Pelvic floor muscle training for prevention and treatment of urinary and faecal incontinence in antenatal and postnatal women

Cochrane Database of Systematic Reviews

Volumn 2017, Issue 12, 2017, Pages

  Woodley, Stephanie J ^a   Boyle, Rhianon ^b   Cody, June D ^c   Mørkved, Siv ^d   Hay Smith, E Jean C ^a  

^a UNIVERSITY OF OTAGO   (New Zealand)

^b UNIVERSITY OF ABERDEEN   (United Kingdom)

^c NEWCASTLE UNIVERSITY   (United Kingdom)

^d TRONDHEIM UNIVERSITY HOSPITAL   (Norway)

Author keywords

[No Author keywords available]

Indexed keywords

AGE; BODY WEIGHT; CHILDBIRTH; CLINICAL EFFECTIVENESS; DATA EXTRACTION; DISEASE CONTROL; DISEASE SEVERITY; EXERCISE TEST; FECES INCONTINENCE; HUMAN; MEDICAL RESEARCH; OUTCOME ASSESSMENT; PARITY; PELVIC FLOOR MUSCLE TRAINING; PELVIS FLOOR MUSCLE; POSTNATAL CARE; PREGNANCY OUTCOME; PRENATAL CARE; PRIMARY PREVENTION; PRIORITY JOURNAL; QUALITY OF LIFE; REVIEW; RISK ASSESSMENT; SATISFACTION; SECONDARY PREVENTION; SELF REPORT; SYSTEMATIC REVIEW; URINE INCONTINENCE; FEMALE; KINESIOTHERAPY; META ANALYSIS; PELVIS FLOOR; PREGNANCY; PREGNANCY COMPLICATION; PROCEDURES; RANDOMIZED CONTROLLED TRIAL (TOPIC);

EXERCISE THERAPY; FECAL INCONTINENCE; FEMALE; HUMANS; PELVIC FLOOR; POSTNATAL CARE; PREGNANCY; PREGNANCY COMPLICATIONS; PRENATAL CARE; RANDOMIZED CONTROLLED TRIALS AS TOPIC; URINARY INCONTINENCE;

EID: 85038926387     PISSN: 14651858     EISSN: None     Source Type: Journal    
DOI: 10.1002/14651858.CD007471.pub3     Document Type: Review

References (236)

