes with pelvic floor muscle training<br>* Supervised exercise classes which included pelvic floor muscle training. 3 sessions per week. 55-60 min per session, with 10 minutes of pelvic floor muscle training. At least during 22 weeks.<br>|
| No Intervention: Control<br>Usual care | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change from baseline in ICIQ-Urinary Incontinence Short Form Questionnaire |  | Week 10-14 gestation (baseline), week 36-39 (after intervention) | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change from baseline in King's Health Questionnaire |  | week 10-14 of gestation (baseline), week 36-39 (after intervention) | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Urinary incontinence, Pregnancy, Pelvic floor muscle training