Post partum anal and urinary incontinence are potentially debilitating conditions, the incidence of which has been grossly under appreciated mainly due to the reluctance of women to seek medical attention for this sensitive problem. Recent epidemiologic studies have highlighted the fact that anal and urinary incontinence after childbirth is not as rare as has been assumed. Objective: To assess the effect of pelvic floor exercises after vaginal delivery on pelvic floor characteristics using clinical assessment and perineal and endoanal ultrasonography in nulliparous women. Design : Prospective cohort study. Methods: 355 primigravid women were enrolled in the study between January 2004 to December 2007 who were attending antenatal care of obstetrics & gynecologic department, Mansoura University from whom 205 women who delivered vaginally at the emergency unit of the same department completed the study. Those nulliparous women were examined during pregnancy, 6 weeks and 12 months after vaginal delivery; the method used included questionnaire, clinical examination, perineal sonography and endoanal ultrasonography for assessment of the integrity of pelvic floor muscles. After Ihe 2nd examination the women were assigned in alternating manner to either 12 seessions of pelvic floor exercise (n = 102) or no training (2 = 103) and the two groups were compared in the 3rd examimation. Results: There was a significant decrease in the incidence of urinary and anal incontinence in the group who underwent pelvic floor exercise 62% vs 6% in UI & 70% vs 0% in anal incontinence respectively (p = 0.002). Conclusion: Pelvic floor exercises starting 6 weeks postpartum significantly reduced the incidence of stress urinary incontinence and anal incontinence.
El-Negeri, M., Eltotongy, M., Elshamy, M., Elrefaei, A., Abdel Dayem, Y., Omar, W., & Thabet, W. (2009). DOES POST PARTUM PELVIC FLOOR EXERCISES REDUCE ANAL AND URINARY INCONTINENCE ?. The Egyptian Journal of Fertility of Sterility, 13(1), 21-26. doi: 10.21608/egyfs.2009.4853
MLA
Mohamed El-Negeri; Mohamed Eltotongy; Maged Elshamy; AbdA. Elrefaei; Yasser Abdel Dayem; waleed Omar; Waleed Thabet. "DOES POST PARTUM PELVIC FLOOR EXERCISES REDUCE ANAL AND URINARY INCONTINENCE ?", The Egyptian Journal of Fertility of Sterility, 13, 1, 2009, 21-26. doi: 10.21608/egyfs.2009.4853
HARVARD
El-Negeri, M., Eltotongy, M., Elshamy, M., Elrefaei, A., Abdel Dayem, Y., Omar, W., Thabet, W. (2009). 'DOES POST PARTUM PELVIC FLOOR EXERCISES REDUCE ANAL AND URINARY INCONTINENCE ?', The Egyptian Journal of Fertility of Sterility, 13(1), pp. 21-26. doi: 10.21608/egyfs.2009.4853
VANCOUVER
El-Negeri, M., Eltotongy, M., Elshamy, M., Elrefaei, A., Abdel Dayem, Y., Omar, W., Thabet, W. DOES POST PARTUM PELVIC FLOOR EXERCISES REDUCE ANAL AND URINARY INCONTINENCE ?. The Egyptian Journal of Fertility of Sterility, 2009; 13(1): 21-26. doi: 10.21608/egyfs.2009.4853
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