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Effect of the App-Based Video Guidance on Prenatal Pelvic Floor Muscle Training Combined with Global Postural Re-education for Stress Urinary Incontinence Prevention: A Protocol for a Multicenter, Randomized Controlled Trial

Author

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  • Lei Gao

    (Department of Obstetrics and Gynecology, Peking University People’s Hospital, No. 11, Xi-Zhi-Men South Street, Xi Cheng District, Beijing 100044, China
    The Key Laboratory of Female Pelvic Floor Disorders, Beijing 100044, China
    These authors have contributed this manuscript equally.)

  • Di Zhang

    (Department of Obstetrics and Gynecology, Peking University People’s Hospital, No. 11, Xi-Zhi-Men South Street, Xi Cheng District, Beijing 100044, China
    The Key Laboratory of Female Pelvic Floor Disorders, Beijing 100044, China
    These authors have contributed this manuscript equally.)

  • Shiyan Wang

    (Department of Obstetrics and Gynecology, Peking University People’s Hospital, No. 11, Xi-Zhi-Men South Street, Xi Cheng District, Beijing 100044, China
    The Key Laboratory of Female Pelvic Floor Disorders, Beijing 100044, China)

  • Yuanyuan Jia

    (Department of Obstetrics and Gynecology, Peking University People’s Hospital, No. 11, Xi-Zhi-Men South Street, Xi Cheng District, Beijing 100044, China
    The Key Laboratory of Female Pelvic Floor Disorders, Beijing 100044, China)

  • Haibo Wang

    (Clinical Research Institute, Peking University, Beijing 100191, China)

  • Xiuli Sun

    (Department of Obstetrics and Gynecology, Peking University People’s Hospital, No. 11, Xi-Zhi-Men South Street, Xi Cheng District, Beijing 100044, China
    The Key Laboratory of Female Pelvic Floor Disorders, Beijing 100044, China)

  • Jianliu Wang

    (Department of Obstetrics and Gynecology, Peking University People’s Hospital, No. 11, Xi-Zhi-Men South Street, Xi Cheng District, Beijing 100044, China
    The Key Laboratory of Female Pelvic Floor Disorders, Beijing 100044, China)

Abstract

Background: As the effectiveness on stress urinary incontinence (SUI) prevention of pelvic floor muscle training (PFMT) for pregnant women has been inconclusive, we are planning to conduct a trial to evaluate a video program designed for prevention of SUI developed through combining PFMT with global postural reeducation (GPR). Methods: As a randomized controlled trial, eligible participants will be randomized (1:1) into an exercise group and a control group to perform PFMT regularly following video guidance or with no intervention, respectively. The experimental stage will be from the 16th gestation week (GW) to the 12th month postpartum, with eight appointments at the 16th, 28th, 37th GW, delivery, the 6th week and the 3rd, 6th, and 12th month postpartum. Data will be collected regarding urinary leakage symptoms, the stress test, the modified Oxford Scale, pelvic floor ultrasound, perineal laceration classification at delivery, neonatal Apgar score, and questionnaires (PISQ-12, ICIQ-UI SF, I-QOL, OABSS). The primary outcome is the occurrence of the symptomatic SUI and positive stress test at the 6th week postpartum. Discussion: This protocol is anticipated to evaluate the efficacy of the intervention via video app for the design of a future randomized control trial (RCT). Trial registration: The trial has been registered at Chinese Clinical Trial Registry (registration number: ChiCTR2000029618).

Suggested Citation

  • Lei Gao & Di Zhang & Shiyan Wang & Yuanyuan Jia & Haibo Wang & Xiuli Sun & Jianliu Wang, 2021. "Effect of the App-Based Video Guidance on Prenatal Pelvic Floor Muscle Training Combined with Global Postural Re-education for Stress Urinary Incontinence Prevention: A Protocol for a Multicenter, Ran," IJERPH, MDPI, vol. 18(24), pages 1-10, December.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:24:p:12929-:d:697636
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    References listed on IDEAS

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    1. Edmond PH Choi & Cindy LK Lam & Weng Yee Chin, 2015. "The test–retest reliability of the Incontinence Questionnaire‐Urinary Incontinence Short Form (ICIQ‐UI SF) for assessing type of urinary incontinence in males and females," Journal of Clinical Nursing, John Wiley & Sons, vol. 24(23-24), pages 3742-3744, December.
    2. Aida Jaffar & Sherina Mohd Sidik & Chai Nien Foo & Noor Azimah Muhammad & Rosliza Abdul Manaf & Siti Irma Fadhilah Ismail & Nazhatussima Suhaili, 2021. "Protocol of a Single-Blind Two-Arm (Waitlist Control) Parallel-Group Randomised Controlled Pilot Feasibility Study for mHealth App among Incontinent Pregnant Women," IJERPH, MDPI, vol. 18(9), pages 1-12, April.
    3. Esther García-Sánchez & Vicente Ávila-Gandía & Javier López-Román & Alejandro Martínez-Rodríguez & Jacobo Á. Rubio-Arias, 2019. "What Pelvic Floor Muscle Training Load is Optimal in Minimizing Urine Loss in Women with Stress Urinary Incontinence? A Systematic Review and Meta-Analysis," IJERPH, MDPI, vol. 16(22), pages 1-15, November.
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    Cited by:

    1. Antonio Sarría-Santamera & Antonio Simone Laganà & Milan Terzic, 2022. "Women’s Health and Gynecology: Old Challenges and New Insights," IJERPH, MDPI, vol. 19(24), pages 1-6, December.
    2. Lei Gao & Shiyan Wang & Di Zhang & Hongmei Zhu & Yuanyuan Jia & Haibo Wang & Suhong Li & Xiuhong Fu & Xiuli Sun & Jianliu Wang, 2022. "Pelvic Floor Muscle Strength in the First Trimester of Primipara: A Cross-Sectional Study," IJERPH, MDPI, vol. 19(6), pages 1-11, March.
    3. Hongmei Zhu & Di Zhang & Lei Gao & Huixin Liu & Yonghui Di & Bing Xie & Wei Jiao & Xiuli Sun, 2022. "Effect of Pelvic Floor Workout on Pelvic Floor Muscle Function Recovery of Postpartum Women: Protocol for a Randomized Controlled Trial," IJERPH, MDPI, vol. 19(17), pages 1-14, September.

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