{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,8]],"date-time":"2026-07-08T05:45:45Z","timestamp":1783489545675,"version":"3.55.0"},"reference-count":28,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2013,6,10]],"date-time":"2013-06-10T00:00:00Z","timestamp":1370822400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Acta Obstet Gynecol Scand"],"published-print":{"date-parts":[[2013,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To assess the effect of pelvic floor muscle training (PFMT) on pelvic floor muscle strength and urinary incontinence (<jats:styled-content style=\"fixed-case\">UI<\/jats:styled-content>) in primiparous women who underwent a home training program between three and 9\u00a0months after delivery.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>Randomized controlled trial.<\/jats:p><\/jats:sec><jats:sec><jats:title>Population<\/jats:title><jats:p>One hundred primiparous women were consecutively recruited from four different antenatal clinics in the urban area of Stockholm, Sweden. Women with <jats:styled-content style=\"fixed-case\">UI<\/jats:styled-content> who had undergone normal term singleton vaginal delivery, 10\u201316\u00a0weeks postpartum were randomly allocated to either intervention or control group.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Maximally voluntary contraction (<jats:styled-content style=\"fixed-case\">MVC<\/jats:styled-content>) and endurance were measured with a perionometer. The Oxford grading scale was used to manually estimate the strength of the pelvic floor muscle and self\u2010reported symptoms of <jats:styled-content style=\"fixed-case\">UI<\/jats:styled-content> was registered through the Bristol Female Lower Urinary Tract Symptoms Module (<jats:styled-content style=\"fixed-case\">ICIQ FLUTS<\/jats:styled-content>) questionnaire.<\/jats:p><\/jats:sec><jats:sec><jats:title>Main outcome measures<\/jats:title><jats:p>Maximally voluntary contraction of the pelvic floor muscle measured with a perionometer.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Maximally voluntary contraction increased significantly in both groups between baseline and follow up (<jats:italic>p\u00a0<\/jats:italic>&lt;<jats:italic>\u00a0<\/jats:italic>0.05). The median <jats:styled-content style=\"fixed-case\">MVC<\/jats:styled-content> in cmHg for the intervention and control group was 16.2 and 12.1 at baseline and 26.0 and 18.2 at follow up, respectively. The median endurance, in seconds, for the intervention and control group was 9.6 and 12.0 at baseline and 26.7 and 23.4 at follow up, respectively. Pelvic floor muscle strength measured with the Oxford Scale increased significantly in both groups between baseline and follow up (<jats:italic>p<\/jats:italic>\u00a0&lt;\u00a00.05).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The results indicate that home\u2010based PFMT is effective. However, written training instructions were as efficient as home\u2010based training with follow up visits every sixth week.<\/jats:p><\/jats:sec>","DOI":"10.1111\/aogs.12173","type":"journal-article","created":{"date-parts":[[2013,5,14]],"date-time":"2013-05-14T14:52:59Z","timestamp":1368543179000},"page":"909-915","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":61,"title":["Is home\u2010based pelvic floor muscle training effective in treatment of urinary incontinence after birth in primiparous women? A randomized controlled trial"],"prefix":"10.1111","volume":"92","author":[{"given":"Susanne","family":"\u00c5hlund","sequence":"first","affiliation":[{"name":"Department of Clinical Sciences Danderyds Hospital Karolinska Institute Stockholm Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Birgitta","family":"Nordgren","sequence":"additional","affiliation":[{"name":"Department of Neurobiology Care Sciences and Society Division of Physiotherapy Karolinska Institute Stockholm Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eva\u2010Lotta","family":"Wilander","sequence":"additional","affiliation":[{"name":"Department of Neurobiology Care Sciences and Society Division of Physiotherapy Karolinska Institute Stockholm Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ingela","family":"Wiklund","sequence":"additional","affiliation":[{"name":"Department of Clinical Sciences Danderyds Hospital Karolinska Institute Stockholm Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cecilia","family":"Frid\u00e9n","sequence":"additional","affiliation":[{"name":"Department of Neurobiology Care Sciences and Society Division of Physiotherapy Karolinska Institute Stockholm Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2013,6,10]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0895-4356(00)00232-8"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1464-4096.2001.01429.x"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1002\/nau.20798"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1002\/nau.10052"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.juro.2008.01.098"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9378(48)90266-X"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.1999.tb08407.x"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1479-828X.1997.tb02220.x"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1002\/nau.21221"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00192-007-0461-2"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1007\/s001920050067"},{"key":"e_1_2_8_13_1","first-page":"789","article-title":"Urinary tract symptoms in relation to pregnancy and labor in primiparas","volume":"155","author":"Viktrup L","year":"1993","journal-title":"Ugeskr Laeger"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1002\/nau.20870"},{"key":"e_1_2_8_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.maturitas.2010.08.004"},{"key":"e_1_2_8_16_1","doi-asserted-by":"publisher","DOI":"10.1002\/nau.21104"},{"key":"e_1_2_8_17_1","doi-asserted-by":"publisher","DOI":"10.1002\/nau.20201"},{"key":"e_1_2_8_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.physio.2010.06.007"},{"key":"e_1_2_8_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5347(05)00348-4"},{"issue":"4","key":"e_1_2_8_20_1","first-page":"689","article-title":"Comparisons of approaches to pelvic floor muscle training for urinary incontinence in women","volume":"48","author":"Hay\u2010Smith EJ","year":"2012","journal-title":"Cochrane Database Syst Rev. 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