Stress urinary incontinence (SUI) is common during pregnancy and affect quality of life by restricting women’s social participation due to fear of leakage. This study aims to evaluate the effect of supervised PFME program in preventing SUI during late pregnancy in primigravid women.
A prospective randomized control trial was conducted at Institute of Physical Medicine and Rehabilitation, Karachi. Female participants with primigravid and gestational age of 20 to 30 weeks were included. Participants were distributed by simple random technique into two groups. Intervention group participants received supervised PFME program for 45 minutes once weekly for six weeks. Participants were trained to identify correct muscle to exercise by stop test and then were instructed to repeat 20 sets of PFME twice a day for 5 days per week up to 6 weeks. The participants in control group received unsupervised PFME program training in awareness session. Follow up was done and participants were advised to maintain daily record of involuntary leakage of urine on sneezing, coughing, effort or physical exertion during 38th week of pregnancy.
84 participants were enrolled divided equally into interventional group (n=42) and control group (n=42). However, follow up of eight participant included 2 from interventional group and 6 from control group was missed. 25% participants (n=10) reported SUI among interventional group and (50%) participants (n=18) from control group reported SUI. There was significant difference in frequency of SUI during late pregnancy in women who received 6 week supervised PFME versus women who practiced unsupervised PFME (P-value=0.024).
Supervised PFME program showed significant decrease in frequency of SUI at late pregnancy. To prevent suffering from devastating problem like SUI antenatal care should emphasis on supervised PFME program to prevent SUI in late pregnancy.
Mustajab Fatima Metlo– Resident trainee (PM&R), Institute of Physical Medicine and Rehabilitation, DUHS
Nabila Soomro– Director, Institute of Physical Medicine and Rehabilitation, DUHS
Zubair Khowaja– Resident Trainee, Dow University of Health Sciences, Karachi
Mahtab Fatima Pakeeza Metlo– Consultant, Jinnah Post graduate Medical College Karachi
Madiha Zia– Assistant Professor, Institute of Physical Medicine and Rehabilitation
Dilshad Hunain Al Arabia– resident trainee, Institute of Physical Medicin and Rehabilitation, DUHS
Syed Imran Ahmed– Additional Director, Institute of Physical Medicine & Rehabilitation