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Factors affecting women's adherence with pelvic floor muscle exercises in a first pregnancy: a qualitative interview study
Cooper, H.E. Carus, Catherine
Cooper, H.E.
Carus, Catherine
Publication Date
2015-08
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© 2015 POPG. Reproduced with the permission of the publisher and in accordance with their self-archiving policy.
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Abstract
Evidence-based national guidelines recommend that women practise pelvic floor
muscle exercises (PFMEs) during their first pregnancy in order to reduce the
likelihood of becoming incontinent of urine. Adherence to these exercises during
pregnancy is low, although little is known about the factors that influence some
women to exercise during pregnancy while others do not. The aim of this study
was to increase understanding of the motivating factors for, and barriers to,
performing PFMEs during a first pregnancy using data gathered from four
qualitative interviews. Analysis of the interview transcripts revealed four relevant
themes: knowledge and understanding; experience of incontinence; attitude to
incontinence; and cues to exercise. Having adequate knowledge of the PFMEs and
the benefits of these exercises, knowing an incontinent woman of the same age and
believing that the PFMEs would prevent incontinence, and having a regular cue to
exercise prompted exercise adherence. Recommendations are made for practice
and further research.
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Published version
Citation
Cooper HE and Carus C (2015) Factors affecting women’s adherence with pelvic floor
muscle exercises in a first pregnancy: a qualitative interview study. Journal of Pelvic, Obstetric and Gynaecological Physiotherapy, 117: 29-34.
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Article