Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2020 Dec 7;15(12):e0241962.
doi: 10.1371/journal.pone.0241962. eCollection 2020.

Effectiveness of the pelvic floor muscle training on muscular dysfunction and pregnancy specific urinary incontinence in pregnant women with gestational diabetes mellitus: A systematic review protocol

Angélica Mércia Pascon Barbosa  1 , Eusebio Mario Amador Enriquez  2 , Meline Rossetto Kron Rodrigues  3 , Caroline Baldini Prudencio  2 , Álvaro Nagib Atallah  4 , David Rafael Abreu Reyes  2 , Raghavendra Lakshmana Shetty Hallur  2 , Sthefanie Kenickel Nunes  2 , Fabiane Affonso Pinheiro  2 , Carlos Isaías Sartorão Filho  2 , Gabriela Lopes Piemonte Andrade  5 , Bary Berghmans  6 , Rob de Bie  6 , Silvana Andréa Molina Lima  7 , Marilza Vieira Cunha Rudge  2 ; Diamater Study Group
Affiliations

Effectiveness of the pelvic floor muscle training on muscular dysfunction and pregnancy specific urinary incontinence in pregnant women with gestational diabetes mellitus: A systematic review protocol

Angélica Mércia Pascon Barbosa et al. PLoS One. .

Abstract

Background: There is ample evidence that gestational diabetes mellitus has a direct influence on urinary incontinence and pelvic floor muscles. There are no standardized pelvic floor muscle exercise programs in the literature for the physiotherapy and differ in the type of exercise, intensity, type and duration of application, and the frequency and duration of treatment sessions. The aim of this systematic review will be to investigate that Pelvic Floor Muscle Training can prevent and/or decrease the pregnancy specific urinary incontinence in women with gestational diabetes mellitus or gestational hyperglycemia.

Methods: We will perform a systematic review according to the Cochrane methodology of Randomized Controlled Trials. An overall search strategy will be developed and adapted for Embase, MEDLINE, LILACS, and CENTRAL databases, with the date of consultation until June 2020. The MeSH terms used will be "Pregnancy", "Hyperglycemia", "Diabetes Mellitus, Type 2", "Diabetes Mellitus, Type 1", "Pregnancy in Diabetics", "Diabetes, Gestational", "Urinary Incontinence", "Pelvic Floor Muscle Strength". Primary outcomes: improvement or cure of pregnancy specific urinary incontinence (which can be assessed by questionnaires, and tools such as tampon test, voiding diary, urodynamic study). Secondary outcomes: improvement of pelvic floor muscle strength (pelvic floor functional assessment, perineometer, electromyography, functional ultrasonography), improved quality of life (questionnaires), presence or absence of postpartum Urinary Incontinence and adverse effects. Quality assessment by Cochrane instrument. Metanalysis if plausible, will be performed by the software Review Manager 5.3.

Discussion: The present study will be the first to analyze the effectiveness of pelvic floor exercises in pregnant women with Gestational Diabetes Mellitus or Hyperglycemia, who suffer from pregnancy specific urinary incontinence. Randomized Controlled Trials design will be chosen because they present the highest level of evidence. It is expected to obtain robust and conclusive evidence to support clinical practice, in addition to promoting studies on the theme and contributing to new studies.

Trial registration: Systematic review registration: PROSPERO CRD42017065281.

PubMed Disclaimer

Conflict of interest statement

The authors have declared that no competing interests exist.

Similar articles

See all similar articles

Cited by

References

    1. Rudge MVC, Girão MJBC, gravidez G acadêmico D e, Grupo acadêmico Aspectos clínicos moleculares e gênicos da incontinência urinária feminina. Diabete gestacional e incontinência urinária: interação entre a Ginecologia e a Obstetrícia TT—Gestational diabetes and urinary incontinence: the interaction of Gynecology and Obstetrics. Rev Bras Ginecol Obs. 2011;33(5):207–10. - PubMed
    1. Barbosa AMP, Adriano Dias GM, Calderon IMP, RudgeI MVC, Witkin S. Urinary incontinence and vaginal squeeze pressure two years post-cesarean delivery in primiparous women with previous gestational diabetes mellitus. Clinics. 2011;66(8):1341–5. 10.1590/s1807-59322011000800006 - DOI - PMC - PubMed
    1. Santos PC, Mendonça D, Alves O, Barbosa AM. [Prevalence and impact of stress urinary incontinence before and during pregnancy]. Acta Med Port. 2006;19(5):349–56. - PubMed
    1. Abrams P, Cardozo L, Fall M, Griffiths D, Rosier P, Ulmsten U, et al. The standardisation of terminology in lower urinary tract function: report from the standardisation sub-committee of the International Continence Society. Urology. 2003. January;61(1):37–49. 10.1016/s0090-4295(02)02243-4 - DOI - PubMed
    1. Woodley SJ, Lawrenson P, Boyle R, Cody JD, Mørkved S, Kernohan A, et al. Pelvic floor muscle training for preventing and treating urinary and faecal incontinence in antenatal and postnatal women. Cochrane Database Syst Rev [Internet]. 2020. May 6; Available from: http://doi.wiley.com/10.1002/14651858.CD007471.pub4 - DOI - PMC - PubMed

Publication types

MeSH terms