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App-based pelvic floor muscle training in pregnant and postnatal women: a prospective cohort study exploring factors associated with prevention and improvement of urinary incontinence
Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine, Family Medicine.ORCID iD: 0000-0003-4422-0032
Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine, Family Medicine. Unit of Research, Education and Development, Östersund Hospital, Sweden.ORCID iD: 0000-0002-6230-0354
Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine, Family Medicine.ORCID iD: 0000-0002-7500-663X
2022 (English)In: Health Science Reports, E-ISSN 2398-8835, Vol. 5, no 5, article id e781Article in journal (Refereed) Published
Abstract [en]

Background and Aims: Pelvic floor muscle training (PFMT) is recommended for continent pregnant women and postnatal women experiencing urinary incontinence (UI). The app Tät® has been developed for the treatment of stress UI with a focus on PFMT. The aim of this study was to investigate factors associated with the improvement of incontinence symptoms and retained continence in pregnant and postnatal women who used the app.

Methods: A prospective cohort study was carried out based on user questionnaires from the app Tät®. We included pregnant and postnatal women who answered the inclusion questionnaire between June 19, 2019 and September 19, 2020. The questionnaire included questions about the frequency and amount of leakage, the impact that UI has on everyday life, and experienced improvements at follow-up. We analyzed factors associated with improvement and retained continence using logistic regression.

Results: We included 10,307 pregnant and 13,670 postnatal women, and 44% of the pregnant women and 52% of the postnatal women were incontinent. A total of 3680 women were included in the follow-up analysis, and 52% of the pregnant incontinent women and 73% of the postnatal incontinent women experienced improvement. Pregnant women who performed PFMT and used the app at least once per week had increased odds of improvement (odds ratio [OR]: 1.83, 95% confidence interval [CI]: 1.01–3.29 and OR: 3.38, 95% CI: 1.94–5.90, respectively) compared to those who performed no training and had no app usage. Postnatal women who used the app at least once per week and had more severe incontinence had increased odds of improvement (OR: 4.26, 95% CI: 2.37–7.64 and OR: 1.11, 95% CI: 1.05–1.16, respectively).

Conclusions: The app Tät® is widely used by pregnant and postnatal women in Sweden for the prevention and treatment of UI. Majority of the women with incontinence experienced improvement after using the app. Regular PFMT and app use seemed to be important factors for experiencing improvement.

Place, publisher, year, edition, pages
John Wiley & Sons, 2022. Vol. 5, no 5, article id e781
Keywords [en]
mobile applications, pelvic floor muscle training, postpartum period, pregnant women, self-management, urinary incontinence
National Category
Obstetrics, Gynecology and Reproductive Medicine
Identifiers
URN: urn:nbn:se:umu:diva-200232DOI: 10.1002/hsr2.781ISI: 000841529900001PubMedID: 36000079Scopus ID: 2-s2.0-85138996105OAI: oai:DiVA.org:umu-200232DiVA, id: diva2:1703573
Funder
The Kamprad Family Foundation, 20170202Region Jämtland Härjedalen, JLL-933083Visare Norr, 931113Region VästerbottenAvailable from: 2022-10-13 Created: 2022-10-13 Last updated: 2023-05-22Bibliographically approved

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Löjdahl, ErikaLindam, AnnaAsklund, Ina

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