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dc.contributor.authorWagg, Ann
dc.contributor.authorBunn, Frances
dc.date.accessioned2012-11-08T11:20:01Z
dc.date.available2012-11-08T11:20:01Z
dc.date.issued2007-06
dc.identifier.citationWagg , A & Bunn , F 2007 , ' Unassisted pelvic floor exercises for postnatal women : a systematic review ' , Journal of Advanced Nursing , vol. 58 , no. 5 , pp. 407-417 . https://doi.org/10.1111/j.1365-2648.2007.04318.x
dc.identifier.issn0309-2402
dc.identifier.otherPURE: 335085
dc.identifier.otherPURE UUID: 35155cfa-1c31-4f45-bf7d-6006a13e410a
dc.identifier.otherWOS: 000246685000001
dc.identifier.otherScopus: 34248998779
dc.identifier.urihttp://hdl.handle.net/2299/9140
dc.description.abstractAim. This paper is a report of a systematic review on unassisted pelvic floor exercises for postnatal stress incontinence to identify effective interventions and highlight areas for further research. Background. Stress incontinence is a common and embarrassing problem. Childbirth is a major cause and problems can be persistent for some. However women are often reluctant to seek help. Method. We conducted a systematic literature search in December 2006 using the CINAHL, Medline and Cochrane Library databases, hand-searching of selected textbooks, checking reference lists and contacting experts. There were no date restrictions. The review included randomized controlled trials, published in English, of unassisted pelvic floor exercises in postnatal women. Two reviewers independently extracted data and assessed study quality. Main outcomes were reduction in symptoms of incontinence, patient satisfaction and quality of life. Results. Four randomized controlled trials met the inclusion criteria. Interventions ranged from written information to structured exercise classes, while usual care varied from a leaflet to group sessions with a midwife. Three out of four studies demonstrated short-term improvement in incontinence symptoms, which was statistically significant in two. However, at later follow-up there was no longer a statistically significant effect on continence. All trials found that women in the intervention group were more likely to do the exercises. Conclusion. We found few trials, quality was variable, and comparisons were difficult because of variations in interventions and outcomes measured. Further high quality evaluations are needed, using standardized interventions and outcome measures, patient-relevant outcomes such as quality of life, and follow-up periods that enable evaluation of long-term effectiveness.en
dc.format.extent11
dc.language.isoeng
dc.relation.ispartofJournal of Advanced Nursing
dc.subjectcontinence
dc.subjectnursing
dc.subjectpostpartum
dc.subjectstress incontinence
dc.subjectsystematic review
dc.subjectwomen's health
dc.subjectPROMOTING URINARY CONTINENCE
dc.subjectRANDOMIZED CONTROLLED-TRIAL
dc.subjectSTRESS-INCONTINENCE
dc.subjectPOSTPARTUM WOMEN
dc.subjectPREVALENCE
dc.subjectPREGNANCY
dc.subjectDELIVERY
dc.subjectMANAGEMENT
dc.subjectCOMMUNITY
dc.subjectMUSCLES
dc.titleUnassisted pelvic floor exercises for postnatal women : a systematic reviewen
dc.contributor.institutionDepartment of Adult Nursing and Primary Care
dc.contributor.institutionEvidence Based Practice
dc.contributor.institutionSchool of Health and Social Work
dc.contributor.institutionHealth & Human Sciences Research Institute
dc.description.statusPeer reviewed
rioxxterms.versionofrecordhttps://doi.org/10.1111/j.1365-2648.2007.04318.x
rioxxterms.typeJournal Article/Review
herts.preservation.rarelyaccessedtrue


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