1. Ahlund S, Nordgren B, Wilander EL, Wiklund I, Friden C. Is home-based pelvic floor muscle training effective in treatment of urinary incontinence after birth in primiparous women? A randomized controlled trial. Acta Obstetricia et Gynecologica Scandinavica 2013;92(8):909-15. [sr-incont48416]3416619
2. Assis LC, Bernardes JM, Barbosa AM, Santini AC, Vianna LS, Dias A. Effectiveness of an illustrated home exercise guide on promoting urinary continence during pregnancy: a pragmatic randomized clinical trial [Portuguese]. Revista Brasileira de Ginecologia e Obstetricia 2015;37(10):460-6. [sr-incont69254]3416621
3. Assis LC, Dias A, Barbosa AMP, Santini ACM, Sousa VO, Vianna LS, et al. Contribution of early intensive prolonged pelvic floor exercises (Abstract number 782-S). American Journal of Epidemiology 2011;173(Suppl 11):S196. [sr-incont47327]7348018
4. Dias A, Assis L, Barbosa A, Santini AC, Picelli-Dias F. Effectiveness of perineal exercises in controlling urinary incontinence and improving pelvic floor muscle function during pregnancy (Abstract number 117). Neurourology and Urodynamics 2011;30(6):968. 7348019
5. Barakat R, Pelaez M, Montejo R, Luaces M, Zakynthinaki M. Exercise during pregnancy improves maternal health perception: a randomized controlled trial. American Journal of Obstetrics and Gynecology 2011;204(5):402.e1-7. [sr-incont65194]3416623
6. Bø K, Haakstad L. Is pelvic floor muscle training effective when taught in a general fitness class for pregnant women? A randomized controlled trial (Abstract number 200). International Urogynecology Journal 2009;20(Suppl 2):S238-9. 7348020
7. Bø K, Haakstad LA. Is pelvic floor muscle training effective when taught in a general fitness class in pregnancy? A randomised controlled trial. Physiotherapy 2011;97(3):190-5. 3416625
8. Chiarelli P, Cockburn J. Preventing urinary incontinence in postpartum women (Abstract). Neurourology and Urodynamics 2001;20(4):448-9. [SR-INCONT12109]3416627
9. Chiarelli P, Cockburn J. Promoting urinary continence in women after delivery: randomised controlled trial (extended electronic version). BMJ 2002;324:1-6. [SR-INCONT14669]3416628
10. Chiarelli P, Murphy B, Cockburn J. Acceptability of a urinary continence promotion programme to women in postpartum. BJOG 2003;110(2):188-96. [SR-INCONT15783]3416629
11. Chiarelli P, Murphy B, Cockburn J. Promoting urinary continence in postpartum women: 12-month follow-up data from a randomised controlled trial. International Urogynecology Journal 2004;15(2):99-105. [SR-INCONT17410]3416630
12. Cruz C, Riesco ML, Zanetti M. Supervised pelvic floor muscle training to treat urinary incontinence during pregnancy: a randomized controlled trial (Abstract number 403). Neurourology and Urodynamics 2014;33(6):867-8. [RBR-8xj48n; sr-incont64412]3416632
13. Dinc A, Kizilkaya Beji N, Yalcin O. Effect of pelvic floor muscle exercises in the treatment of urinary incontinence during pregnancy and the postpartum period. International Urogynecology Journal 2009; Vol. 20, issue 10:1223-31. [SR-INCONT35362]3416641
14. Dokmeci F, Bayramov S, Tur BS, Bayramov V, Seval M, Gok H. Pelvic floor muscle training during pregnancy: a randomized single-blind controlled study on improvement of antenatal and postpartum lower urinary tract symptoms (Abstract). Journal of Pelvic Medicine and Surgery 2008;14(4):304. [sr-incont46744]3416643
15. Dumoulin C. Efficacite des traitements physiotherapiques pour l'incontinence urinaire d'effort chez la femme en periode postnatale [PhD thesis]. Montreal: University of Montreal, 2004. 7348026
16. Dumoulin C, Bourbonnais D, Morin M, Gravel D, Lemieux MC. Predictors of success for physiotherapy treatment in women with persistent postpartum stress urinary incontinence. Archives of Physical Medicine and Rehabilitation 2010;91(7):1059-63. 7348022
17. Dumoulin C, Lemieux MC, Bourbonnais D, Gravel D, Bravo G, Morin M. Physiotherapy for persistent postnatal stress urinary incontinence: a randomized controlled trial. Obstetrics and Gynecology 2004;104(3):504-10. 7348023
18. Dumoulin C, Martin C, Elliott V, Bourbonnais D, Morin M, Lemieux MC, et al. Randomized controlled trial of physiotherapy for postpartum stress incontinence: 7-year follow-up. Neurourology and Urodynamics 2013;32(5):449-54. [sr-incont48074]7348024
19. Dumoulin C, Morin M, Bourbonnais D, Lemieux M, Gravel D. Effect of adding deep abdominal muscle training to pelvic floor muscle training to treat stress urinary incontinence: a one-year follow up (Abstract number 662). 34th Annual Meeting of the joint meeting of the International Continence Society and the International Urogynecological Association; 2004 Aug 23-27; Paris. 2004. 7348025
20. Elliott V, Dumoulin C, Martin C, Morin M, Lemieux M, Bourbonnais D. Physical therapy for persistent postpartum stress urinary incontinence: a seven year follow-up study (Abstract number 198). Neurourology and Urodynamics 2009;28(7):820-1. 7348027
21. Ewings P, Spencer S, Marsh H, O'Sullivan M. Obstetric risk factors for urinary incontinence and preventative pelvic floor exercises: cohort study and nested randomized controlled trial. Journal of Obstetrics and Gynaecology 2005;25(6):558-64. [SR-INCONT21250]3416651
22. Fritel X, Fauconnier A, Savary D, Letouzey V, Gueye A, Campagne S, et al. Prevent postnatal urinary incontinence by prenatal pelvic floor muscle training? First results of the multicenter randomized study 3PN, prenatal pelvic floor prevention (Abstract number 263). Neurourology and Urodynamics 2012;31(6):1068-9. [NCT00551551; sr-incont46713]7348028
23. Fritel X, Fauconnier A, de Tayrac R, Amblard J, Cotte L, Fernandez H. Prevent postnatal urinary incontinence by prenatal pelvic floor exercise? Rationale and protocol of the multicenter randomized study PreNatal Pelvic floor Prevention (3PN) [French]. Journal de Gynecologie, Obstetrique et Biologie de la Reproduction 2008;37(5):441-8. [NCT00551551; sr-incont27753]7348029
24. Fritel X, Guilhot-Gaudeffroy J, de Tayrac R, Savary D, Deffieux X, Cotte L, et al. Prevention of postnatal urinary incontinence by antenatal pelvic floor muscle exercises, secondary per protocol analysis of the 3PN (prenatal pelvic floor prevention) randomized trial (Abstract number 5). Neurourology and Urodynamics 2013;32(6):528-9. [NCT00551551; sr-incont49222]7348030
25. Fritel X, de Tayrac R, Bader G, Savary D, Gueye A, Deffieux X, et al. Preventing urinary incontinence with supervised prenatal pelvic floor exercises: a randomized controlled trial. Obstetrics and Gynecology 2015;126(2):370-7. [NCT00551551; sr-incont68120]3416653
26. Frost A, Trankel D, Shannon M. The efficacy of written and verbal pelvic floor exercise discharge instructions in reducing urinary incontinence among postpartum patients (Abstract). Journal of Women's Health Physical Therapy 2014;38(1):40. [sr-incont61793]3416655
27. Frumenzio E, Giovannozzi S, Pietropaolo A, Salvini E, Bruno R, Lolli C, et al. Results of a prospective randomised study: role of pelvic-perineal rehabilitation in post-partum incontinence recovery (Abstract number 4). Neurourology and Urodynamics 2012;31(S1):S3. [sr-incont46707]3416657
28. Gaier L, Lamberti G, Giraudo D. Pelvic floor muscle training during pregnancy to prevent urinary pelvic floor dysfunctions (Abstract). Neurourology and Urodynamics 2010;29(2S):64-5. 3416659
29. Geraerts I, Van Kampen M. Twelve-year follow-up of conservative management of postnatal urinary and faecal incontinence and prolapsed outcomes: randomised controlled trial. BJOG 2014;121(13):1741-2. 7348031
30. Glazener C, Elders A, MacArthur C, Lancashire RJ, Herbison P, Hagen S, et al. Childbirth and prolapse: long-term associations with the symptoms and objective measurement of pelvic organ prolapse. BJOG 2013;120(2):161-8. 7348032
31. Glazener C, MacArthur C, Hagen S, Elders A, Lancashire R, Herbison G, et al. Twelve-year follow-up of conservative management of postnatal urinary and faecal incontinence and prolapse outcomes: randomised controlled trial. BJOG 2014;121(1):112-20. [sr-incont50467]7348033
32. Glazener C, MacArthur C, Wilson D, Hagen S, ProLong study group. Authors' reply: twelve-year follow-up of conservative management of postnatal urinary and faecal incontinence and prolapsed outcomes: randomised controlled trial. BJOG 2014;121(13):1742. 7348034
