Evidence map›Paper›PMID 34936023›Full record

Trial reportInternational urogynecology journal2022

Antenatal pelvic floor muscle training and urinary incontinence: a randomized controlled 7-year follow-up study.

Signe Nilssen Stafne, Rebecka Dalbye, Oda M Kristiansen, Yvonne E Hjelle, Kjell Åsmund Salvesen, Siv Mørkved, Hege Hølmo Johannessen

Open access · hybridAbstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in International urogynecology journal, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
1.5field-weighted citation impact, top 17% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 1 synthesis or guideline pooled it, 16 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Urinary Incontinence and Pelvic Organ Prolapse in Women.Deutsches Arzteblatt international · 2023
    Review
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

7 authors at 3 institutions in 1 country.

Signe Nilssen StafneDepartment of Public Health and Nursing, Norwegian University of Science and Technology, P.O. Box 8905, 7491, Trondheim, Norway. signe.n.stafne@ntnu.no.ORCID 0000-0003-4922-477X
Rebecka DalbyeDepartment of Nursing and Health Promotion, Oslo Metropolitan University, Oslo, Norway.
Oda M KristiansenDepartment of Nursing and Health Promotion, Oslo Metropolitan University, Oslo, Norway.
Yvonne E HjelleDepartment of Nursing and Health Promotion, Oslo Metropolitan University, Oslo, Norway.
Kjell Åsmund SalvesenDepartment of Obstetrics and Gynecology, St Olavs Hospital, Trondheim University Hospital, Trondheim, Norway.
Siv MørkvedDepartment of Public Health and Nursing, Norwegian University of Science and Technology, P.O. Box 8905, 7491, Trondheim, Norway.
Hege Hølmo JohannessenDepartment of Health and Welfare, Østfold University College, Fredrikstad, Norway.
Norwegian University of Science and Technology · NOOsloMet – Oslo Metropolitan University · NOØstfold University College · NO

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introduction and hypothesisUrinary incontinence is common postpartum. Our aims were to assess whether antenatal exercise including pelvic floor muscle training (PFMT) has long-term effects on urinary incontinence (UI) and to explore factors associated with UI 7 years postpartum.

methodsA follow-up of a two-centre randomized controlled trial performed at St. Olavs Hospital and Stavanger University Hospital, Norway. In the original trial women were randomized to a 12-week structured exercise protocol including PFMT or standard antenatal care during pregnancy. Link to an electronic questionnaire was sent by postal mail 7 years postpartum. Prevalence of UI was assessed with Sandvik severity index and compared between groups. Factors associated with UI were studied using multivariable logistic regression analysis.

resultsThe response rate was 35% (298/855). UI was reported by 78 (51%) in the intervention group and 63 (57%) in the control group (p = 0.539). In the multivariable logistic regression analyses, women with UI at inclusion had a five-fold increase in odds of UI at 7 years (OR 5.4, 95% CI 2.6, 11.5). Engaging in regular exercise was not significantly associated with UI at 7 years; however, UI was associated with lower exercise intensity (OR 2.4, 95% CI 1.2, 4.6).

conclusionsWe found no group differences of antenatal exercise including PFMT on UI after 7 years among the responders. UI in pregnancy increased the risk of long-term UI. Regular exercise was not associated with UI at 7 years; however, women with UI were more than twice as likely to exercise at lower intensity than continent women.

Indexed as

Pelvic FloorUrinary IncontinenceExercise TherapyFemaleFollow-Up StudiesHumansPregnancyPrenatal CareTreatment OutcomeLong-term effectPelvic floor muscle trainingPregnancyPreventionUrinary incontinenceWomen

Identifiers

PMID34936023
PMCPMC9206614
OpenAlexW4200459433

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

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.