Evidence map›Paper›PMID 33950309›Full record

ReviewInternational urogynecology journal2021

Narrative review of pelvic floor muscle training for childbearing women-why, when, what, and how.

Stephanie J Woodley, E Jean C Hay-Smith

Registry-linked trialAbstract readReview
PubMed Publisher
In one paragraph

Review in International urogynecology journal, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07753746 (Effects Of Telerehabilitation-Based Pelvıc Floor Muscle Exercises On Urinary Incontinance, Pelvic Floor Functions and Childbirth In Pregnant Women), which is not on this map. Cited by 18 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 2 pooled it
6.5field-weighted citation impact, top 3% 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.

NCT07753746 nacompletednot on this mapstarted 2024, after this paper: background citation

Effects Of Telerehabilitation-Based Pelvıc Floor Muscle Exercises On Urinary Incontinance, Pelvic Floor Functions and Childbirth In Pregnant Women

TypeinterventionalSponsorArtvin Coruh UniversityRan2024 to 2026Enrolled45ConditionsPregnancy, Urinary Incontinence (UI), Childbirth, Tele-rehabilitationArmsTele-rehabilitation, Home based-Non supervised PFME
3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 2 syntheses or guidelines pooled it, 47 citations in OpenAlex.

  1. Pooled it
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  8. Female pelvic floor protection-Where do we have to go?Acta obstetricia et gynecologica Scandinavica · 2026
    Review
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  16. Pelvic floor exercises and female stress urinary incontinence.The British journal of general practice : the journal of the Royal College of General Practitioners · 2022
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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.

Stephanie J WoodleyDepartment of Anatomy, School of Biomedical Sciences, University of Otago, Dunedin, New Zealand.
E Jean C Hay-SmithRehabilitation Teaching and Research Unit, Department of Medicine, University of Otago, Wellington, New Zealand. jean.hay-smith@otago.ac.nz.ORCID 0000-0002-9009-2812
University of Otago · NZ

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introduction and hypothesisUrinary incontinence (UI) is prevalent during pregnancy and postpartum. UI in pregnancy strongly predicts UI postpartum and later in life. UI reduces women's wellbeing and quality of life and presents a significant burden to healthcare resource.

methodsA narrative review summarizing quantitative and qualitative evidence about pelvic floor muscle training (PFMT) for prevention and treatment of UI for childbearing women.

resultsThere are clinically important reductions in the risk of developing UI in pregnancy and after delivery for pregnant women who start PFMT during pregnancy, and PFMT offers additional benefits preventing prolapse and improving sexual function. If women develop UI during pregnancy or postpartum then PFMT is an appropriate first-line treatment. For novice exercisers, a programme comprising eight contractions, with 8-s holds, three times a day, 3 days a week, for at least 3 months is a reasonable minimum and 'generic' prescription. All women need clear accurate verbal instruction in how to do PFMT. Incontinent women, and women who cannot do a correct contraction, require referral for pelvic floor rehabilitation. Behavioural support from maternity care providers (MCPs)-increasing women's opportunity, capability, and motivation for PFMT-is as important as the exercise prescription.

conclusionPFMT is effective to prevent and treat UI in childbearing women. All pregnant and postpartum women, at every contact with a MCP, should be asked if they are continent. Continent women need exercise prescription and behavioural support to do PFMT to prevent UI. Incontinent women require appropriate referral for diagnosis or treatment.

Indexed as

Fecal IncontinenceMaternal Health ServicesUrinary IncontinenceExercise TherapyFemaleHumansPelvic FloorPregnancyQuality of LifeBehavioural supportExercisePelvic floorPostpartumPregnant womenUrinary incontinence

Identifiers

PMID33950309
OpenAlexW3159434211

What OpenQuestion holds

Textmetadata
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.