33. Glazener CM, Herbison GP, MacArthur C, Grant A, Wilson PD. Randomised controlled trial of conservative management of postnatal urinary and faecal incontinence: six year follow up. BMJ 2005;330(7487):337-40. 3416661
34. Glazener CM, Herbison GP, Wilson PD, MacArthur C, Lang GD, Gee H, et al. Conservative management of persistent postnatal urinary and faecal incontinence: a randomised controlled trial [Extended electronic version]. BMJ 2001;323:1-5. 3416662
35. Glazener CM, Herbison GP, Wilson PD, MacArthur C, Lang GD, Gee H, et al. Conservative management of persistent postnatal urinary and faecal incontinence: randomised controlled trial. BMJ 2001;323(7313):593-6. 3416663
36. Rennie AM, Wilson D, Glazener C, Gee H, Lang G, MacArthur C. A multicentre randomised trial of treatment of postnatal incontinence (Abstract). International Confederation of Midwives, 24th Triennial Congress; 1996 May 26-31; Oslo. 1996:8. 3416664
37. Wilson PD, Glazener C, McGee M, Herbison P, MacArthur C, Grant A. Randomised controlled trial of conservative management of postnatal urinary and faecal incontinence: long term follow-up study (Abstract). Neurourology and Urodynamics 2002;21(4):370. 3416665
38. Wilson PD, Herbison GP, Glazener CMA, Lang G, Gee H, MacArthur C. Postnatal incontinence: a multi centre, randomised controlled trial of conservative treatment (Abstract). Neurourology and Urodynamics 1997;16(5):349-50. 3416666
39. Gorbea Chavez V, Velazquez Sanchez MdP, Kunhardt Rasch JR. Effect of pelvic floor exercise during pregnancy and puerperium on prevention of urinary stress incontinence [Efecto de los ejercicios del piso pelvico durante el embarazo y el puerperio en la prevencion de la incontinencia urinaria de esfuerzo]. Ginecologia y Obstetricia de Mexico 2004;72(12):628-36. [SR-INCONT20384]3416668
40. Bø K, Hilde G, Str-Jensen J, Siafarikas F, Tennfjord MK, Engh ME. Postpartum pelvic floor muscle training and pelvic organ prolapse-a randomized trial of primiparous women. American Journal of Obstetrics and Gynecology 2015;212(1):38.e1-7. [NCT01069484; sr-incont64837]7348036
41. Bø K, Hilde G, Tennfjord MK, Jensen JS, Siafarikas F, Engh ME. Randomized controlled trial of pelvic floor muscle training to prevent and treat pelvic organ prolapse in postpartum primiparous women (Abstract number 205). Neurourology and Urodynamics 2013;32(6):806-7. [sr-incont49200]7348037
42. Hilde G, Str-Jensen J, Siafarikas F, Ellstrom Engh M, Bø K. Does pelvic floor muscle training enhance pelvic floor muscle recovery? An assessor blinded randomized controlled trial (Abstract number PP15). International Urogynecology Journal and Pelvic Floor Dysfunction 2014;25(1 Suppl 1):S17-8. [sr-incont64248]7348038
43. Hilde G, Str-Jensen J, Siafarikas F, Ellstrom Engh M, Bø K. Effect of postpartum pelvic floor muscle training on urinary incontinence in primiparous women with and without major pelvic floor muscle defects. An assessor blinded randomised controlled trial (Abstract number 8). Neurourology and Urodynamics 2013;32(6):533-4. [NCT01069484]7348039
44. Hilde G, Str-Jensen J, Siafarikas F, Ellstrom Engh M, Bø K. Postpartum pelvic floor muscle training and urinary incontinence: a randomized controlled trial [Erratum appears in: Obstetrics and Gynecology 2014;124(3):639]. Obstetrics and Gynecology 2013;122(6):1231-8. [NCT01069484; sr-incont49471]7348040
45. Kolberg Tennfjord M, Hilde G, Str-Jensen J, Siafarikas F, Engh ME, Bø K. Effect of postpartum pelvic floor muscle training on vaginal symptoms and sexual dysfunction-secondary analysis of a randomised trial. BJOG 2016;123(4):634-42. 7348041
46. Hughes P. Personal communication 2006. 3416673
47. Hughes P, Jackson S, Smith P, Abrams P. Can antenatal pelvic floor exercises prevent postnatal incontinence (Abstract). Neurourology and Urodynamics 2001;20(4):447-8. [SR-INCONT12110]3416672
48. Kim EY, Kim SY, Oh DW. Pelvic floor muscle exercises utilizing trunk stabilization for treating postpartum urinary incontinence: randomized controlled pilot trial of supervised versus unsupervised training. Clinical Rehabilitation 2012;26(2):132-41. [sr-incont44514]7348043
49. Ko PC, Liang CC, Chang SD, Lee JT, Chao AS, Cheng PJ. A randomized controlled trial of antenatal pelvic floor exercises to prevent and treat urinary incontinence. International Urogynecology Journal 2011;22(1):17-22. [41029]3416677
50. Liang C, Ko P, Lin Y, Tseng L, Lo T, Wang AC. Effect of antenatal pelvic floor muscle exercises in prevention and treatment of urinary incontinence: a randomized controlled trial (Abstract number 208). Neurourology and Urodynamics 2010;29(6):1105-6. 3416678
51. Kocaoz S, Eroglu K, Sivaslioglu AA. Role of pelvic floor muscle exercises in the prevention of stress urinary incontinence during pregnancy and the postpartum period. Gynecologic and Obstetric Investigation 2013;75(1):34-40. [sr-incont49319]3416680
52. Kou J-L, Dang L-J, Feng X-Q. Clinical study on the treatment of postpartum rehabilitation to improve the pelvic floor function. Medical Innovation of China 2013;10(25):55-7. [sr-incont70278]3416776
53. Liu X-B. Pelvic floor muscle training for prevention and treatment of postpartum urinary incontinence clinical observation. Guide of China Medicine 2011;9(2):21-2. [sr-incont70276]3416778
54. Meyer S, Hohlfeld P, Achtari C, De Grandi P. Pelvic floor education after vaginal delivery. Obstetrics and Gynecology 2001;97(5 Pt 1):673-7. [SR-INCONT12119]3416682
55. Meyer S, Hohlfeld P, De Grandi P, Megalo A. Is pelvic floor re-education after vaginal delivery effective? A prospective double-blind randomized study in primiparae (Abstract). Neurourology and Urodynamics 1999; Vol. 18, issue 4:290. [SR-INCONT9941]3416683
56. Meyer S, Hohlfeld P, De Grandi P, Megalo A. Is pelvic floor reeducation after vaginal delivery effective? A prospective double-blind randomized study in primiparae (Abstract). International Urogynecology Journal and Pelvic Floor Dysfunction 1999;10 Suppl 1:39-40. [SR-INCONT9846]3416684
57. Miquelutti MA. Evaluating of an antenatal education program [PhD thesis]. Campinas, São Paulo: Universidade Estadual de Campinas, Faculdade de Ciências Médicas, 2012. [sr-incont46712]7348047
58. Miquelutti MA, Cecatti JG, Makuch MY. Developing strategies to be added to the protocol for antenatal care: an exercise and birth preparation program. Clinics (Sao Paulo, Brazil) 2015;70(4):231-6. 7348044
59. Miquelutti MA, Cecatti JG, Makuch MY. Evaluation of a birth preparation program on lumbopelvic pain, urinary incontinence, anxiety and exercise: a randomized controlled trial. BMC Pregnancy and Childbirth 2013;13:154. [NCT01155804; sr-incont59873]7348045
60. Miquelutti MA, Cecatti JG, Makuch MY. Evaluation of the efficacy of an antenatal birth preparation program (Abstract number O431). International Journal of Gynaecology and Obstetrics 2012;119(Suppl 3):S414. [sr-incont64222]7348046
61. Mørkved S, Bø K, Schei B, Salvesen KÅ. Pelvic floor muscle training during pregnancy to prevent urinary incontinence: a single-blind randomized controlled trial. Obstetrics and Gynecology 2003;101(2):313-9. [SR-INCONT15816]3416688
62. Mørkved S, Rommen K, Schei B, Salvesen KÅ, Bø K. No difference in urinary incontinence between training and control group six years after cessation of a randomized controlled trial, but improved sexual satisfaction in the training group (Abstract number 50). Neurourology and Urodynamics 2007;26(5):667. 3416689
63. Mørkved S, Salvesen KÅ. Does pelvic floor muscle training during pregnancy have an effect on labour? (Abstract). Neurourology and Urodynamics 2004;23(5/6):410-1. [SR-INCONT19001]3416692
64. Mørkved S, Salvesen KÅ, Scheil B, Bø K. Prevention of urinary incontinence during pregnancy - a randomized controlled trial of primiparous women (Abstract). International Urogynecology Journal and Pelvic Floor Dysfunction 2001;12 Suppl 3:1. [SR-INCONT15713]3416691
65. Salvesen KÅ, Mørkved S. Randomised controlled trial of pelvic floor muscle training during pregnancy. BMJ 2004;329(7462):378-80. [SR-INCONT17558]7348048
