EFFECT OF PELVIC FLOOR MUSCLE TRAINING AMONG PREGNANT BLACK AFRICAN POPULATION ON THE RISK OF POSPARTUM URINARY INCONTINENCE, A SINGLE BLIND RANDOMIZE - Trial PACTR201407000834391

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Summary

ABSTRACTBACKGROUNDPelvic Floor Muscle Training (PFMT) in the antenatal period has been found to be an effective primary prevention intervention in the Caucasian population in reducing the incidence of postpartum Urinary Incontinence.OBJECTIVEThis study is primarily designed to determine the effect of PFMT introduced in the second trimester amongst pregnant African population on the incidence of six weeks postpartum Urinary Incontinence.Secondary objectives include investigating the incidence of postpartum Urinary Incontinence, the effect of mode of delivery on incidence of postpartum Urinary Incontinence and determining contributory factors in this population on the incidence of postpartum Urinary Incontinence. STUDY DESIGNThe study will be a single blind Randomized Control Trial. INTERVENTIONPFMT to be conducted by a Physiotherapist and a Continence Nurse from recruitment to 37 completed weeks of gestation, with the control group receiving standard Antenatal care.ASSESSMENT OF URINARY INCONTINENCE STATUSData collection will be done primarily by administering a validated questionnaire (ICIQ-UI Short Form) at recruitment in the Antenatal clinic and in the postpartum period at the six week postnatal visit.DATA ANALYSISIntention to treat analysis will be undertaken using the SPSS Statistics 17.0 software package. The incidence of the 6 week postpartum Urinary Incontinence as a proportion for the treatment and control groups will be determined. Comparison of proportions will be done using the Chi-square test. P¿ 0.05 will be considered statistically significant.

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