ReviewNeurourology and urodynamics2020
Implementing pelvic floor muscle training in women's childbearing years: A critical interpretive synthesis of individual, professional, and service issues.
Review in Neurourology and urodynamics, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 2 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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
28 citing papers in PubMed, 2 syntheses or guidelines pooled it, 50 citations in OpenAlex.
- Persuasive Technology in an mHealth App Designed for Pelvic Floor Muscle Training Among Women: Systematic Review.JMIR mHealth and uHealth · 2022Pooled it
- Biopsychosocial profile of women with pelvic organ prolapse: A systematic review.Women's health (London, England)Pooled it
- Group-based pelvic floor muscle training for pregnant women: A randomized controlled feasibility study.Journal of advanced nursing · 2025Trial
- Trial
- Effect of a Mobile App-Based Urinary Incontinence Self-Management Intervention Among Pregnant Women in China: Pragmatic Randomized Controlled Trial.Journal of medical Internet research · 2023Trial
- Preliminary Effectiveness of mHealth App-Based Pelvic Floor Muscle Training among Pregnant Women to Improve Their Exercise Adherence: A Pilot Randomised Control Trial.International journal of environmental research and public health · 2022Trial
- Female pelvic floor protection-Where do we have to go?Acta obstetricia et gynecologica Scandinavica · 2026Review
- A Digital Therapeutic Pelvic Health System Improves Fecal Incontinence Symptoms in a Real-World Patient Cohort.Diseases of the colon and rectum · 2026Observational
- Empowering women, strengthening support: a quality improvement project to enhance pelvic floor health awareness.BMJ open quality · 2026Article
- Midwives' Perspective on Birth Preparedness and Complication Readiness Structure: A Qualitative Study.International journal of community based nursing and midwifery · 2026Article
- Bridging the awareness-action gap in pelvic floor prehabilitation: cognitive barriers and facilitators for asymptomatic populations-a perspective.Frontiers in public health · 2026Article
- Perceptions and Experiences of Barriers to Pelvic Floor Muscle Training Among Pregnant Women: A Descriptive Phenomenological Study.Patient preference and adherence · 2026Article
- Impact of a Digital Therapeutic Device on Pelvic Floor Symptoms.Urogynecology (Philadelphia, Pa.) · 2025Article
- A Motion-based Device Urinary Incontinence Treatment: A Longitudinal Analysis at 18 and 24 Months.International urogynecology journal · 2024Article
- Exploring Adherence to Pelvic Floor Muscle Training in Women Using Mobile Apps: Scoping Review.JMIR mHealth and uHealth · 2023Article
- A digital health program for treatment of urinary incontinence: retrospective review of real-world user data.International urogynecology journal · 2023Article
- Barriers and enablers of pelvic floor rehabilitation behaviours in pregnant women with stress urinary incontinence: a qualitative analysis using the theoretical domains framework.BMC pregnancy and childbirth · 2023Article
- Pelvic Floor Disorders and Pelvic Floor Muscle Exercise: A Survey on Knowledge, Attitude, and Practice among Pregnant Women in Northwest Ethiopia.International journal of environmental research and public health · 2023Article
- Need for Public Health Messaging Related to Bladder Health from Adolescence to Advanced Age.Journal of women's health (2002) · 2023Article
- Prevention and treatment of peripartum urinary incontinence-a survey of hospital-based maternity services in Ireland.International urogynecology journal · 2022Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
12 authors at 6 institutions in 3 countries.
Funding
Abstract
aimsAntenatal pelvic floor muscle training (PFMT) may be effective for the prevention and treatment of urinary and fecal incontinence both in pregnancy and postnatally, but it is not routinely implemented in practice despite guideline recommendations. This review synthesizes evidence that exposes challenges, opportunities, and concerns regarding the implementation of PFMT during the childbearing years, from the perspective of individuals, healthcare professionals (HCPs), and organizations.
methodsCritical interpretive synthesis of systematically identified primary quantitative or qualitative studies or research syntheses of women's and HCPs attitudes, beliefs, or experiences of implementing PFMT.
resultsFifty sources were included. These focused on experiences of postnatal urinary incontinence (UI) and perspectives of individual postnatal women, with limited evidence exploring the views of antenatal women and HCP or wider organizational and environmental issues. The concept of agency (people's ability to effect change through their interaction with other people, processes, and systems) provides an over-arching explanation of how PFMT can be implemented during childbearing years. This requires both individual and collective action of women, HCPs, maternity services and organizations, funders and policymakers.
conclusionNumerous factors constrain women's and HCPs capacity to implement PFMT. It is unrealistic to expect women and HCPs to implement PFMT without reforming policy and service delivery. The implementation of PFMT during pregnancy, as recommended by antenatal care and UI management guidelines, requires policymakers, organizations, HCPs, and women to value the prevention of incontinence throughout women's lives by using low-risk, low-cost, and proven strategies as part of women's reproductive health.
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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.