66. Schei B, Mørkved S, Bø K. Does pelvic floor muscle training during pregnancy have an influence on sexual life after delivery? (Abstract number 176). Journal of Sexual Medicine 2011;8(Suppl s3):124-5. 7348049
67. O'Herlihy C. Early home feedback physiotherapy compared with pelvic floor exercises soon after third degree perineal tear: a randomised trial (Abstract number 63). International Urogynecology Journal and Pelvic Floor Dysfunction 2012;23(2 Suppl 1):S107. 7348050
68. Peirce C, Murphy C, Fitzpatrick M, Cassidy M, Daly L, O'Connell P, et al. Randomised controlled trial comparing early home biofeedback physiotherapy with pelvic floor exercises for the treatment of third-degree tears (EBAPT Trial). BJOG 2013;120(10):1240-7. [sr-incont48563]7348051
69. Peirce C, O'Herlihy C, Murphy C, Fitzpatrick M, Cassidy M, Daly L, et al. Randomized trial comparing early home biofeedback physiotherapy with pelvic floor exercises following third degree perineal tears (Abstract). American Journal of Obstetrics and Gynecology 2012;206(1 Suppl 1):S298-9. [sr-incont46739]7348052
70. Pelaez M, Gonzalez-Cerron S, Montejo R, Barakat R. Pelvic floor muscle training included in a pregnancy exercise program is effective in primary prevention of urinary incontinence: a randomized controlled trial. Neurourology and Urodynamics 2014;33(1):67-71. [NCT01578369; sr-incont50396]3416697
71. Agur WI, Steggles P, Waterfield M, Freeman RM. The long-term effectiveness of antenatal pelvic floor muscle training: eight-year follow up of a randomised controlled trial. BJOG 2008;115(8):985-90. [27527]3416699
72. Reilly EIL, Freeman RM, Waterfield MR, Waterfield AE, Steggles P, Pedlar F. Can post partum stress incontinence be prevented? (Abstract). International Urogynecology Journal 2001;12 Suppl 3:1. [SR-INCONT15712]3416700
73. Reilly ETC, Freeman RM, Waterfield MR, Waterfield AE, Steggles P, Pedlar F. Prevention of postpartum stress incontinence in primigravidae with increased bladder neck mobility: a randomised controlled trial of antenatal pelvic floor exercises. BJOG 2002;109(1):68-76. [SR-INCONT12890]3416701
74. Reilly ETC, Pedler F, Steggles P, Waterfield AE, Freeman RM. Prevention of postpartum stress incontinence in at risk primigravidae (Abstract). International Urogynecology Journal and Pelvic Floor Dysfunction 1999;10 Suppl 1:2. [SR-INCONT9837]3416702
75. Udayasankar VJ, Steggles P, Freeman RM, Waterfield M, Adekanmi OA, Reilly ETC. Prevention of stress incontinence by ante-natal pelvic floor exercises in primigravidae with bladder neck mobility: a three year follow-up (Abstract). International Urogynaecology Journal 2002;13 Suppl 1:57-8. [SR-INCONT16343]3416703
76. Sampselle C, Miller J. Personal communication 2006. 3416705
77. Sampselle CM, Miller JM, Mims BL, Delancey JO, Ashton-Miller JA, Antonakos CL. Effect of pelvic muscle exercise on transient incontinence during pregnancy and after birth. Obstetrics and Gynecology 1998;91(3):406-12. [SR-INCONT5452]3416706
78. Sangsawang B, Sangsawang N. Is a 6-week supervised pelvic floor muscle exercise program effective in preventing stress urinary incontinence in late pregnancy in primigravid women?: a randomized controlled trial. European Journal of Obstetrics, Gynecology, and Reproductive Biology 2016;197:103-10. [sr-incont70455]3416708
79. Skelly J, Rush J, Eyles P, Burlock S, Morrow C, Fedorkow D. Postpartum urinary incontinence: regional prevalence and the impact of teaching pelvic muscle exercises to pregnant women with UI (Abstract number 552). 34th Annual Meeting of the International Continence Society and the International Urogynecology Association; 2004 Aug 23-27; Paris. 2004. 3416710
80. Sleep J, Grant A. Pelvic floor exercises in postnatal care. Midwifery 1987;3(4):158-64. [SR-INCONT2623]3416712
81. Gustafsson MK, Stafne SN, Romundstad PR, Mørkved S, Salvesen K, Helvik AS. The effects of an exercise programme during pregnancy on health-related quality of life in pregnant women: a Norwegian randomised controlled trial. BJOG 2016; Vol. 123, issue 7:1152-60. [sr-incont69900]7348054
82. Hellenes OM, Vik T, Løhaugen GC, Salvesen KÅ, Stafne SN, Mørkved S, et al. Regular moderate exercise during pregnancy does not have an adverse effect on the neurodevelopment of the child. Acta Paediatrica 2015;104(3):285-91. [sr-incont69901]7348055
83. Mørkved S. Training during pregnancy - effects of regular exercise during pregnancy in prevention of pregnancy-related diseases and complications during labour. A randomised clinical trial. clinicaltrials.gov/show/NCT00476567 Date first received: 22 May 2007. [sr-incont47816]7348056
84. Salvesen KÅ, Stafne SN, Eggebo TM, Mørkved S. Does regular exercise in pregnancy influence duration of labor? A secondary analysis of a randomized controlled trial. Acta Obstetricia et Gynecologica Scandinavica 2014;93(1):73-9. [sr-incont61153]7348057
85. Songøygard KM, Stafne SN, Evensen KA, Salvesen KÅ, Vik T, Mørkved S. Does exercise during pregnancy prevent postnatal depression? A randomized controlled trial. Acta Obstetricia et Gynecologica Scandinavica 2012;91(1):62-7. [sr-incont69903]7348058
86. Stafne S, Salvesen K, Romundstad P, Torjusen I, Mørkved S. Does regular exercise including pelvic floor muscle training prevent urinary and anal incontinence during pregnancy? A randomised controlled trial. BJOG 2012;119(10):1270-80. [sr-incont45048]7348059
87. Stafne SN, Salvesen KÅ, Mørkved S. Does regular exercise in pregnancy increase lumbopelvic pain? (Abstract number RR-PO-312-11-Wed). Physiotherapy 2011a;97(Suppl S1):eS1171. 7348060
88. Stafne SN, Salvesen KÅ, Mørkved S. Does regular exercise in pregnancy prevent urinary incontinence? (Abstract number RR-PL-3377). Physiotherapy 2011b;97(Suppl S1):eS1170-1. 7348061
89. Stafne SN, Salvesen KÅ, Romundstad PR, Eggebo TM, Carlsen SM, Mørkved S. Regular exercise during pregnancy to prevent gestational diabetes: a randomized controlled trial. Obstetrics and Gynecology 2012;119(1):29-36. [sr-incont69902]7348062
90. Stafne SN, Salvesen KÅ, Volloyhaug I, Mørkved S. Does a regular exercise program including pelvic floor muscle exercises prevent urinary incontinence in pregnancy? (Abstract number 100). Neurourology and Urodynamics 2011c;30(6):941-2. [sr-incont42181]7348063
91. Stothers L. A randomized controlled trial to evaluate intrapartum pelvic floor exercise as a method of preventing urinary incontinence (Abstract). Journal of Urology 2002;167(4 Suppl):106. [SR-INCONT17623]3416725
92. Wen X-H, Shi S-Q, Wang J-Y. Pelvic muscles exercise for postpartum stress urinary incontinence. China Practical Medicine 2010;5(15):72-3. [sr-incont70270]3416784
93. Wilson D, Herbison P, Borland M, Grant AM. A randomised controlled trial of physiotherapy treatment of postnatal urinary incontinence. 26th Congress of Obstetrics and Gynaecology; 1992 Jul 7-10; Manchester (UK). 1992:162. 3416727
94. Wilson PD, Herbison GP. A randomized controlled trial of pelvic floor muscle exercises to treat postnatal urinary incontinence. International Urogynecology Journal and Pelvic Floor Dysfunction 1998;9(5):257-64. 3416728
95. Woldringh C, van den Wijngaart M, Albers-Heitner P, Lycklama a Nijeholt AAB, Lagro-Janssen T. Pelvic floor muscle training is not effective in women with UI in pregnancy: a randomised controlled trial. International Urogynecology Journal and Pelvic Floor Dysfunction 2007; Vol. 18, issue 4:383-90. [DOI: 10.1007/s00192-006-0175-x]3416730
96. Agur W, Freeman R. Do antenatal pelvic floor training affect the outcome of labour? A randomised controlled trial (Abstract). Neurourology and Urodynamics 2005;24(5/6):510-1. [SR-INCONT20969]7348065
97. Assis TR, Sa AC, Amaral WN, Batista EM, Formiga CK, Conde DM. The effect of an exercise program to strengthen pelvic floor muscles in multiparous women [Portuguese]. Revista Brasileira de Ginecologia e Obstetricia 2013;35(1):10-5. 7348067
98. Barakat R, Perales M, Bacchi M, Coteron J, Refoyo I. A program of exercise throughout pregnancy. Is it safe to mother and newborn?. American Journal of Health Promotion 2014;29(1):2-8. 7348069
99. Barakat R, Pelaez M, Cordero Y, Perales M, Lopez C, Coteron J, et al. Exercise during pregnancy protects against hypertension and macrosomia: randomized clinical trial. American Journal of Obstetrics and Gynecology 2016;214(5):649-8. 7348071
