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Objective: Compare pelvic floor disorders (urinary incontinence, anal incontinence, genital prolapse, perineal pain, sexual troubles) 12 month after a first delivery between a group of women with prenatal pelvic floor exercises and a control group.
Hypothesis: Prenatal pelvic floor exercises reduce postpartum urinary incontinence.
Pelvic floor disorders lead to handicap and medical care consumption. Pregnancy and delivery are the main etiologies. Pelvic floor exercises are proposed for prevention and may reduce immediate postpartum incontinence but we do not know if this preventive effect persists at 1 year.
- Urinary incontinence score at 12 months post-partum (ICIQ-SF)
- Urinary incontinence prevalence at pregnancy end, 2 and 12 months post-partum
- Other pelvic floor disorders at pregnancy end, 2 and 12 months post-partum: symptoms questionnaires, QOL questionnaire, Pad-test, POP-Q.
- Mode of delivery, length of active second phase, perineal tears, Apgar score.
- Number of postpartum pelvic floor session, number of medical consultations, Kegel exercises.
- Inclusion between 20 and 28 weeks, initial assessment, randomization.
- 8 sessions of pelvic floor exercises with a physiotherapist between 24 and 36 weeks versus written information only.
- Assessment at pregnancy end, 2 and 12 (+/-1) month post-partum
- For each women 18 months.
- For each center 30 months.
Number of subjects:
- To show a 1 point difference on ICIQ-SF score, we need 182 subjects (sd=2,4, a=0,05, β=0,20 bilateral test).
- Taking in account lost of follow-up (estimated 1/3) we are going to include 280 women.
Allocation: Randomized, Control: Active Control, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Single Blind (Investigator), Primary Purpose: Prevention
Pelvic floor muscle training with physiotherapist, Written information about kegel exercises
CHR Réunion, CH Félix-Guyon
Centre Hospitalier Departemental Felix Guyon
Published on BioPortfolio: 2014-08-27T03:35:23-0400
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