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- Title
孕期盆底肌训练预防或治疗初产妇尿失禁效果的Meta分析.
- Authors
WANG Xiao; DUAN Peibei; DU Shizheng; ZHANG Qiankun; GUO Lu
- Abstract
Objective: To conduct a meta-analysis of the effectiveness of pelvic floor muscle training (PFMT) in the prevention or treatment of urinary incontinence (UI) in primiparous during pregnancy. Methods: Literatures on clinical randomized controlled trials (RCTs) of prevention or treatment of UI in primiparous using PFMT and conventional care during pregnancy were retrieved from the China Biology Medicine (CBM), VIP database, China National Knowledge Infrastructure (CNKI), WanFang database, Pubmed, EB- sco, and Web of Science. After reviewing the bias risk of inclusion studies, RevMan 5. 3 software was used for meta-analysis. Results: A total of 4 954 patients were enrolled including 14 articles. Results of the meta-analysis showed PFMT during pregnancy could effectively intervene the occurrence of UI in primipara, while the further subgroup analysis showed that the effect of the intervention on PFMT during pregnancy was different for a different groups of cases. Primipara without antenatal UI (prevention) who had PFMT were less likely to report UI in late pregnancy and 3 months after delivery [late pregnancy RR=0.17, 95%CI(0.03, 0.95), P=0.04];3 months after delivery [i?R = 0.52, 95%CI (0.38, 0.70), P<0.000 1]. While the result of meta-analysis failed to support the effectiveness of PFMT (treatment) on reducing UI(P>0.05) for primipara with antenatal UI. For a mixed population (women with and without antenatal UI symptoms), PFMT could prevent and treat UI in late pregnancy, 0-3 months after delivery and 3-6 months after delivery UI[late pregnancyRR = 0.78, 95%CI(0.71, 0.85), P<0.000 01 ;0-3 months after delivery RR=0.67, 95%CK0.55, 0.80), P<0.0001; 3 -6months after delivery RR = 0.66, 95%CI(O. 52, 0.84), P = 0.000 8]. Conclusions: Antenatal PFMT had certain effects to prevent and treat UI in late pregnancy and 3 months after delivery for primipara without antenatal UI and the mixed population. While there were not enough evidences to prove that antenatal PFMT could treat UI for primipara with antenatal UI. In the future, high-quality, especially large-sample, multi-center randomized controlled trials will be needed to increase the strength of the argument.
- Subjects
URINARY incontinence; URINARY incontinence treatment; CONFIDENCE intervals; MEDLINE; META-analysis; MUSCLES; ONLINE information services; PELVIC floor; RELATIVE medical risk; TREATMENT effectiveness; PRIMIPARAS; DESCRIPTIVE statistics; KEGEL exercises; PREGNANCY; PREVENTION
- Publication
Chinese Nursing Research, 2019, Vol 33, Issue 1, p29
- ISSN
1009-6493
- Publication type
Article
- DOI
10.12102/j.issn.1009-6493.2019.01.007