Pelvic floor muscle training for postpartum incontinence

What is most cost-effective: pelvic floor muscle training for all women or only for those with incontinence?

Pregnancy and childbirth are recognised as significant risk factors for urinary (UI) and faecal incontinence. Treatment options for UI include conservative therapies, such as pelvic floor muscle training (PFMT), lifestyle changes and bladder training.

Pelvic floor muscle training can also be conducted prophylactically to prevent the development of urinary incontinence. There is high level evidence and international recommendations that PFMT should be the first-line management for urinary incontinence in adult women. Treatment options for faecal incontinence also include PFMT, along with lifestyle changes and bowel training. What is less clear is the most cost-effective way to deliver PFMT.

The authors concluded that providing group-based PFMT for all women during pregnancy is likely more efficient than individual PFMT for incontinent women postnatally; however, providing PFMT for postnatal women with urinary incontinence should not be discounted because of the added known benefit for preventing and treating faecal incontinence.

> From: Brennen, J Physiother 67 (2021) 105-114 . All rights reserved to Australian Physiotherapy Association. Click here for the online summary.

Want to read deeper into this topic? Have a look at the free full text version of this article published in Journal of Physiotherapy!

Signup for our weekly or monthly newsletter and get notified on updates on the themes you're interested in:

Please enable the javascript to submit this form

Anatomy & Physiotherapy is a joint venture
between SoPhy & Sharing Science

Summaries on Physiotherapy B.V.
Berkenweg 7
Postbus 1161
3800 BD Amersfoort
The Netherlands

Chamber of commerce: 74973738
Bank: NL72ABNA0849809959
V.A.T. number: NL860093530B01

Sharing Science
Rijksweg Zuid 99
6134 AA Sittard
The Netherlands
Chamber of Commerce: 58306862