Korean J Women Health Nurs.  2009 Sep;15(3):177-185. 10.4069/kjwhn.2009.15.3.177.

Effects of an Incontinence Prevention Program on Postpartum Women

Affiliations
  • 1Chonbuk National University, Jeonju, Korea. lilika42@chonbuk.ac.kr

Abstract

PURPOSE
This study was done to examine the effects of an incontinence prevention program on postpartum women. METHODS: The study design was a nonequivalent control pretest-posttest design. The subjects were 49 postpartum women with a normal vaginal delivery, 25 in the experimental group and 24 in the control group. Data was collected from June 1. 2007 to April 30. 2008 at a postpartum women's care center located in Jeonju, Korea. For the experimental treatment, an incontinence prevention program was carried out for 24 weeks. Measures included maximum pressure of pelvic floor muscle contraction and duration of pelvic floor muscle contraction at pre-treatment, 5 weeks postpartum and 24 weeks postpartum. Data was analyzed by Repeated ANOVA using the SPSS/WIN 14.0 program. RESULTS: The mean maximum pressure of pelvic floor muscle contraction (F = 8.95, p<.001) andmeandurationof pelvicfloormusclecontraction(F = 22.01, p<.001) were significantly different between the groups, and significantly increased as time passed. CONCLUSION: Practiceof anincontinencepreventionprogramisconsideredan effective intervention for the results of fewer urinary incontinence symptoms in postpartum women.

Keyword

Postpartum women; Incontinence; Pelvic floor muscle contraction

MeSH Terms

Korea
Muscle Contraction
Pelvic Floor
Postpartum Period
Urinary Incontinence

Figure

  • Figure 1 Research design.


