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Objectives: To determine effectiveness of 8 weeks home based PFMEs in the prevention of stress urinary incontinence (SUI) during pregnancy and to see how many women were consistent with them. Materials And Methods: This randomized controlled trial was conducted in the outpatient department (OPD) of Obstetrics/Gynaecology, Kahuta Research Laboratories (KRL) hospital, Islamabad during Nov, 2017 to Jan,2018. After fulfilling the inclusion/exclusion criteria, women were randomly divided into two groups. One group learned to perform PFMEs. A telephonic survey was conducted after 8 weeks and all the women in the study were asked about presence/absence of perceived urinary incontinence. Data were analysed using descriptive statistics. Results: A total of 120 women were randomized into the study. Amongst those who were followed, 63.4% from intervention group didn’t adhere to PFMEs and dropped out from study. A total of 42 women were analysed from both groups. Mean age was 25+-3 years and mean gestational age was 23+-4 weeks. Thirty nine percent were nullipara. Amongst women in the intervention group, majority were still continent after 8 weeks of PFMEs (86.6%) and only few experienced SUI (13.4%). However, when these women were matched with controls, fewer women as compared to intervention group were continent after 8 weeks (55.6%). Conclusion: Home based pelvic floor muscle exercises are very effective in prevention of stress urinary incontinence in only highly motivated patients.

national journal of health sciences

Are Home Based Pelvic Floor Muscle Exercises (PFMES) Effective in Prevention of Stress Urinary Incontinence During Pregnancy? A Randomized Controlled Trial