100. Culligan P, Blackwell L, Murphy M, Ziegler C, Heit M. A blinded, sham-controlled trial of postpartum extracorporeal magnetic innervation to restore pelvic muscle strength in primiparous patients (Abstract). Neurourology and Urodynamics 2004;23(5/6):451. [SR-INCONT19008]3416734
101. Culligan PJ, Blackwell L, Murphy M, Ziegler C, Heit MH. A randomized, double-blinded, sham-controlled trial of postpartum extracorporeal magnetic innervation to restore pelvic muscle strength in primiparous patients. American Journal of Obstetrics and Gynecology 2005;192(5):1578-82. 3416735
102. Dannecker C. The effect of the pelvic floor training device Epi-No on the maternal pelvic floor function six months after childbirth - follow-up study of a randomised controlled trial [Einfluss des Geburtstrainers Epi-No auf die mutterliche Beckenbodenfunktion sechs Monate nech Entbinding - follow-up einer prospektiven und randomisierten Studie]. Geburtshilfe und Frauenheilkunde 2004;64(11):1192-8. [SR-INCONT21149]3416634
103. Dias LA, Driusso P, Aita DL, Quintana SM, Bø K, Ferreira CH. Effect of pelvic floor muscle training on labour and newborn outcomes: a randomized controlled trial. Revista Brasileira de Fisioterapia 2011a;15(6):487-93. [SRINCONT42964]7348073
104. Dietz HP, Langer S, Kamisan Atan I, Shek KL, Caudwell-Hall J, Guzman Rojas R. Does the Epi-No prevent pelvic floor trauma? A multicentre randomised controlled trial (Abstract number 394). Neurourology and Urodynamics 2014;33(6):853-5. 7348075
105. Domingues MR, Bassani DG, da Silva SG, Coll Cde V, da Silva BG, Hallal PC. Physical activity during pregnancy and maternal-child health (PAMELA): study protocol for a randomized controlled trial. Trials 2015;16:227. [DOI: 10.1186/s13063-015-0749-3]7348077
106. Dougherty MC, Abrams RM, Batich CD, Bishop KR, Gimptty P. Effect of exercise on the circumvaginal muscles (CVM) (Abstract). Neurourology and Urodynamics 1987;6(3):189-90. [SR-INCONT16393]3416739
107. Dougherty MC, Bishop KR, Abrams RM, Batich CD, Gimotty PA. The effect of exercise on the circumvaginal muscles in postpartum women. Journal of Nurse-Midwifery 1989;34(1):8-14. [SR-INCONT454]3416740
108. Fynes M, Marshall K, Cassidy M, O'Connell R, O'Herlihy C. A prospective randomised study comparing the effect of augmented biofeedback with sensory biofeedback alone on faecal incontinence following obstetric trauma. 28th Annual Meeting of the International Continence Society (ICS); 1998 Sept 14-17; Jerusalem, Israel 1998:151. [SR-INCONT5691]3416742
109. Fynes MM, Marshall K, Cassidy M, Behan M, Walsh D, O'Connell PR, et al. A prospective, randomized study comparing the effect of augmented biofeedback with sensory biofeedback alone on fecal incontinence after obstetric trauma. Diseases of the Colon and Rectum 1999;42(6):753-8. [8121]3416743
110. Golmakani N, Zare Z, Khadem N, Shareh H, Shakeri MT. The effect of pelvic floor muscle exercises program on sexual self-efficacy in primiparous women after delivery. Iranian Journal of Nursing and Midwifery Research 2015;20(3):347-53. [IRCT2013062313750N1; PMC4462060; sr-incont67962]7348079
111. Zare Z, Golmakani N, Khadem N, Shareh H, Shakeri MT. The effect of pelvic floor muscle exercises on sexual quality of life and marital satisfaction in primiparous women after childbirth. Iranian Journal of Obstetrics, Gynecology and Infertility 2014;17(103):21-32. 7348080
112. Gouldthorpe H. A physiotherapy abdominal muscle assessment during and after pregnancy: Part 4 (Abstract). Australian and New Zealand Continence Journal. 9 2003; Vol. 9, issue 4:92. [SR-INCONT17166]3416745
113. Hou S-X. The clinical effects on biofeedback combined with electrical stimulation used in pelvic muscle recover therapy. Guide of China Medicine 2010;8(17):28-9. [sr-incont70279]3416772
114. Huang J. Effects of exercise of pelvic floor on childbirth outcome and pelvic floor function in primiparas. Hebei yi xue (Hebei Medicine) 2014;20(3):513-6. 7348082
115. Kamisan Atan I, Shek KL, Langer S, Guzman Rojas R, Caudwell-Hall J, Daly JO, et al. Does the Epi-No(©) birth trainer prevent vaginal birth-related pelvic floor trauma? A multicentre prospective randomised controlled trial. BJOG 2016;123(6):995-1003. 7348084
116. Lekskulchai O. Effect of antenatal pelvic floor exercises on bladder neck descent in nulliparous pregnant women (Abstract number 105). Neurourology and Urodynamics 2011;30(6):949-50. [SRINCONT42182]7348087
117. Lekskulchai O, Wanichsetakul P. Effect of pelvic floor muscle training (PFMT) during pregnancy on bladder neck descend and delivery. Journal of the Medical Association of Thailand 2014;97(Suppl 8):S156-63. 7348086
118. Li Y, Liu H-S, Guo X-J, Mai F-M. Effect of functional exercise of prenatal pelvic floor muscles on pregnancy outcome. Xian Dai Sheng Wu Yi Xue Jin Zhan (Progress in Modern Biomedicine) 2010;10(11):2129-31. 7348089
119. Liu Y-L, Zhou Y-H, Ding H, Peng J, Chen S-Q, Zhang J-P. Effect of pelvic muscle training on pelvic floor function during pregnancy. Zhongshan da xue xue bao. Yi xue ke xue ban (Journal of Sun Yat-sen University. Medical Sciences) 2013;34(5):777-81. [sr-incont70267]3416780
120. Mahmoodi F, Mobaraki A. Assessment of effects of Kegel exercises on reduction of perineal pain after episiotomy in primiparous women. Iranian Journal of Obstetrics, Gynecology and Infertility 2014;17(95):18-25. 7348091
121. Mahony R, Malone P, Nalty J, Cassidy M, O'Connell PR, O'Herlihy C. Prospective randomized comparison of intra-anal electromyographic biofeedback and intra-anal electromyographic biofeedback augmented with electrical stimulation of the anal sphincter. American Journal of Obstetrics and Gynecology 2003;189(6 Suppl):71. 3416754
122. Mahony RT, Malone PA, Nalty J, Behan M, O'Connell PR, O'Herlihy C. Randomized clinical trial of intra-analysis electromyographic biofeedback physiotherapy with intra-anal electromyographic biofeedback augmented with electrical stimulation of the anal sphincter in the early treatment of postpartum fecal incontinence. American Journal of Obstetrics and Gynecology 2004;191(3):885-90. 3416755
123. Mason M. A multicentre study to evaluate different pelvic floor exercise regimes. National Research Register 1999. [SR-INCONT6662]7348093
124. Mason L, Roe B, Wong H, Davies J, Bamber J. The role of antenatal pelvic floor muscle exercises in prevention of postpartum stress incontinence: a randomised controlled trial. Journal of Clinical Nursing 2010;19(19-20):2777-86. [SRINCONT40375]3416759
125. Morin M, Kruger J, Wong V, Girard I, Sherburn M, Dumoulin C. Effect of physiotherapy on pelvic floor morphometry in women with and without avulsion injury of the puborectalis muscle after vaginal delivery: a randomised pilot study (Abstract number 15). Neurourology and Urodynamics 2015;34(S3):S39-40. 7348095
126. Barakat R, Perales M. Effect of a supervised exercise program during whole pregnancy on outcomes and level of depression. A randomized controlled trial. clinicaltrials.gov/show/NCT01696201 Date first received: 28 September 2012. 7348097
127. Barakat R, Perales M. Effect of a specific exercise program during whole pregnancy on fetal heart rate response to maternal effort in third trimester. A randomised controlled trial. clinicaltrials.gov/show/NCT01723293 Date first received: 7 November 2012. 7348099
128. Barakat R, Perales M. Effect of a supervised exercise program in obese and overweight pregnant women on outcomes and level of depression. A randomized controlled trial. clinicaltrials.gov/show/NCT01753622 Date first received: 20 December 2012. 7348101
129. Nielsen CA, Sigsgaard I, Olsen M, Tolstrup M, Danneskiold-Samsoee B, Bock JE. Trainability of the pelvic floor. A prospective study during pregnancy and after delivery. Acta Obstetricia et Gynecologica Scandinavica 1988;67(5):437-40. [SR-INCONT7395]3416761
130. Norton P, Baker J. Randomized prospective trial of vaginal cones versus Kegel exercises in postpartum primiparous women. 11th Annual Meeting of the American Urogynecology Society; 1990 Oct 31-Nov 3; Tarpon Springs (FL). 1990. [SR-INCONT14572]3416763
