79Pelvic floor muscle training for prevention and treatment of urinary and faecal incontinence in antenatal and postnatal women (Review)

In document The Effect Of PAFMT On Uterine Incontinence In Antenatal Training (Page 81-85)

Quality of life and health status measures

Began supervised PFMT antenatally Hughes 2001 Bristol Female Lower Uri-

nary

Tract Symptoms question- naire

Overall score not reported Overall score not reported

Hughes 2001 Bristol Female Lower Uri- nary

Tract Symptoms question- naire: a negative effect on exercise in response to ques- tion “does incontinence af- fect physical activity?”

47 of 585 at 6 months post- partum 41 of 584 at 6 months post- partum Relative risk 1.14 (95% CI 0.76 to 1.71)

Began supervised PFMT postnatally Sleep 1987 5 point Likhert scale in re-

sponse to question “how are you feeling generally?”

11 feeling not very well or not at all well, of 816 at 3 months postpartum

18 feeling not very well or not at all well, of 793 at 3 months postpartum

Not calculated as valid- ity/reliability of this mea- sure not known.

Sleep 1987 5 point Likhert scale in re- sponse to “Some women feel depressed at this time. Do you feel?”

71 feeling very or quite de- pressed, of 816 at 3 months postpartum

84 feeling very or quite de- pressed, of 793 at 3 months postpartum

Not calculated as valid- ity/reliability of this mea- sure not known.

Began supervised PFMT antenatally Hughes 2001 Bristol Female Lower Uri-

nary

Tract Symptoms question- naire

Overall score not reported Overall score not reported

Hughes 2001 Bristol Female Lower Uri- nary

Tract Symptoms question- naire: a negative effect on exercise in response to ques- tion “does incontinence af- fect physical activity?”

47 of 585 at 6 months post- partum 41 of 584 at 6 months post- partum Relative risk 1.14 (95% CI 0.76 to 1.71) 80 Pelvic floor muscle training for prevention and treatment of urinary and faecal incontinence in antenatal and postnatal women (Review)

Began supervised PFMT postnatally Sleep 1987 5 point Likhert scale in re-

sponse to question “how are you feeling generally?”

11 feeling not very well or not at all well, of 816 at 3 months postpartum

18 feeling not very well or not at all well, of 793 at 3 months postpartum

Not calculated as valid- ity/reliability of this mea- sure not known.

Sleep 1987 5 point Likhert scale in re- sponse to “Some women feel depressed at this time. Do you feel?”

71 feeling very or quite de- pressed, of 816 at 3 months postpartum

84 feeling very or quite de- pressed, of 793 at 3 months postpartum

Not calculated as valid- ity/reliability of this mea- sure not known.

Incontinence severity

Began supervised PFMT antenatally

Hughes 2001 Frequency of leakage Experi-

encing occasional or more than occasional urine leakage (not clear how measured)

217 of 585 at 3 months postpartum 210 of 584 at 3 months postpartum Relative risk 1.03 (95% CI 0.89 to 1.20)

Hughes 2001 Amount of leakage Experiencing a drop or more than a drop of urine leakage (not clear how measured)

228 of 585 at 3 months postpartum 234 of 584 at 3 months postpartum Relative risk 0.97 (95% CI 0.84 to 1.12)

Hughes 2001 Other leakage sever- ity

Not measured Sampselle 1998 Frequency of leakage Not measured Sampselle 1998 Amount of leakage Not measured Sampselle 1998 Other leakage sever-

ity

Average

score from question- naire re urine leakage with gentle cough, hard cough, sneeze and laugh scored 0 for none, 1 for damp- ness, 2 for wetness and 3 for soaked

Mean 0.38, standard deviation 0.56, n=22 at 12 months post- partum Mean 0.42, standard deviation 0.49, n=24 at 12 months post- partum

Not calculated as va- lid-

ity/reliability of this measure not known.

