Conservative management of persistent postnatal urinary and faecal incontinence: randomised controlled trial

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Conservative management of persistent postnatal urinary and faecal incontinence: randomised controlled trial. / Glazener, CMA; Herbison, GP; Wilson, PD; MacArthur, Christine; Lang, GD; Gee, H; Grant, AM.

In: British Medical Journal, Vol. 323, No. 7313, 15.09.2001, p. 593-596.

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Glazener, CMA ; Herbison, GP ; Wilson, PD ; MacArthur, Christine ; Lang, GD ; Gee, H ; Grant, AM. / Conservative management of persistent postnatal urinary and faecal incontinence: randomised controlled trial. In: British Medical Journal. 2001 ; Vol. 323, No. 7313. pp. 593-596.

Bibtex

@article{bb9120bcd5624e4e89bd6e29f8458a4d,
title = "Conservative management of persistent postnatal urinary and faecal incontinence: randomised controlled trial",
abstract = "OBJECTIVES: To assess the effect of nurse assessment with reinforcement of pelvic floor muscle training exercises and bladder training compared with standard management among women with persistent incontinence three months postnatally. DESIGN: Randomised controlled trial with nine months' follow up. SETTING: Community intervention in three centres (Dunedin, New Zealand; Birmingham; Aberdeen). PARTICIPANTS: 747 women with urinary incontinence three months postnatally, allocated at random to intervention (371) or control (376) groups. INTERVENTION: Assessment by nurses of urinary incontinence with conservative advice on pelvic floor exercises at five, seven, and nine months after delivery supplemented with bladder training if appropriate at seven and nine months. MAIN OUTCOME MEASURES: Primary: persistence and severity of urinary incontinence 12 months after delivery. Secondary: performance of pelvic floor exercises, change in coexisting faecal incontinence, wellbeing, anxiety, and depression. RESULTS: Women in the intervention group had significantly less urinary incontinence: 167/279 (59.9%) v 169/245 (69.0%), difference 9.1% (95% confidence interval 1.0% to 17.3%, P=0.037) for any incontinence and 55/279 (19.7%) v 78/245 (31.8%), difference 12.1% (4.7% to 19.6%, P=0.002) for severe incontinence. Faecal incontinence was also less common: 12/273 (4.4%) v 25/237 (10.5%), difference 6.1% (1.6% to 10.8%, P=0.012). At 12 months women in the intervention group were more likely to be performing pelvic floor exercises (218/278 (79%) v 118/244 (48%), P",
author = "CMA Glazener and GP Herbison and PD Wilson and Christine MacArthur and GD Lang and H Gee and AM Grant",
year = "2001",
month = sep,
day = "15",
doi = "10.1136/bmj.323.7313.593",
language = "English",
volume = "323",
pages = "593--596",
journal = "British Medical Journal",
issn = "0959-8138",
publisher = "BMJ Publishing Group",
number = "7313",

}

RIS

TY - JOUR

T1 - Conservative management of persistent postnatal urinary and faecal incontinence: randomised controlled trial

AU - Glazener, CMA

AU - Herbison, GP

AU - Wilson, PD

AU - MacArthur, Christine

AU - Lang, GD

AU - Gee, H

AU - Grant, AM

PY - 2001/9/15

Y1 - 2001/9/15

N2 - OBJECTIVES: To assess the effect of nurse assessment with reinforcement of pelvic floor muscle training exercises and bladder training compared with standard management among women with persistent incontinence three months postnatally. DESIGN: Randomised controlled trial with nine months' follow up. SETTING: Community intervention in three centres (Dunedin, New Zealand; Birmingham; Aberdeen). PARTICIPANTS: 747 women with urinary incontinence three months postnatally, allocated at random to intervention (371) or control (376) groups. INTERVENTION: Assessment by nurses of urinary incontinence with conservative advice on pelvic floor exercises at five, seven, and nine months after delivery supplemented with bladder training if appropriate at seven and nine months. MAIN OUTCOME MEASURES: Primary: persistence and severity of urinary incontinence 12 months after delivery. Secondary: performance of pelvic floor exercises, change in coexisting faecal incontinence, wellbeing, anxiety, and depression. RESULTS: Women in the intervention group had significantly less urinary incontinence: 167/279 (59.9%) v 169/245 (69.0%), difference 9.1% (95% confidence interval 1.0% to 17.3%, P=0.037) for any incontinence and 55/279 (19.7%) v 78/245 (31.8%), difference 12.1% (4.7% to 19.6%, P=0.002) for severe incontinence. Faecal incontinence was also less common: 12/273 (4.4%) v 25/237 (10.5%), difference 6.1% (1.6% to 10.8%, P=0.012). At 12 months women in the intervention group were more likely to be performing pelvic floor exercises (218/278 (79%) v 118/244 (48%), P

AB - OBJECTIVES: To assess the effect of nurse assessment with reinforcement of pelvic floor muscle training exercises and bladder training compared with standard management among women with persistent incontinence three months postnatally. DESIGN: Randomised controlled trial with nine months' follow up. SETTING: Community intervention in three centres (Dunedin, New Zealand; Birmingham; Aberdeen). PARTICIPANTS: 747 women with urinary incontinence three months postnatally, allocated at random to intervention (371) or control (376) groups. INTERVENTION: Assessment by nurses of urinary incontinence with conservative advice on pelvic floor exercises at five, seven, and nine months after delivery supplemented with bladder training if appropriate at seven and nine months. MAIN OUTCOME MEASURES: Primary: persistence and severity of urinary incontinence 12 months after delivery. Secondary: performance of pelvic floor exercises, change in coexisting faecal incontinence, wellbeing, anxiety, and depression. RESULTS: Women in the intervention group had significantly less urinary incontinence: 167/279 (59.9%) v 169/245 (69.0%), difference 9.1% (95% confidence interval 1.0% to 17.3%, P=0.037) for any incontinence and 55/279 (19.7%) v 78/245 (31.8%), difference 12.1% (4.7% to 19.6%, P=0.002) for severe incontinence. Faecal incontinence was also less common: 12/273 (4.4%) v 25/237 (10.5%), difference 6.1% (1.6% to 10.8%, P=0.012). At 12 months women in the intervention group were more likely to be performing pelvic floor exercises (218/278 (79%) v 118/244 (48%), P

UR - http://www.scopus.com/inward/record.url?scp=0035884806&partnerID=8YFLogxK

U2 - 10.1136/bmj.323.7313.593

DO - 10.1136/bmj.323.7313.593

M3 - Article

C2 - 11557703

VL - 323

SP - 593

EP - 596

JO - British Medical Journal

JF - British Medical Journal

SN - 0959-8138

IS - 7313

ER -