Prenatal Pilates Assisted Childbirth Preparation Training and Incontinence

Study Overview
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Brief Summary
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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.

Detailed Description
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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.

Official Title
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The Effect of Prenatal Pilates-Supported Childbirth Training on Birth Outcomes and Incontinence: A Randomized Controlled Study

Conditions
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Incontinence, Urinary, Training Group, Sensitivity

Intervention / Treatment
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* Behavioral: Prenatal Pilates Assisted Childbirth Preparation Training


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Being between the ages of 18-35, Being in the 28th-30th week of pregnancy Having a singleton pregnancy Being nulliparous Exclusion Criteria: Having chronic constipation Having a chronic cough Having a history of any psychiatric condition, multiple sclerosis, spinal cord injury, congenital or acquired anatomical abnormalities of the urogenital tract, bladder malignancy Being overweight and obese Giving birth outside of 37-42 weeks

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 35 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: Supportive Care
Allocation: Randomized
Intervention Model: Parallel Assignment
Interventional Model Description: Following recruitment, the pregnant women were divided into a study and a control group by randomization (1:1 randomization)
Masking: Double


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Experimental: Study group<br>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. | Behavioral: Prenatal Pilates Assisted Childbirth Preparation Training<br>* 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.<br>* Other names: Experimental: Study group;|
| No Intervention: Control group<br>The control group was in the usual care. | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Pre-intervention | At the prenatal period, evaluation of incontinence score with the Michigan Incontinence Severity Index Form (MISIF min: 0- max:40) during assessment at registration before intervention (before education and pilates) | During assessment at registration | 
| Intervention- Childbirth training program and prenatal pilates intervention | Evaluation of incontinence score with the Michigan Incontinence Severity Index Form (MISIF min:0 -max:40 cut of point: 7 and above ) after 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 and above indicate stress incontinence and the total score of questions 4-6 indicates 5 points and above for urge incontinence severity. | Immediately after at the end of the eight-week prenatal pilates-supported birth preparation training | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Postpaortum period- Post-discharge | Evaluation of incontinence score with the Michigan Incontinence Severity Index Form(MISIF minimum-maximum: 40; seven and above was accepted as the cut-off point) after discharge, after one month of childbirth. 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 and above indicate stress incontinence and the total score of questions 4-6 indicates 5 points and above for urge incontinence severity. | Post-discharge - one month after birth | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Pregnancy pilates, Urinary incontinence, childbirth training