Reference

1. Abrams P., Cardozo L., Fall M., Griffiths D., Rosier P., Ulmsten U., et al. Standardization sub-committee of the international continence society. The Standardization of terminology of lower urinary tract function: Report from the standardization sub-committee of the international continence society. Neurourol Urodyn. 2002. 21:167–178.
2. Alewijnse D., Mesters I.E., Metsemakers J.F., Van den Borne B.H. Program development for promoting adherence during and after exercise therapy for urinary incontinence. Patient Educ Couns. 2002. 48(2):147–160.
Article
3. Berghmans L.C.M., Frederiks C.M.A., Bie R.A., Weil E.H.J., Smeets L.W.H. Efficacy of biofeedback when included with pelvic floor muscle exercise treatment for genuine stress. Neurourol Urodyn. 1996. 15:37–52.
4. Burgio K.L., Zyczynski H., Locher J.L., Richter H.E., Redden D.T., Wright K.C. Urinary incontinence in the 12-month postpartum period. Obstet Gynecol. 2006. 102:1291–1298.
Article
5. Choi Y.H., Sung M.S., Hong J.Y. The comparison of the effectiveness of pelvic floor muscle exercise and biofeedback treatment for stress incontinence in Korean women. J Korean Acad Nurs. 1999. 29(1):34–47.
Article
6. Choi E.S., Park C.S., Lee I.S., Oh J.A. Effects of intensive pelvic floor muscle exercise on recovery of genitourinary system, sexual life and daily life after normal delivery. Korean J Women Health Nurs. 2002. 8(3):412–423.
Article
7. Choi I.H. The effects of pelvic floor muscle exercise on urinary symptoms and quality of life in women with stress urinary incontinence. J Korean Acad Community Health Nurs. 2008. 19(1):46–56.
8. Dougherty C.M. Current status of research on pelvic muscle strengthening technique. JWOCN. 1998. 25(2):75–83.
9. Faul F., Erdfelder E., Lang G., Buchner A. G POWER 3.0: A flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behav Res Methods. 2007. 39:175–191.
10. Flynn L., Cell P., Luisi E. Effectiveness of pelvic muscle exercises in reducing urge incontinence. J Gerontol Nurs. 1994. 20(5):23–27.
11. Hahn I., Milsom I., Fall M., Ekelund P. Long-term results of pelvic floor training in female stress urinary incontinence. Br J Urol. 1993. 72:421–427.
Article
12. Hong J.Y. The efficacy of pelvic floor muscle exercise in the patients with genuine stress incontinence. Korean J Urol. 1997. 38(60):639–643.
13. Johnson V.Y. How the principle of exercise physiologyinfluence pelvic floor muscle training. JWOCN. 2001. 28(3):150–155.
14. Ju Y.H. The effect of urinary incontinence management program on female urinary incontinence. 2001. Busan: Pusan University;Unpublished doctoral dissertation.
15. Kim M.S. The effect of biofeedback training for pelvic muscle exercise for urinary incontinence older community-dwelling women. 2003. Seoul: Seoul National University;Unpublished master's thesis.
16. Kim S.Y., Park J.S. The effect of pelvic muscle exercise program on women with stress urinary incontinence in the degree and amount of urinary incontinence and maximum vaginal contraction pressure. J Korean Acad Adult Nurs. 2000. 12(2):267–277.
17. Lee M.H., Shin K.R. Lived experience of women's urinary incontinence in small island. J Korean Acad Nurs. 2000. 30(3):799–812.
Article
18. Mon Y.J., Lim H.S., Jung J.E., Cho H.H., Kim M.R., Lew Y.O., et al. The effects of the number of normal vaginal deliveries to the function of low urogenital system. Korean J Obstet Gynecol. 2007. 50(4):638–644.
19. Nygaard I.E., Kreder K.J., Lepic M.M., Fountain K.A., Rhomberg A.T. Efficacy of pelvic floor muscle exercises in women with stress, urge and mixed urinary incontinence (1996). Am J Obstet Gynecol. 1996. 174(1):120–125.
20. Oh S.J., Park W.H., Park C.H., Paick J.S., Seo J.T., Lee Y.S., et al. Prevalence of urinary incontinence and incontinence-related quality of life in Korean women: A population-based study. J Korean Continence Soc. 2003. 7:73–80.
Article
21. Park S.Y. A study on the effect of information for urinary incontinence patients. 1999. Seoul: Ewha Womans University;Unpublished master's thesis.
22. Park E.Y. A study on the effect of the pelvic muscle exercise for urinary in continence women. 2001. Seoul: Ewha Womans University;Unpublished master's thesis.
23. Sampselle C.M., Miller J.M., Mims B.L., Delancy J.O.L., Ashton-Miller J.A., Antonakos C.L. Postpartum pelvic muscle exercise outcomes: Earlier return of urinary continence. Obstet Gynecol. 1998. 91:406–412.
24. Stein M., Discippio W., Davia M., Taub H. Biofeedback for the treatment of stress and urge incontinence. J Urol. 1995. 153:641–643.
Article
25. Sung M.S., Choi Y.H., Back S.H., Hong J.Y., Yoon H. The effect of pelvic floor muscle exercises on genuine stress incontinence among Korean women: Focusing on effects on the quality of life. Yonsei Med J. 2000. 41:231–257.
26. Susset J., Galea G., Manbeck K., Susset A. A predictive score index for the outcome of associated biofeedback and vaginal electrical stimulation in the treatment of female incontinence. J Urol. 1995. 153:1461–1466.
Article
27. Viktrup L., Lose G., Rolff M., Barfoed K. The symptom of stress incontinence caused by pregnancy or delivery in primiparas. Obstet Gynecol. 1992. 79:945–949.
28. Wilson P.D., Herbison R.M., Herbison G.P. Obstetric practice and the prevalence of urinary incontinence three months after delivery. Br J Obstet Gynaecol. 1996. 103:154–161.
Article
29. Wyman J.F., Fantl J.A., McClish D.K., Bump R.C.. The Continence Program for Women Research Group. Comparative efficacy of behavioral interventions in the management of female urinary incontinence. Am J Obstet Gynecol. 1998. 179(4):999–1007.
Article
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