Evidence map›Paper›PMID 23436035›Full record

ReviewInternational urogynecology journal2013

Stress urinary incontinence in pregnant women: a review of prevalence, pathophysiology, and treatment.

Bussara Sangsawang, Nucharee Sangsawang

2 registry-linked trialsOpen access · hybridAbstract readReview
In one paragraph

Review in International urogynecology journal, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 100 papers, 10 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
100citing papers in PubMed, 10 pooled it
10.8field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04525846 nacompletednot on this mapstarted 2019, after this paper: background citation

A Comparison of Urinary Incontinence During Third Trimester of Nulliparous on Pelvic Floor Muscle Training in Rajavithi Hospital

TypeinterventionalSponsorDepartment of Medical Services Ministry of Public Health of ThailandRan2019 to 2020Enrolled150ConditionsUrinary IncontinenceArmsPFMT, non PFMT
NCT07520396 narecruitingnot on this mapstarted 2025, after this paper: background citation

Combined Effects of Swiss Ball Exercises and Diaphragmatic Breathing on Stress Urinary Incontinence, Pelvic Floor Muscle Strength and Quality of Life in Pregnant Females.

TypeinterventionalSponsorRiphah International UniversityRan2025 to 2026Enrolled42ConditionsUrinary Incontinence, Muscle Strength, Quality of LifeArmskegels exercises, Diaphragmatic breathing
3 · Its place in the literature

Who cites it

100 citing papers in PubMed, 10 syntheses or guidelines pooled it, 280 citations in OpenAlex.

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  9. The frequency of maternal morbidity: A systematic review of systematic reviews.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2018
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  14. Holistic Pelvic Floor: Pelvic Floor Stress Dysfunction Diseases.International urogynecology journal · 2026
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40 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

2 authors at 1 institution in 1 country.

Bussara SangsawangDepartment of Obstetrics and Gynecological Nursing, Faculty of Nursing, Srinakharinwirot University, 215-216 Ammarinnivet III Saimai Soi 79, Saimai Rd., Bangkok, 10220, Thailand. twinnui@hotmail.com
Nucharee Sangsawang
Srinakharinwirot University · TH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introduction and hypothesisStress urinary incontinence (SUI) is the most common type of urinary incontinence (UI) in pregnant women and is known to have detrimental effects on the quality of life in approximately 54.3 %. Pregnancy is the main risk factor for the development of SUI. This review provides details of the pathophysiology leading to SUI in pregnant women and SUI prevalence and treatment during pregnancy.

methodsWe conducted a PubMed search for English-language and human-study articles registered from January 1990 to September 2012. This search was performed for articles dealing with prevalence and treatment of SUI during pregnancy. In the intervention studies, we included studies that used a randomized controlled trial (RCT) design or studies comparing a treatment intervention to no treatment.

resultsA total of 534 articles were identified; 174 full-text articles were reviewed, and 28 of them met eligibility criteria and are reported on here. The mean prevalence of SUI during pregnancy was 41 % (18.6-60 %) and increased with gestational age. The increasing pressure of the growing uterus and fetal weight on pelvic-floor muscles (PFM) throughout pregnancy, together with pregnancy-related hormonal changes, may lead to reduced PFM strength as well as their supportive and sphincteric function. These cause mobility of the bladder neck and urethra, leading to urethral sphincter incompetence. Pelvic floor muscle exercise (PFME) is a safe and effective treatment for SUI during pregnancy, without significant adverse effects.

conclusionsUnderstanding these issues can be useful for health-care professionals when informing and counseling pregnant women to help prevent SUI during pregnancy and the postpartum period.

Indexed as

Disease ManagementExercise TherapyFemaleHumansMuscle StrengthPelvic FloorPostpartum PeriodPregnancyPregnancy ComplicationsPrevalenceRisk FactorsTreatment OutcomeUrinary Incontinence, Stress

Identifiers

PMID23436035
PMCPMC3671107
OpenAlexW2035765421

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.