131. Norton P, Baker J. Randomized prospective trial of vaginal cones vs Kegel exercises in postpartum primiparous women (Abstract). Neurourology and Urodynamics 1990;9(4):434-5. [SR-INCONT5116]3416764
132. Oblasser C, McCourt C, Hanzal E, Christie J. Vibrating vaginal balls to improve pelvic floor muscle performance in women after childbirth: a protocol for a randomised controlled feasibility trial. Journal of Advanced Nursing 2016;72(4):900-14. 7348103
133. Okido MM, Valeri FL, Martins WP, Ferreira CH, Duarte G, Cavalli RC. Assessment of foetal wellbeing in pregnant women subjected to pelvic floor muscle training: a controlled randomised study. International Urogynecology Journal 2015;26(10):1475-81. 7348105
134. Perales M, Santos-Lozano A, Sanchis-Gomar F, Luaces M, Pareja-Galeano H, Garatachea N, et al. Maternal cardiac adaptations to a physical exercise program during pregnancy. Medicine and Science in Sports and Exercise 2016;48(5):896-906. 7348107
135. Ruiz JR, Perales M, Pelaez M, Lopez C, Lucia A, Barakat R. Supervised exercise-based intervention to prevent excessive gestational weight gain: a randomized controlled trial. Mayo Clinic Proceedings 2013;88(12):1388-97. 7348109
136. Siva PR, Kokila V, Kanchana MK, Suresh KS. Effectiveness of antenatal motor relearning approach of diaphragm, deep abdominal and pelvic floor muscles versus Kegels exercises on postpartum pelvic floor muscle strength. Indian Journal of Physiotherapy and Occupational Therapy 2014;8(1):193-7. [sr-incont67960]7348111
137. Taskin O, Wheeler JM, Yalcinoglu AI, Coksenim S. The effects of episiotomy and Kegel exercises on postpartum pelvic relaxation: a prospective controlled study. Journal of Gynecologic Surgery 1996;12(2):123-7. [SRINCONT18347]3416768
138. Thorp JM, Stephenson H, Jones LH, Cooper G. Pelvic floor (Kegel) exercises: a pilot study in nulliparous women. International Urogynecology Journal 1994;5:86-9. 3416770
139. Wang X, Li G-Y, Deng M-L. Effect of persistent guidance of pelvic floor muscle training on the delivery outcome and pelvic muscle strength. Zhonghua Hu Li za Zhi [Chinese Journal of Nursing] 2013;48(4):308-10. 7348113
140. Wang X, Li G-Y, Deng M-L. Pelvic floor muscle training as a persistent nursing intervention: effect on delivery outcome and pelvic floor myodynamia. International Journal of Nursing Sciences 2014;1(1):48-52. 7348114
141. Zhu X-M, Jiang L-Q. Effect of exercises and electrical stimulation of pelvic floor muscles on postpartum incontinence. Journal of Nursing (China) 2012;19(2A):49-51. 7348116
142. Han V, Hyakutake M, Cundiff G, Koenig N, Baerg L, Lee T, et al. Pregnancy-associated pelvic floor health knowledge and reduction of symptoms: the PREPARED trial (Abstract number O-GYN-JM-017). Journal of Obstetrics and Gynaecology Canada 2016;38(5):487. 7348118
143. Koenig N. PREgnancy-associated Pelvic Floor Health Knowledge And REDuction of Symptoms: the PREPARED trial. clinicaltrials.gov/show/NCT02947282 Date first received: 27 October 2016. 7348119
144. Johannessen HH, Wibe A, Stordahl A, Sandvik L, Mørkved S. Do pelvic floor muscle exercises reduce postpartum anal incontinence? A randomised controlled trial. BJOG 2017;124(4):686-94. 7348121
145. Longo F, Montironi PL, Bar E, Frigerio S. Effects of pelvic floor muscle training during pregnancy. Techniques in Coloproctology 2013;17(1):143-4. 7348123
146. Oakley SH, Ghodsi VC, Crisp CC, Estanol MV, Westermann LB, Novicki KM, et al. Effects of physical therapy on pelvic floor symptoms and quality of life in postpartum women following severe perineal trauma: a randomized controlled trial. Female Pelvic Medicine & Reconstructive Surgery 2015;21(5 Suppl 1):S18. 7348125
147. Oakley SH, Ghodsi VC, Crisp CC, Estanol MV, Westermann LB, Novicki KM, et al. Impact of pelvic floor physical therapy on quality of life and function after obstetric anal sphincter injury: a randomized controlled trial. Female Pelvic Medicine and Reconstructive Surgery 2016;22:205-13. 7348126
148. Sun Z, Zhu L, Lang J, Zhang Y, Liu G, Chen X, et al. Postpartum pelvic floor rehabilitation on prevention of female pelvic floor dysfunction: a multicenter prospective randomized controlled study. [Chinese]. Chung-Hua Fu Chan Ko Tsa Chih [Chinese Journal of Obstetrics and Gynecology] 2015;50(6):420-7. 7348128
149. Sut HK, Kaplan PB. Effect of pelvic floor muscle exercise on pelvic floor muscle activity and voiding functions during pregnancy and the postpartum period. Neurourology & Urodynamics 2016;35(3):417-22. 7348130
150. Wilson J. Evaluating Web-based Pelvic Floor Muscle Education for Pregnant Women [PhD thesis]. Fremantle (Australia): The University of Notre Dame (Fremantle Campus), 2015. 7348132
151. Zhou Y-H. The Function of the Pregnancy on the Female Pelvic Floor and Study on the Effect of Pelvic Floor through Pelvic Floor Muscle Training During the Pregnancy [Masters thesis]. Guangzhou, Guangdong (China): Sun Yat-Sen University, 2009. 7348134
152. Ferreira CHJ, Cavalcanti DLC. Effects of pelvic floor muscle training on pelvic floor muscle function in women during their first pregnancies measured by perineometer. anzctr.org.au/ACTRN12609001005246.aspx Date first received: 10 October 2009. 7348136
153. Berghmans B. Long term effects of multidisciplinary assessment and pre- and post partum Pelvic Floor Muscle Group Treatment in primigravid with stress urinary incontinence compared to care-as-usual: a randomised controlled trial - motherfit. trialregister.nl/trialreg/admin/rctview.asp?TC=5971 Date first received: 18 July 2016. 7348138
154. Buen M. Clinical trial: influence of the practice of Pilates on the incidence of urinary incontinence, perineal strength low back pain in the third trimester. ensaiosclinicos.gov.br/rg/RBR-4wkr8y/ Date first received: 9 April 2014. 7348140
155. Haruna M, Asai Y. Effect of postpartum pelvic floor muscle training with ultrasound biofeedback on recovery of pelvic floor muscle function: a randomized controlled trial. UMIN Clinical Trials Registry (UMIN-CTR) (available at: umin.ac.jp/ctr/index.htm) Date first received: 8 December 2014. 7348142
156. Miheso J, Ngugi S. Effect of pelvic floor muscle training among pregnant black African population on the risk of postpartum urinary incontinence, a single blind randomized control trial. Pan African Clinical Trials Registry (PACTR) (available at: pactr.org) Date first received: 22 May 2014. 7348144
157. Ngugi S. Effect of Pelvic Floor Muscle Training Among Pregnant Black African Population on the Risk of Postpartum Urinary Incontinence, a Single Blind Randomized Control Trial [Masters dissertation]. Nairobi (Kenya): Aga Khan University (Nairobi Campus), 2015. 7348145
158. Garnaes KK, Mørkved S, Salvesen O, Moholdt T. Exercise training and weight gain in obese pregnant women: a randomized controlled trial (ETIP Trial). PLoS Medicine 2016;13(7):e1002079. 7348147
159. Moholdt TT, Salvesen K, Ingul CB, Vik T, Oken E, Mørkved S. Exercise training in pregnancy for obese women (ETIP): study protocol for a randomised controlled trial. Trials 2011;12:154. [DOI: 10.1186/1745-6215-12-154]7348148
160. NCT01243554, Moholdt TT, Mørkved S. Exercise training in pregnancy. Good for the mother - good for the child?. clinicaltrials.gov/show/NCT01243554 Date first received: 18 November 2010. 7348149
161. Sampselle C, Davis CK. PERL 4: Promoting Effective Recovery from Labour. Self-care to prevent birth-related urinary incontinence in diverse women. clinicaltrials.gov/show/NCT00763984 Date first received: 1 October 2008. 7348151
162. Karp D, Huber SA, Martinuzzi K. Reducing perinatal anal incontinence through early pelvic floor muscle training: a prospective pilot study. clinicaltrials.gov/show/NCT02270008 Date first received: 21 October 2014. 7348153
163. Lewicky-Gaupp C, Alverdy A. Bump on the ball: impact of a prenatal exercise & education program on birth outcomes & maternal quality of life. clinicaltrials.gov/show/NCT02334397 Date first received: 8 January 2015. 7348155
164. Barakat RO, Vargas Terrones M. Effect of physical exercise program on fetoplacental growth: a randomized controlled trial. clinicaltrials.gov/show/NCT02420288 Date first received: 17 April 2015. 7348157
