Effect of Postpartum Pelvic Floor Muscles Training in Pelvic Floor Muscles Strength on Postpartum Women with Stress Urinary Incontinence

Abstract

Objective: To evaluate the effect of pelvic floor training (Kegel
exercise) on pelvic floor muscle strength in postpartum women
with SUI.
Methods: Thirty-five birth vaginally postpartum women with SUI
were experimentally enrolled. After four weeks of postpartum
observation, the diagnosis of SUI confirmed, and all of these women
were asked to complete the International Consultation on
Incontinence Questionnaire-Sort Form (ICIQ-SF) questionnaire.
The strength of the pelvic floor muscle measured with perineometer
every once in 3 weeks for 12 weeks of Kegel exercise. SUI severity
assessed with ICIQ-SF after completing the Kegel exercise. A paired
t-test was used to compare measurement results between ICIQ-SF
questionnaire and perineometer and multiple linear regression
models was used for multivariate analysis. A p value of less than 0.05
was taken to be statistically significant.
Results: Findings show a significant difference between clinical
variables (parity, neonates birth weight, perineal tear grade, BMI)
and the improvement of pelvic floor muscles before and after
performed the Kegel exercise (all p<0.05). The pelvic floor
muscles strength significantly improved (p=0.000) after Kegel
exercise both in ICIQ-SF questionnaire and perineometer
measurement.
Conclusion: Pelvic muscles floor training or Kegel exercise improve
pelvic muscles floor strength in postpartum women with SUI.
[Indones J Obstet Gynecol 2018; 6-2: 114-118]
Keywords: pelvic muscles floor training, postpartum, stress urinary
incontinence