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Prenatal and Postpartum Experience, Knowledge and Engagement with Kegels: A Longitudinal, Prospective, Multisite
Susan M Yount1, Rebecca A Fay1, Katherine J Kissler2
1Department of Midwifery and Women's Health, Frontier Nursing University, Hyden, Kentucky, USA.
Journal of Women'S Health (2002)
|September 15, 2020
Summary
Urinary incontinence is common postpartum, yet consistent Kegel exercise performance is low. More education and support are needed to help women manage this condition effectively.
Area of Science:
- Obstetrics and Gynecology
- Pelvic Floor Health
- Women's Health
Background:
- Urinary incontinence (UI) prevalence increases during pregnancy and postpartum, impacting women's quality of life.
- Kegel exercises are recognized for decreasing UI incidence and severity.
- Understanding factors influencing Kegel adherence is crucial for effective management.
Purpose of the Study:
- To describe urinary incontinence severity in postpartum women.
- To investigate how women learn about Kegel exercises.
- To identify influences on Kegel exercise performance during pregnancy and postpartum.
- To characterize the actual performance of Kegel exercises by postpartum women.
Main Methods:
- A longitudinal, prospective, multistate study involving 368 postpartum women.
- Utilized the Pelvic Floor Control Questionnaire with the Sandvik Severity Index.
- Assessed UI, Kegel performance, and life impact at 3 and 6 months postpartum.
Main Results:
- 45.2% of participants experienced persistent UI at 3 months postpartum, and 44.1% at 6 months.
- Only 25% of women with persistent UI sought medical care.
- Kegel performance peaked at 3 months postpartum but declined by 6 months.
- UI was associated with maternal age over 35 and parity.
Conclusions:
- High prevalence of postpartum UI necessitates screening and effective treatment referrals.
- Consistent and individualized education on Kegel exercises is vital for all women.
- Further research is needed to develop strategies promoting routine Kegel exercise adherence.
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