165. Steingrimsdottir T, Geirsson RT, Bø K. Obstetric perineal trauma, pelvic floor symptoms and early physiotherapy intervention. clinicaltrials.gov/show/NCT02682212 Date first received: 15 February 2016. 7348159
166. Dufour S. Use of iball mobile health technology in pelvic floor muscle training in the postpartum period: a pilot mixed methods study. clinicaltrials.gov/show/NCT02865954 Date first received: 15 August 2016. 7348161
167. Sacomori C, Sperandio F. Study about the influence of pelvic floor exercises orientation regarding urinary loss prevention on postpartum period. ensaiosclinicos.gov.br/rg/RBR-53wq87/ Date first received: 7 October 2011. 7348163
168. Schreiner L. Impact of pelvic floor physiotherapy during pregnancy in urinary incontinence and delivery. ensaiosclinicos.gov.br/rg/RBR-8nv3fg/ Date first received: 2 July 2016. 7348165
169. Velez-Sanchez D, Veloz MG. Perineal muscle training versus usual prenatal care in the incidence of avulsion of the levator ani muscle at first birth of Mexican women: randomized control trial. clinicaltrials.gov/show/NCT02513420 Date first received: 31 July 2015. 7348167
170. Abrams P, Andersson K-E, Apostolidis A, Birder L, Bliss D, Brubaker L, et al. Evaluation and treatment of urinary incontinence, pelvic organ prolapse and faecal incontinence: recommendations of the International Scientific Committee, 6th International Consultation on Incontinence. In: Abrams P, Cardozo L, Wagg A, Wein A editor(s). Incontinence: 6th International Consultation on Incontinence, Tokyo, September 2016. 6th Edition. Vol. 1, Bristol (UK): International Continence Society (ICS) and International Consultation on Urological Diseases (ICUD), 2017:2549-619.
171. Atkins D, Best D, Briss PA, Eccles M, Falck-Ytter Y, Flottorp S, and GRADE Working Group. Grading quality of evidence and strength of recommendations. BMJ 2004;328(7454):1490-7.
172. Avery K, Donovan J, Peters TJ, Shaw C, Gotoh M, Abrams P. ICIQ: a brief and robust measure for evaluating the symptoms and impact of urinary incontinence. Neurourology and Urodynamics 2004;23:322-30.
173. Avery KN, Bosch JL, Gotoh M, Naughton M, Jackson S, Radley SC, et al. Questionnaires to assess urinary and anal incontinence: review and recommendations. Journal of Urology 2007;177:39-49.
174. Bols EM, Hendriks EJ, Berghmans BC, Baeten CG, Nijhuis JG, de Bie RA. A systematic review of etiological factors for postpartum fecal incontinence. Acta Obstetricia et Gynecologica Scandinavica 2010;89(3):302-14.
175. Brown SJ, Gartland D, Donath S, MacArthur C. Fecal incontinence during the first 12 months postpartum. Complex causal pathways and implications for clinical practice. Obstetrics and Gynecology 2012;119:240-9.
176. Bø K, Hagen RH, Kvarstein B, Jørgensen J, Larsen S. Pelvic floor muscle exercise for the treatment of female stress urinary incontinence. III. Effects of two different degrees of pelvic floor muscle exercises. Neurourology and Urodynamics 1990;9:489-502.
177. Bø K. Pelvic floor muscle exercise for the treatment of stress urinary incontinence. International Urogynecology Journal 1995;6:282-91.
178. Bø K, Talseth T, Holme I. Single blind, randomised controlled trial of pelvic floor exercise, electrical stimulation, vaginal cones, and no treatment in management of genuine stress incontinence. BMJ 1999;318:487-93.
179. Bø K. Pelvic floor muscle training is effective in treatment of female stress urinary incontinence, but how does it work?. International Urogynecology Journal and Pelvic Floor Dysfunction 2004;15:76-84.
180. Bø K. Measurement of pelvic floor muscle function and strength, and pelvic organ prolapse. In: Bø K, Berghmans B, Mørkved S, Van Kampen M editor(s). Evidence-based physical therapy for the pelvic floor bridging science and clinical practice. 2nd Edition. London: Elsevier Health Sciences UK, 2014:44-109.
181. Du Y, Xu L, Ding L, Wang Y, Wang Z. The effect of antenatal pelvic floor muscle training on labor and delivery outcomes: a systematic review with meta-analysis. International Urogynecology Journal 2015;26:1415-27.
182. Dumoulin C, Hay-Smith EJC, Mac Habee-Seguin G. Pelvic floor muscle training versus no treatment, or inactive control treatments, for urinary incontinence in women. Cochrane Database of Systematic Reviews 2014, Issue 5. [DOI: 10.1002/14651858.CD005654.pub3]
183. Dumoulin C, Adewuyi T, Booth J, Bradley C, Burgio K, Hagen S, et al. Adult conservative management. In: Abrams P, Cardozo L, Wagg A, Wein A editor(s). Incontinence: 6th International Consultation on Incontinence, Tokyo, September 2016. 6th Edition. Vol. 1, Bristol, UK: International Continence Society (ICS) and International Consultation on Urological Diseases (ICUD), 2017:1443-628.
184. Durnea CM, Khashan AS, Kenny LC, Durnea UA, Dornan JC, O'Sullivan SM, et al. What is to blame for postnatal pelvic floor dysfunction in primiparous women-pre-pregnancy or intrapartum risk factors?. European Journal of Obstetrics and Gynecology and Reproductive Biology 2017;214:36-43.
185. Eason E, Labrecque M, Marcous S, Mondor M. Anal incontinence after childbirth. CMAJ 2002;166(3):326-30.
186. Foldspang A, Mommsen S, Djurhuus JC. Prevalent urinary incontinence as a correlate of pregnancy, vaginal childbirth, and obstetric techniques. American Journal of Public Health 1999;89:209-12.
187. Frawley HC, Dean SG, Slade SC, Hay-Smith EJC. Is pelvic-floor muscle training a physical therapy or a behavioural therapy? A call to name and report the physical, cognitive, and behavioural elements. Physical Therapy 2017;97(4):425-37.
188. Gartland D, Donath S, MacArthur C, Brown SJ. The onset, recurrence and associated obstetric risk factors for urinary incontinence in the first 18 months after a first birth: an Australian nulliparous cohort study. BJOG 2012;119:1361-9.
189. Gartland D, MacArthur C, Woolhouse H, McDonald E, Brown SJ. Frequency, severity and risk factors for urinary and faecal incontinence at 4 years postpartum: a prospective cohort. BJOG 2016;123:1203-11.
190. Gillard S, Shamley D. Factors motivating women to commence and adhere to pelvic floor muscle exercises following a perineal tear at delivery: the influence of experience. Journal of the Association of Chartered Physiotherapists in Women's Health 2010;106:5-18.
191. McMaster University (developed by Evidence Prime Inc). GRADEpro GDT. Version 16 February 2017. Hamilton (ON): GRADE Working Group, McMaster University, 2015.
192. Gyhagen M, Bullarbo M, Nielsen TF, Milsom I. A comparison of the long-term consequences of vaginal delivery versus caesarean section on the prevalence, severity and bothersomeness of urinary incontinence subtypes: a national cohort study in primiparous women. BJOG 2013;120:1548-55.
193. Handa VL, Zyczynski HM, Burgio KL, Fitzgerald MP, Borello-France D, Janz NK, et al. The impact of fecal and urinary incontinence on quality of life 6 months after childbirth. American Journal of Obstetrics and Gynecology 2007;197(6):636.e1-e6.
194. Haskell WL, Lee IM, Pate RR, Powell KE, Blair SN, Franklin BA, et al. American College of Sports Medicine, American Heart Association. Physical activity and public health: updated recommendation for adults from the American College of Sports Medicine and the American Heart Association. Circulation 2007;28:1081-93.
195. Hensrud DD. Clinical preventive medicine in primary care: background and practice: 1. Rationale and current preventive practices. Mayo Clinic Proceedings 2000;75:165-72.
196. Herbert RD, Bø K. Analysis of quality of interventions in systematic reviews. BMJ 2005;331(7515):507-9.
197. Higgins JPT, Green S, editor(s) . Cochrane Handbook for Systematic Reviews of Interventions Version 5.1.0 (updated March 2011). The Cochrane Collaboration, 2011. Available from handbook.cochrane.org.
198. Imamura M, Abrams P, Bain C, Buckley B, Cardozo L, Cody J, et al. Systematic review and economic modelling of the effectiveness and cost-effectiveness of non-surgical treatments for women with stress urinary incontinence. Health Technology Assessment 2010;14(40):1-188, iii-iv. [DOI: 10.3310/hta14400]
199. Johannessen HH, Wibe A, Stordahl A, Sandvik L, Backe B, Mørkved S. Prevalence and predictors of anal incontinence during pregnancy and 1 year after delivery: a prospective cohort study. BJOG 2016;121:269-80.
