ArticleInternational urogynecology journal2017
Pelvic floor symptoms and quality of life changes during first pregnancy: a prospective cohort study.
Article in International urogynecology journal, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04525846 (A Comparison of Urinary Incontinence During Third Trimester of Nulliparous on Pelvic Floor Muscle Training in Rajavithi Hospital), which is not on this map. Cited by 18 papers, 4 of them syntheses that pooled 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.
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.
A Comparison of Urinary Incontinence During Third Trimester of Nulliparous on Pelvic Floor Muscle Training in Rajavithi Hospital
Who cites it
18 citing papers in PubMed, 4 syntheses or guidelines pooled it, 51 citations in OpenAlex.
- Female Urinary Incontinence in Africa: Prevalence Estimates from a Systematic Review and Meta-Analysis.International urogynecology journal · 2025Pooled it
- Prevalence, incidence and bothersomeness of urinary incontinence in pregnancy: a systematic review and meta-analysis.International urogynecology journal · 2021Pooled it
- Pelvic floor muscle training for preventing and treating urinary and faecal incontinence in antenatal and postnatal women.The Cochrane database of systematic reviews · 2020Pooled it
- Pelvic floor muscle training for prevention and treatment of urinary and faecal incontinence in antenatal and postnatal women.The Cochrane database of systematic reviews · 2017Pooled it
- Effects of Pelvic Floor Muscle Training on Urinary Incontinence During the Third Trimester of Nulliparous Pregnant Women: a Randomized Controlled Trial.International urogynecology journal · 2024Trial
- Bothersome Pelvic Floor Dysfunction and Quality of Life During Pregnancy and Postpartum in Primiparous Women.International urogynecology journal · 2025Article
- Urinary Incontinence in the Third Trimester of Pregnancy of Type 1 Diabetic Women.Reproductive sciences (Thousand Oaks, Calif.) · 2024Article
- Awareness of urinary incontinence in pregnant women as a neglected issue: a cross-sectional study.Malawi medical journal : the journal of Medical Association of Malawi · 2024Article
- What is known about changes in pelvic floor muscle strength and tone in women during the childbirth pathway? A scoping review.European journal of midwifery · 2024Article
- Fecal incontinence and associated pelvic floor dysfunction during and one year after the first pregnancy.Acta obstetricia et gynecologica Scandinavica · 2023Article
- Article
- Urinary and anal incontinence in pregnancy in a Nigerian population: A prospective longitudinal study.SAGE open medicine · 2023Article
- Ultrasound assessment of urethral structure and bladder neck position in women with different parities.International urogynecology journal · 2022Article
- Urinary incontinence in pregnant women and its impact on health-related quality of life.Health and quality of life outcomes · 2022Article
- Longitudinal Study of Pelvic Floor Characteristics Before, During, and After Pregnancy in Nulliparous Women.Journal of ultrasound in medicine : official journal of the American Institute of Ultrasound in Medicine · 2022Observational
- Risk factors for stress and urge urinary incontinence during pregnancy and the first year postpartum: a prospective longitudinal study.International urogynecology journal · 2021Article
- Pelvic floor changes in the first term pregnancy and postpartum period.International urogynecology journal · 2021Article
- Association between sexual intercourse frequency and pelvic floor muscle morphology in pregnant women.International urogynecology journal · 2020Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors at 2 institutions in 1 country.
Funding
Abstract
introduction and hypothesisWe describe pelvic floor function in nulliparous pregnant women. MATERIALS AND
methodsNulliparous midwifery patients completed the Incontinence Severity Index (ISI), Pelvic Floor Impact Questionnaire (PFIQ-7), Wexner Fecal Incontinence Scale (W), and answered questions about sexual activity and perineal pain at baseline during the first (T1), second (T2), or third trimester (T3) and repeated in late T3. They also underwent a Pelvic Organ Prolapse Quantification (POP-Q) exam at their baseline visit. Data were compared across trimesters. Analysis of variance (ANOVA) and logistic regression accounted for repeated measures and was controlled for age and education.
resultsWe recruited 627 women. In T1, 124 women gave baseline data and completed questionnaires; in T2, 403; and in early T3, 96 (496 repeated questionnaires in later T3). Besides an increase in genital hiatus and perineal body (all adjusted p < .05), physical exam measures did not differ between trimesters. As pregnancy progressed, urinary incontinence (UI) (T1 = 33, T2 = 44, T3 = 69% women with ISI >0, all comparisons p < .02) and Incontinence Impact Questionnaire (IIQ-7) scores increased. Fecal incontinence (FI) increased (T1 = 8, T2 = 15, T3 = 16% from T2 to T3, p = .04); the Colorectal-Anal Impact Questionnaire (CRAIQ-7) scores did not. Perineal pain increased (T1 = 17, T2 = 18 and T3 = 40%, all adjusted p < .001), and sexual activity decreased (T1 = 94, T2 = 90, T3 = 77% sexually active, T1 vs T3 and T2 vs T3, p < .001) as pregnancy progressed.
conclusionsDuring pregnancy, women experience worsening UI, FI, and perineal pain. UI symptoms are associated with a negative impact on quality of life (QoL). Sexual activity decreased and POP-Q stage did not change.
Indexed as
Identifiers
What OpenQuestion holds
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.