{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T03:50:36Z","timestamp":1788234636850,"version":"build-2803163510"},"reference-count":31,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2020,10,30]],"date-time":"2020-10-30T00:00:00Z","timestamp":1604016000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100009123","name":"Norges Teknisk-Naturvitenskapelige Universitet","doi-asserted-by":"publisher","award":["2006\/9264\u201095"],"award-info":[{"award-number":["2006\/9264\u201095"]}],"id":[{"id":"10.13039\/100009123","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Acta Obstet Gynecol Scand"],"published-print":{"date-parts":[[2021,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>Urinary incontinence is a frequently reported condition among women with pregnancy and delivery as established risk factors. The aims of this study were to evaluate the effect of an antenatal exercise program including pelvic floor muscle training on postpartum urinary incontinence, and to explore factors associated with urinary incontinence three\u00a0months postpartum.<\/jats:p><\/jats:sec><jats:sec><jats:title>Material and methods<\/jats:title><jats:p>This is a short\u2010term follow\u2010up and secondary analysis of a randomized controlled trial conducted at two Norwegian University Hospitals including healthy, pregnant women aged &gt;18\u00a0years with a singleton live fetus. Women in the exercise group received a 12\u2010week standardized exercise program including pelvic floor muscle training, with once weekly group exercise classes led by a physiotherapist and twice weekly home exercise sessions. The controls received standard antenatal care. Data were obtained from questionnaires answered in pregnancy weeks 18\u201322, and three\u00a0months postpartum. Urinary incontinence prevalence in the exercise and control groups was compared, and multivariable logistic regression analyses were applied. Urinary incontinence prevalence three months postpartum was assessed by the Sandvik severity index.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Among the 722 (84%) women who responded three\u00a0months postpartum, significantly fewer women in the exercise group (29%) reported urinary incontinence compared with the standard antenatal care group (38%, <jats:italic>P<\/jats:italic>\u00a0=\u00a0.01). Among women who were incontinent at baseline, 44% and 59% (<jats:italic>P<\/jats:italic>\u00a0=\u00a0.014) were incontinent at three\u00a0months postpartum in the exercise and control groups, respectively. Urinary incontinence three\u00a0months postpartum was associated with age (OR 1.1, 95% CI 1.0\u20101.1), experiencing urinary incontinence in late pregnancy (OR 3.6, 95% CI 2.3\u20105.9), birthweight \u22654000\u00a0g (OR 1.8, 95% CI 1.2\u20102.8), and obstetric anal sphincter injuries (OR 2.6, 95% CI 1.1\u20106.1). Cesarean section significantly reduced the risk of urinary incontinence three\u00a0months postpartum compared with spontaneous vaginal delivery (OR 0.2, 95% CI 0.1\u20100.5).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>A moderate\u2010intensity exercise program including pelvic floor muscle training reduced prevalence of urinary incontinence 3\u00a0months postpartum in women who were incontinent at baseline.<\/jats:p><\/jats:sec>","DOI":"10.1111\/aogs.14010","type":"journal-article","created":{"date-parts":[[2020,9,30]],"date-time":"2020-09-30T08:28:35Z","timestamp":1601454515000},"page":"294-301","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":41,"title":["Regular antenatal exercise including pelvic floor muscle training reduces urinary incontinence 3\u00a0months postpartum\u2014Follow up of a randomized controlled trial"],"prefix":"10.1111","volume":"100","author":[{"given":"Hege H.","family":"Johannessen","sequence":"first","affiliation":[{"name":"Department of Health and Welfare \u00d8stfold University College Fredrikstad Norway"},{"name":"Department of Physical Medicine and Rehabilitation \u00d8stfold Hospital Trust Sarpsborg Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Betina E.","family":"Fr\u00f8shaug","sequence":"additional","affiliation":[{"name":"Department of Nursing and Health Promotion Oslo Metropolitan University Oslo Norway"},{"name":"Department of Obstetrics and Gynecology \u00d8stfold Hospital Trust Sarpsborg Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pernille J. G.","family":"Lys\u00e5ker","sequence":"additional","affiliation":[{"name":"Department of Nursing and Health Promotion Oslo Metropolitan University Oslo Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kjell \u00c5.","family":"Salvesen","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology St. Olav\u2019s Hospital Trondheim University Hospital Trondheim Norway"},{"name":"Department of Clinical and Molecular Medicine Norwegian University of Science and Technology Trondheim Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mirjam","family":"Lukasse","sequence":"additional","affiliation":[{"name":"Department of Nursing and Health Promotion Oslo Metropolitan University Oslo Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Siv","family":"M\u00f8rkved","sequence":"additional","affiliation":[{"name":"Department of Public Health and Nursing Norwegian University of Science and Technology Trondheim Norway"},{"name":"Department of Clinical Services St. Olav\u2019s Hospital Trondheim University Hospital Trondheim Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4922-477X","authenticated-orcid":false,"given":"Signe N.","family":"Stafne","sequence":"additional","affiliation":[{"name":"Department of Public Health and Nursing Norwegian University of Science and Technology Trondheim Norway"},{"name":"Department of Clinical Services St. Olav\u2019s Hospital Trondheim University Hospital Trondheim 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