Evidence map›Paper›PMID 36995416›Full record

ArticleInternational urogynecology journal2023

Postpartum pelvic organ prolapse and pelvic floor muscle training: secondary analysis of a randomized controlled trial of primiparous women.

Thorgerdur Sigurdardottir, Thora Steingrimsdottir, Reynir T Geirsson, Thorhallur I Halldorsson, Thor Aspelund, Kari Bø

3 registry-linked trialsAbstract read
PubMed Publisher
In one paragraph

Article in International urogynecology journal, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 5 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 2 pooled it
2.0field-weighted citation impact, top 14% 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.

NCT02682212 nacompletednot on this map

Obstetric Perineal Trauma, Pelvic Floor Symptoms and Early Physiotherapy Intervention

TypeinterventionalSponsorLandspitali University HospitalRan2016 to 2018Enrolled84ConditionsPregnancy ComplicationsArmsPhysiotherapy intervention
NCT05851729 naunknown statusnot on this map

Effects of Kegal Exercises With and Without Postural Correction on Postpartum Pelvic Organ Prolapse in Primiparous Women

TypeinterventionalSponsorRiphah International UniversityRan2023 to 2023Enrolled30ConditionsPelvic Organ ProlapseArmsKegal exercises with postural correction, Kegal exercises without postural correction
NCT07426770 narecruitingnot on this mapstarted 2024, after this paper: background citation

Prevention of Female Pelvic Floor Dysfunction Rehabilitation Postpartum.

TypeinterventionalSponsorVilnius UniversityRan2024 to 2029Enrolled80ConditionsPelvic Floor Dysfunction, Postpartum Care, Postpartum Comfort, Female Urinary Incontinence and Pelvic Organ ProlapseArmsRehabilitation postpartum, Self-training
3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 2 syntheses or guidelines pooled it, 8 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors at 3 institutions in 2 countries.

Thorgerdur SigurdardottirFaculty of Medicine, School of Health Sciences, University of Iceland, Reykjavik, Iceland. th.sigurdardottir@gmail.com.ORCID 0000-0001-5914-4226
Thora SteingrimsdottirFaculty of Medicine, School of Health Sciences, University of Iceland, Reykjavik, Iceland.
Reynir T GeirssonFaculty of Medicine, School of Health Sciences, University of Iceland, Reykjavik, Iceland.
Thorhallur I HalldorssonFaculty of Food Sciences and Nutrition, School of Health Sciences, University of Iceland, Reykjavik, Iceland.
Thor AspelundFaculty of Medicine, School of Health Sciences, University of Iceland, Reykjavik, Iceland.
Kari BøDepartment of Sports Medicine, Norwegian School of Sports Sciences, Oslo, Norway.
Reykjavík University · ISUniversity of Iceland · ISAkershus University Hospital · NO

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introduction and hypothesisPelvic floor dysfunction is common after childbirth. We hypothesize that physiotherapist-guided pelvic floor muscle training (PFMT) is effective regarding pelvic organ prolapse (POP) symptoms during the first postpartum year.

methodsThis was a secondary analysis from a randomized controlled trial (RCT), carried out at a physiotherapy clinic, Reykjavik. Participants were eighty-four primiparous women with a singleton delivery. They were screened for eligibility 6-13 weeks postpartum. Women in a training group conducted 12 weekly individual sessions with a physiotherapist within an RCT, starting on average 9 weeks postpartum. Outcomes were assessed after the last session (short term) and at approximately 12 months postpartum (long term). The control group received no instructions after the initial assessment. Main outcome measures were self-evaluated POP symptoms by the Australian Pelvic Floor Questionnaire.

resultsForty-one and 43 women were in the training and control groups, respectively. At recruitment, 17 (42.5%) of the training group and 15 (37%) of the control group reported prolapse symptoms (p = 0.6). Five (13%) from the training group and nine (21%) controls were bothered by the symptoms (p = 0.3). There was a gradual decrease in the number of women with symptoms and no significant short-term (p = 0.08) or long-term (p = 0.6) differences between the groups regarding rates of women with POP symptoms. The difference between groups regarding bother in the short (p = 0.3) or longer term (p = 0.4) was not significant. Repeated-measures analyses using Proc Genmod in SAS did not indicate a significant effect of the intervention over time (p > 0.05).

conclusionsThere was an overall decrease in postpartum symptoms of POP and bother during the first year. Physiotherapist-led PFMT did not change the outcomes. CLINICAL

trial registrationThe trial was registered 30 March 2015 at https://register. CLINICALTRIALS: gov (NCT02682212). Initial participant enrollment was on 16 March 2016 and reported following CONSORT guidelines for randomized controlled trials.

Indexed as

Pelvic FloorPelvic Organ ProlapseAustraliaExercise TherapyFemaleHumansPostpartum PeriodRandomized Controlled Trials as TopicPelvic floor musclesPelvic floor muscle trainingPelvic organ prolapsePhysiotherapyPostpartumPrimiparityQuality of life

Identifiers

PMID36995416
OpenAlexW4361271869

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.