Began supervised PFMT postnatally

Sleep 1987 Frequency of leakage Urine leakage once or more per week

64 of 816 at 3 months postpartum 57 of 793 at 3 months postpartum Relative risk 1.09 (95% CI 0.77 to 1.54) 81 Pelvic floor muscle training for prevention and treatment of urinary and faecal incontinence in antenatal and postnatal women (Review)

Incontinence severity (Continued)

Sleep 1987 Amount of leakage Using ab-

sorbent pads some- times or always 38 of 815 at 3 months postpartum 43 of 793 at 3 months postpartum Relative risk 0.86 (95% CI 0.56 to 1.32)

Sleep 1987 Other leakage sever- ity

Not measured

Began supervised PFMT antenatally

Hughes 2001 Frequency of leakage Experi-

encing occasional or more than occasional urine leakage (not clear how measured)

217 of 585 at 3 months postpartum 210 of 584 at 3 months postpartum Relative risk 1.03 (95% CI 0.89 to 1.20)

Hughes 2001 Amount of leakage Experiencing a drop or more than a drop of urine leakage (not clear how measured)

228 of 585 at 3 months postpartum 234 of 584 at 3 months postpartum Relative risk 0.97 (95% CI 0.84 to 1.12)

Hughes 2001 Other leakage sever- ity

Not measured Sampselle 1998 Frequency of leakage Not measured Sampselle 1998 Amount of leakage Not measured Sampselle 1998 Other leakage sever-

ity

Average

score from question- naire re urine leakage with gentle cough, hard cough, sneeze and laugh scored 0 for none, 1 for damp- ness, 2 for wetness and 3 for soaked

Mean 0.38, standard deviation 0.56, n=22 at 12 months post- partum Mean 0.42, standard deviation 0.49, n=24 at 12 months post- partum

Not calculated as va- lid-

ity/reliability of this measure not known.

Began supervised PFMT postnatally

Sleep 1987 Frequency of leakage Urine leakage once or more per week

64 of 816 at 3 months postpartum 57 of 793 at 3 months postpartum Relative risk 1.09 (95% CI 0.77 to 1.54)

Sleep 1987 Amount of leakage Using absorbent pads sometimes or always 38 of 815 at 3 months postpartum 43 of 793 at 3 months postpartum Relative risk 0.86 (95% CI 0.56 to 1.32) 82 Pelvic floor muscle training for prevention and treatment of urinary and faecal incontinence in antenatal and postnatal women (Review)

Began supervised PFMT postnatally (Continued) Sleep 1987 Other leakage severity Not measured

Pelvic floor muscle function Began supervised PFMT antenatally Dannecker 2004 Oxford scale, score of 0 to

5

13 of 59 with score of 0 to 3, at about 7 months post- partum

14 of 51 with score of 0 to 3, at about 7 months post- partum

Relative risk 0.80 (95% CI 0.42 to 1.55)

Morkved 2003 Vaginal squeeze pressure, in cm water Mean 29.5, 95% CI 26.8 to 32.2, n=143 at 3 months postpartum Mean 25.6, 95% CI 23.2 to 27.9, n=146 at 3 months postpartum Mean difference 3.90 (95% CI 0.35 to 7.45) Began supervised PFMT postnatally

Meyer 2001 Vaginal squeeze pressure, in cm water

Mean 33, standard devi- ation 22, at 10 months postpartum, n=51

Mean 41, standard devi- ation 27, at 10 months postpartum, n=56

Mean difference -8.00 (95% CI -17.30 to 1.30)

Began supervised PFMT antenatally Dannecker 2004 Oxford scale, score of 0 to

5

13 of 59 with score of 0 to 3, at about 7 months post- partum

14 of 51 with score of 0 to 3, at about 7 months post- partum

Relative risk 0.80 (95% CI 0.42 to 1.55)

Morkved 2003 Vaginal squeeze pressure, in cm water Mean 29.5, 95% CI 26.8 to 32.2, n=143 at 3 months postpartum Mean 25.6, 95% CI 23.2 to 27.9, n=146 at 3 months postpartum Mean difference 3.90 (95% CI 0.35 to 7.45)

Began supervised PFMT postnatally Meyer 2001 Vaginal squeeze pressure, in

cm water

Mean 33, standard devia- tion 22, at 10 months post- partum, n=51

Mean 41, standard devia- tion 27, at 10 months post- partum, n=56

Mean difference -8.00 (95% CI -17.30 to 1.30)

Delivery outcome

Began supervised PFMT antenatally

Dannecker 2004 Type of delivery 42 normal vaginal deliv- eries, 7 ventouse, 4 for- ceps, 2 elective caesarean

40 normal vaginal deliv- eries, 10 ventouse, 3 for- ceps, 2 elective caesarean

Relative risk for normal vaginal delivery 1.08 (95% CI 0.81 to 1.43)

83

In document The Effect Of PAFMT On Uterine Incontinence In Antenatal Training (Page 81-85)