200. Johanson JF, Lafferty J. Epidemiology of fecal incontinence: the silent affliction. American Journal of Gastroenterology 1996;91(1):33-6.
201. Kegel AH. Progressive resistance exercise in the functional restoration of the perineal muscles. American Journal of Obstetrics and Gynecology 1948;56:238-48.
202. Koumantakis GA, Watson PJ, Oldham JA. Trunk muscle stabilization training plus general exercise versus general exercise only: randomized controlled trial of patients with recurrent low back pain. Physical Therapy 2005;85:209-25.
203. MacArthur C, Glazener CM, Wilson PD, Herbison GP, Gee H, Lang GD, et al. Obstetric practice and faecal incontinence three months after delivery. BJOG 2001;108(7):678-83.
204. MacArthur C, Wilson D, Herbison P, Lancashire RJ, Hagen S, Toozs-Hobson P, et al. on behalf of the ProLong study group. Faecal incontinence persisting after childbirth: a 12 year longitudinal study. BJOG 2013;120:169-79.
205. Mason L, Glenn S, Walton I, Hughes C. Do women practise pelvic floor exercises during pregnancy or following delivery?. Physiotherapy 2001;87(12):662-70.
206. Miller JM, Sampselle C, Ashton-Miller J, Hong GR, Delancey JO. Clarification and confirmation of the Knack maneuver: the effect of volitional pelvic floor muscle contraction to preempt expected stress incontinence. International Urogynecology Journal and Pelvic Floor Dysfunction 2008;19(6):773-82. [SR-INCONT27428]
207. Milsom I, Altman D, Cartwright R, Lapitan MC, Nelson R, Sjöström S, et al. Epidemiology of urinary incontinence (UI) and other lower urinary tract symptoms (LUTS), pelvic organ prolapse (POP) and anal incontinence (AI). In: Abrams P, Cardozo L, Wagg A, Wein A editor(s). Incontinence: 6th International Consultation on Incontinence, Tokyo, September 2016. 6th Edition. Vol. 1, Bristol (UK): International Continence Society (ICS) and International Consultation on Urological Diseases (ICUD), 2017:1-141.
208. Moher D, Pham B, Jones A, Cook DJ, Jadad AR, Moher M, et al. Does quality of reporting of randomised trials affect estimates of intervention efficacy reported in meta-analyses?. Lancet 1998;352(9128):609-13.
209. Moore GF, Audrey S, Barker M, Bond L, Bonell C, Hardeman W, et al. Process evaluation of complex interventions: Medical Research Council guidance. BMJ 2015;350:h1258.
210. Mørkved S, Bø K. Effect of post partum pelvic floor muscle exercise in prevention and treatment of urinary incontinence. International Urogynecology Journal 1997;8:217-22.
211. Mørkved S, Bø K. Effect of pelvic floor muscle training during pregnancy and after childbirth on prevention and treatment of urinary incontinence: a systematic review. British Journal of Sports Medicine 2014;48(4):299-310.
212. Norton C, Cody JD. Biofeedback and/or sphincter exercises for the treatment of faecal incontinence in adults. Cochrane Database of Systematic Reviews 2012, Issue 7. [DOI: 10.1002/14651858.CD002111.pub3]
213. Nygaard IE, Clark E, Clark L, Egger MJ, Hitchcock R, Hsu Y, et al. Physical and cultural determinants of postpartum pelvic floor support and symptoms following vaginal delivery: a protocol for a mixed-methods prospective cohort study. BMJ Open 2017;7(1):e014252.
214. Nyström E, Sjöström M, Stenlund H, Samuelsson E. ICIQ symptom and quality of life instruments measure clinically relevant improvements in women with stress urinary incontinence. Neurourology and Urodynamics 2015;34:747-51.
215. Pizzoferrato AC, Fauconnier A, Quiboeuf E, Morel K, Schaal JP, Fritel X. Urinary incontinence 4 and 12 years after first delivery: risk factors associated with prevalence, incidence, remission, and persistence in a cohort of 236 women. Neurourology and Urodynamics 2014;33(8):1229-34.
216. Pollack J, Nordenstam J, Brismar S, Lopez A, Altman D, Zetterstrom J. Anal incontinence after vaginal delivery: a five-year prospective cohort study. Obstetrics and Gynecology 2004;104(6):1397-402.
217. Quiboeuf E, Saurel-Cubizolles MJ, Fritel X, EDEN Mother-Child Cohort Study Group. Trends in urinary incontinence in women between 4 and 24 months postpartum in the EDEN cohort. BJOG 2016;123(7):1222-8.
218. Thomson Reuters. Reference Manager Professional Edition Version 12. New York (NY): Thomson Reuters, 2012.
219. Rogers RG, Ninivaggio C, Gallagher K, Borders AN, Qualls C, Leeman LM. Pelvic floor symptoms and quality of life changes during first pregnancy: a prospective cohort study. International Urogynecology Journal 2017; Vol. 28, issue 11:1701-7. [DOI: 10.1007/s00192-017-3330-7]
220. Rortveit G, Daltveit AK, Hannestad YS, Hunskaar S, the Norwegian EPICONT study. Urinary incontinence after vaginal delivery or caesarean section. New England Journal of Medicine 2003;348(10):900-7.
221. Rortveit G, Daltveit AK, Hannestad YS, Hunskaar, S . Vaginal delivery parameters and urinary incontinence: the Norwegian EPICONT study. American Journal of Obstetrics and Gynecology 2003;189(5):1269-74.
222. Sandvik H, Hunskaar S, Seim A, Hermstad R, Vanvik A, Bratt H. Validation of a severity index in female urinary incontinence and its implementation in an epidemiological survey. Journal of Epidemiology and Community Health 1993;47(6):497-9.
223. Shumaker SA, Wyman JF, Uebersax JS, McClish D, Fantl JA. Health-related quality of life measures for women with urinary incontinence: the Incontinence Impact Questionnaire and the Urogenital Distress Inventory. Quality of Life Research 1994;3:291.
224. Signorello LB, Harlow BL, Chekos AK, Repke JT. Midline episiotomy and anal incontinence: retrospective cohort study. BMJ 2000;320(7227):86-90.
225. Sultan AH, Monga AK, Kumar D, Stanton SL. Primary repair of obstetric anal sphincter rupture using the overlap technique. British Journal of Obstetrics and Gynaecology 1999;106(3):318-23.
226. Svare JA, Hansen BB, Lose G. Risk factors for urinary incontinence 1 year after first vaginal delivery in a cohort of primiparous Danish women. International Urogynecology Journal 2014;25:47-51.
227. Svare JA, Hansen BB, Lose G. Prevalence of anal incontinence during pregnancy and 1 year after delivery in a cohort of primiparous women and a control group of nulliparous women. Acta Obstetricia et Gynecologica Scandinavica 2016;95:920-5.
228. Thom DH, Rortveit G. Prevalence of postpartum urinary incontinence: a systematic review. Acta Obstetricia et Gynecologica Scandinavica 2010;89(12):1511-22.
229. Viktrup L, Rortveit B, Lose G. Risk of stress urinary incontinence twelve years after the first pregnancy and delivery. Obstetrics and Gynecology 2006;108(2):248-54.
230. Wagner TH, Moore KH, Subak LL, de Wachter S, Dudding T. Economics of urinary & faecal incontinence, and prolapse. In: Abrams P, Cardozo L, Wagg A, Wein A editor(s). Incontinence: 6th International Consultation on Incontinence, Tokyo, September 2016. 6th Edition. Vol. 1, Bristol (UK): International Continence Society (ICS) and International Consultation on Urological Diseases (ICUD), 2017:2479-511.
231. Ware JE, Snow KK, Kosinski M, Gaudek B. SF-36 Health Survey Manual and Interpretation Guide. Boston (MA): New England Medical Centre, 1993.
232. Wesnes SL, Rortveit G, Bø K, Hunskaar S. Urinary incontinence during pregnancy. Obstetrics and Gynecology 2007;109(4):922-8.
233. Wesnes SL, Hannestad Y, Rortveit G. Delivery parameters, neonatal parameters and incidence of urinary incontinence 6 months postpartum: a cohort study. Acta Obstetrica et Gynecologica Scandinavica 2017; Vol. 96, issue 10:1214-22. [DOI: 10.1111/aogs.13183; PUBMED: 28626856]
234. Zigmond AS, Snaith RP. The hospital anxiety and depression scale. Acta Psychiatrica Scandinavica 1983;67:361-70.
235. Boyle R, Hay-Smith EJC, Cody JD, Mørkved S. Pelvic floor muscle training for prevention and treatment of urinary and faecal incontinence in antenatal and postnatal women. Cochrane Database of Systematic Reviews 2012, Issue 10. [DOI: 10.1002/14651858.CD007471.pub2]
236. Hay-Smith J, Mørkved S, Fairbrother KA, Herbison GP. Pelvic floor muscle training for prevention and treatment of urinary and faecal incontinence in antenatal and postnatal women. Cochrane Database of Systematic Reviews 2008, Issue 4. [DOI: 10.1002/14651858.CD007471]