Evidence-based pelvic floor care for preventing postpartum urinary incontinence from becoming chronic
| Project/Area Number |
23593364
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| Research Category |
Grant-in-Aid for Scientific Research (C)
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| Allocation Type | Multi-year Fund |
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| Section | 一般 |
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| Research Field |
Lifelong developmental nursing
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| Research Institution | The University of Shimane (2012-2013)
The University of Shimane Junior College (2011) |
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Principal Investigator |
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| Co-Investigator(Kenkyū-buntansha) |
GODA Noriko 岡山大学, 大学院保健学研究科, 教授 (70225639)
INOUE Chiaki 島根県立大学, 看護学科, 講師 (80413491)
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| Co-Investigator(Renkei-kenkyūsha) |
OTANI Hiroki 島根大学, 医学部, 教授 (20160533)
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| Project Period (FY) |
2011 – 2013
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| Project Status |
Completed (Fiscal Year 2013)
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| Budget Amount *help |
¥5,200,000 (Direct Cost: ¥4,000,000、Indirect Cost: ¥1,200,000)
Fiscal Year 2013: ¥910,000 (Direct Cost: ¥700,000、Indirect Cost: ¥210,000)
Fiscal Year 2012: ¥2,470,000 (Direct Cost: ¥1,900,000、Indirect Cost: ¥570,000)
Fiscal Year 2011: ¥1,820,000 (Direct Cost: ¥1,400,000、Indirect Cost: ¥420,000)
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| Keywords | 出産後尿失禁 / 骨盤底筋訓練 / 骨盤底ケア / 形態学的評価 / MRI / ＭＲＩ / 肛門挙筋 / リハビリテーション看護 / 腹圧性尿失禁 / エビデンス / 骨盤底形態学的評価 / 周産期ケア / 骨盤底形態評価 |
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| Research Abstract |
Objective: To clarify the effects of pelvic floor muscle training on pelvic floor morphology by comparing magnetic resonance (MR) images of pregnant women who underwent pelvic floor muscle training starting in the second trimester of pregnancy to seven months postpartum (training group) with those of pregnant women who did not train (non-training group).
Results: There was no difference in the presence of urinary incontinence during pregnancy between the training and non-training groups. However, 6 months after delivery and onward, there were significantly fewer cases of urinary incontinence in the training group. Significant positional shift of the bladder neck was observed in the training group on MR evaluations of the pelvic floor 4 months after delivery, and the bladder neck had elevated significantly at 6 months postpartum. These findings suggest that pelvic floor muscle training during pregnancy can help recover pelvic floor supporting strength that becomes lax after childbirth.
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Report
(4 results)
Research Products
(9 results)
