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Evidence-based pelvic floor care for preventing postpartum urinary incontinence from becoming chronic

Research Project

Project/Area Number 23593364
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Research Field Lifelong developmental nursing
Research InstitutionThe University of Shimane (2012-2013)
The University of Shimane Junior College (2011)

Principal Investigator

NAGASHIMA REIKO  島根県立大学, 看護学部, 准教授 (00310805)

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)
Co-Investigator(Renkei-kenkyūsha) OTANI Hiroki  島根大学, 医学部, 教授 (20160533)
Project Period (FY) 2011 – 2013
Project Status Completed (Fiscal Year 2013)
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)
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
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.

Report

(4 results)
  • 2013 Annual Research Report   Final Research Report ( PDF )
  • 2012 Research-status Report
  • 2011 Research-status Report
  • Research Products

    (9 results)

All 2014 2013 2012 2011

All Presentation (6 results) Book (3 results)

  • [Presentation] 骨盤底筋訓練による出産後尿失禁症状の改善状況の比較検討2012

    • Author(s)
      長島玲子
    • Organizer
      第14回日本女性骨盤底医学学術集会
    • Place of Presentation
      大阪市
    • Year and Date
      2012-07-28
    • Related Report
      2013 Final Research Report
  • [Presentation] 骨盤底筋訓練による出産後尿失禁症状の消失例と非消失例の比較検討-MR画像による骨盤底の形態学的評価-2012

    • Author(s)
      長島玲子
    • Organizer
      第26回日本助産学会学術集会
    • Place of Presentation
      札幌市
    • Year and Date
      2012-05-02
    • Related Report
      2013 Final Research Report
  • [Presentation] 妊娠中の運動と妊娠経過に伴う筋肉量・脚点の関係2012

    • Author(s)
      細木咲希
    • Organizer
      第26回日本助産学会学術集会
    • Place of Presentation
      札幌市
    • Year and Date
      2012-05-02
    • Related Report
      2013 Final Research Report
  • [Presentation] 骨盤底筋訓練による出産後尿失禁症状の消失例と非消失例の比較検討-MR画像による骨盤底の形態学的評価2012

    • Author(s)
      長島玲子
    • Organizer
      第26回日本助産学会学術集会
    • Place of Presentation
      札幌
    • Related Report
      2012 Research-status Report
  • [Presentation] 骨盤底筋訓練による出産後尿失禁症状の改善状況の比較検討2012

    • Author(s)
      長島玲子
    • Organizer
      第14回日本女性骨盤底医学学会
    • Place of Presentation
      大阪
    • Related Report
      2012 Research-status Report
  • [Presentation] Enhancing the QOL of mothers, the pillar of families: Intervention for postpartum stress urinary incontinence and its evaluation2011

    • Author(s)
      Reiko Nagashima, Noriko Goda, Chiaki Inoue and Hiroki Otani
    • Organizer
      10th International Family Nursing Conference
    • Place of Presentation
      国立京都国際会館
    • Related Report
      2011 Research-status Report
  • [Book] 骨盤底の衰えを防いで快適ライフ,石見の風にのせて-ぎんざんテレビ出前講座の軌跡6-2014

    • Author(s)
      長島玲子,他
    • Publisher
      島根県立大学出雲キャンパス地域連携推進委員会
    • Related Report
      2013 Final Research Report
  • [Book] 石見の風にのせて―ぎんざんテレビ出前講座の軌跡62013

    • Author(s)
      長島玲子、他22名
    • Total Pages
      207
    • Publisher
      島根県立大学出雲キャンパス地域連携推進委員会
    • Related Report
      2013 Annual Research Report
  • [Book] 「女性の健康と丈夫な骨盤底~中高年から行う尿漏れ予防」,石見の風にのせて-ぎんざんテレビ出前講座の軌跡4-2012

    • Author(s)
      長島玲子,他
    • Publisher
      島根県立大学短期大学部出雲キャンパス石見の風編集委員会
    • Related Report
      2013 Final Research Report

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Published: 2011-08-05   Modified: 2019-07-29  

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