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dc.contributor.authorHilde, Gunvor
dc.contributor.authorBø, Kari
dc.date.accessioned2016-06-29T10:23:49Z
dc.date.available2016-06-29T10:23:49Z
dc.date.issued2015
dc.identifier.citationCurrent Women's Health Reviews. 2015, 11, 19-30nb_NO
dc.identifier.urihttp://hdl.handle.net/11250/2394578
dc.descriptionDette er siste tekst-versjon av artikkelen, og den kan inneholde små forskjeller fra forlagets pdf-versjon. Forlagets pdf-versjon finner du på http://benthamscience.com/journals/current-womens-health-reviews/volume/11/issue/1/page/19/ / This is the final text version of the article, and it may contain minor differences from the journal's pdf version. The original publication is available at http://benthamscience.com/journals/current-womens-health-reviews/volume/11/issue/1/page/19/nb_NO
dc.description.abstractPregnancy and especially vaginal childbirth are risk factors for pelvic floor dysfunctions such as urinary incontinence (UI). The aim of this literature review was to give an overview of how the pelvic floor may be affected by pregnancy and childbirth, and further state the current evidence on pelvic floor muscle training (PFMT) on UI. Connective tissue, peripheral nerves and muscular structures are already during pregnancy subjected to hormonal, anatomical and morphological changes. During vaginal delivery, the above mentioned structures are forcibly stretched and compressed. This may initiate changed tissue properties, which may contribute to altered pelvic floor function and increased risk of UI. Trained pelvic floor muscles (PFM) may counteract the hormonally mediated increased laxity of the pelvic floor and the increased intra-abdominal pressure during pregnancy. Further, a trained PFM may encompass a greater functional reserve so that childbirth does not cause the sufficient loss of muscle function to develop urinary leakage. Additionally, a trained PFM may recover better after childbirth as the appropriate neuromuscular motor patterns have already been learned. Evidence based guidelines recommend that pregnant women having their first child should be offered supervised PFMT, and likewise for women with persistent UI symptoms after delivery (Grade A recommendations). Conclusion: Several observational studies have demonstrated significantly higher PFM strength in continent women than in women having UI, and further that vaginal delivery weakens the PFM. Current evidence based guidelines state that PFMT can prevent and treat UI, and recommend strength training of the PFM during pregnancy and postpartum. .nb_NO
dc.language.isoengnb_NO
dc.publisherBentham Science Publishersnb_NO
dc.subjecturinary incontinencenb_NO
dc.subjectpelvic floornb_NO
dc.subjectpelvic floor muscle trainingnb_NO
dc.subjectpostpartumnb_NO
dc.subjectpregnancynb_NO
dc.subjectchildbirthnb_NO
dc.titleThe pelvic floor during pregnancy and after childbirth, and the effect of pelvic floor muscle training on urinary incontinence - a literature reviewnb_NO
dc.typeJournal articlenb_NO
dc.typePeer reviewednb_NO
dc.subject.nsiVDP::Medical disciplines: 700nb_NO
dc.subject.nsiVDP::Medical disciplines: 700::Health sciences: 800nb_NO
dc.source.journalCurrent Women's Health Reviewsnb_NO
dc.description.localcodeSeksjon for idrettsmedisinske fag / Department of Sport Medicinenb_NO


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