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Pelvic floor exercises may quell prolonged second-stage labor.(Obstetrics)

OB GYN News

| November 01, 2004 | Sullivan, Michele G. | COPYRIGHT 2004 International Medical News Group. This material is published under license from the publisher through the Gale Group, Farmington Hills, Michigan.  All inquiries regarding rights should be directed to the Gale Group. (Hide copyright information)Copyright

Pelvic floor training during pregnancy appears to facilitate delivery and was associated with a decreased incidence of prolonged second-stage labor, Kjell Salvesen, M.D., and colleagues reported.

The results were observed in a secondary analysis of a randomized, controlled study that compared the rate of postpartum incontinence in women who had done the pelvic floor muscle training during pregnancy with that of women who had not. The original analysis found less urinary incontinence among patients in the treatment group.

Dr. Salvesen of Trondheim (Norway) University and his associates randomized 301 nulliparous pregnant women to either no training or 1 hour of intensive pelvic floor exercises with a physiotherapist each week for 12 weeks (BMJ 2004;329:378-80).

The training occurred between weeks 20 and 36 of pregnancy. The women were also encouraged to perform 8-10 intense pelvic floor contractions at home twice a day.

Women in the control group were not discouraged from ...

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