Training of the pelvic floor muscles in the prevention and treatment of urinary incontinence during the pregnancy period: literature review 

Authors

DOI:

https://doi.org/10.62827/fb.v25i1.ct04

Keywords:

urinary incotinence; pregnant; erxercise.

Abstract

Introduction: Pelvic physiotherapy acts in the prevention and treatment of urogynecological pathologies and in the rehabilitation of pelvic floor muscle (PFM) dysfunctions. The pelvic floor is the set of bones, muscles and ligaments that supports organs such as the bladder, uterus, intestine and the lower abdomen. During pregnancy, the human body undergoes a series of hormonal, physiological and physical changes, which are risk factors for the incidence of urinary incontinence (UI). PFM training is the conservative treatment most used today to improve UI in pregnant women. Objective: To analyze the effectiveness of pelvic floor muscle training in the prevention and treatment of UI in pregnant women. Methods: This is an integrative literature review. Surveys were carried out in the electronic databases PubMed and PEDro, using the descriptors "Urinary Incontinence", "Pregnant" and “Exercise”. Randomized clinical trials published in the last 10 years were selected. The results found in the searches were analyzed according to the title and summary of the research, carried out between May and June 2023. Results: A total of 124 studies were collected on the platforms and 23 of them met the selection criteria: randomized clinical trial published in the last 10 years. After analyzing the title and summary, 09 articles fit the study proposal. The results were separated into prevention and treatment protocols. Conclusion: PFM training has been shown to be effective in preventing and treating UI in pregnant women, but there is a lack of high- quality studies on the topic.

 

Author Biographies

  • Giovana Romero Ferreira, FMABC

    Bacharelado em Fisioterapia pelo Centro Universitário FMABC, Pós graduanda em Fisioterapia Pélvica pelo Hospital das Clínicas FMUSP, SP, Brasil 

  • Victória Maria Rocha Costa, UNESP

    Bacharelado em Fisioterapia pelo Centro Universitário (FMABC), Santo André, SP, Especializanda em Fisioterapia em Neurologia pela Universidade Estadual Paulista, Faculdade de Ciências e Tecnologia (UNESP-FCT), Presidente Prudente, SP, Brasil

  • Mariane Castiglione, FMABC

    Doutoranda em Urologia pelo Centro Universitário Faculdade de Medicina do ABC (FMABC), Especialista em Sexualidade Humana pela Faculdade de Medicina da USP (FMUSP), MBA pela  Pontifícia Universidade Católica (PUC), RS, em Gestão, Inovação e Liderança, Docente do Centro Universitário Faculdade de Medicina do ABC (FMABC), SP, Brasil 

  • Amanda Estevão , UNIFESP

    Mestre em Ciências pela Universidade Federal de São Paulo (UNIFESP), SP, Especialista em Fisioterapia em Oncologia pelo Conselho Federal de Fisioterapia e Terapia Ocupacional, Especializada em Fisioterapia em Oncologia pelo Centro Universitário Faculdade de Medicina do ABC (FMABC). Atualmente Docente do Centro Universitário Faculdade de Medicina do ABC (FMABC) e Coordenadora do Ambulatório de Fisioterapia em Mastologia do Departamento de Ginecologia da Universidade Federal de São Paulo (UNIFESP), SP, Brasil 

References

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Published

2024-05-14

Issue

Section

Caderno Uro-ginecologia

How to Cite

Training of the pelvic floor muscles in the prevention and treatment of urinary incontinence during the pregnancy period: literature review . (2024). Fisioterapia Brasil, 25(1), 1172-1188. https://doi.org/10.62827/fb.v25i1.ct04