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首页> 外文期刊>Journal of International Medical Research >Performance of self-reported and unsupervised antenatal pelvic floor muscle training and its effects on postpartum stress urinary incontinence among Chinese women: a cohort study
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Performance of self-reported and unsupervised antenatal pelvic floor muscle training and its effects on postpartum stress urinary incontinence among Chinese women: a cohort study

机译：自我报告和无监督的产前盆腔肌训练的表现及其对中国女性产后应激尿失禁的影响：队列研究

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Objectives We investigated performance of antenatal pelvic floor muscle training (PFMT) among Chinese pregnant women, to explore its effects on postpartum stress urinary incontinence (SUI). Methods We conducted a prospective cohort study in Shenzhen, China among 815 singleton pregnant women age ≥18 years, who were continent before pregnancy. Telephone follow-up was conducted at 6 weeks postpartum. Logistic univariable and multivariable regression analyses were used to estimate effects of antenatal PFMT (frequency and duration) on SUI postpartum among subgroups defined by SUI during pregnancy. The interactions of antenatal PFMT and PFMT duration on SUI postpartum were tested. Results Among 798 women included in the analysis, 127 (15.91%) had SUI at 6 weeks postpartum. Only 157 (19.67%) women performed antenatal PFMT, none under supervision. After adjusting potential confounders, neither frequency (odds ratio (OR)?=?1.08, 95% confidence interval (CI) 0.89–1.32) nor duration (OR?=?1.03, 95% CI 0.87–1.23) of antenatal PFMT was a significant factor in postpartum SUI. No interactions of antenatal PFMT and PFMT duration on SUI postpartum were found in any participants or subgroups. Conclusion No effect of self-reported, unsupervised, self-initiated antenatal PFMT on SUI 6 weeks postpartum was found. Low doses and no supervision may have contributed to the negative results.
机译：目的我们调查了中国孕妇产前盆腔肌训练（PFMT）的表现，探讨其对产后尿失禁（SUI）的影响。方法我们在深圳进行了一项未来的队列研究，在中国≥18岁以下的815岁左右，妊娠前是大陆。在产后6周进行电话随访。物流非变性和多变量的回归分析用于估算妊娠期隋次组中遂群产后产后产物PFMT（频率和持续时间）的影响。测试了产前PFMT和PFMT持续时间对SUI产后的相互作用。结果798名妇女在分析中，127名（15.91％）在产后6周的隋。只有157名（19.67％）女性进行了产前PFMT，无监督。在调整潜在的混乱后，既不是频率（差距（或）？= 1.08,95％置信区间（CI）0.89-1.32）也不是持续时间（或？=Δ1.03,95％CI 0.87-1.23）的产物pfmt是a产后隋的重要因素。在任何参与者或亚组中，没有在任何参与者或亚组中发现产前PFMT和PFMT持续时间的相互作用。结论未发现自我报告，无监督，自我发起的自发的产后PFMT在产后的隋6周内。低剂量，没有监督可能导致消极结果。

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