Urinary incontinence due to pregnancy – the impact of hormones and biofeedback therapy

1 Stadnicka G, Stodolak A, Pilewska-Kozak AB. Stress urinary incontinence after labor and satisfaction with sex life. Ginekol Pol. 2019;90(9):500-6; DOI:10.5603/GP.2019.0087. Search in Google Scholar

2 Tunn R, Baeßler K, Knüpfer S, Hampel C. Urinary incontinence and pelvic organ prolapse in women. Dtsch Arztebl Int. 2023;120(5):71-80; DOI:10.3238/arztebl.m2022.0406. Search in Google Scholar

3 Höder A, Stenbeck J, Fernando M, Lange E. Pelvic floor muscle training with biofeedback or feedback from a physiotherapist for urinary and anal incontinence after childbirth – a systematic review. BMC Womens Health. 2023;23(1):618; DOI:10.1186/s12905-023-02765-7. Search in Google Scholar

4 Vaughan CP, Markland AD. Urinary incontinence in women. Ann Intern Med. 2020;172(3):ITC17-ITC32; DOI:10.7326/AITC202002040. Search in Google Scholar

5 Trowbridge ER, Hoover EF. Evaluation and treatment of urinary incontinence in women. gastroenterology Gastroenterol Clin North Am. 2022;51(1):157-75; DOI:10.1016/j.gtc.2021.10.010. Search in Google Scholar

6 Wesnes SL, Seim E. Birthweight and urinary incontinence after childbirth: a systematic review and meta-analysis. Eur J Obstet Gynecol Reprod Biol X. 2020;8:100115; DOI:10.1016/j.eurox.2020.100115. Search in Google Scholar

7 Śnieżek A, Czechowska D, Curyło M, Głodzik J, Szymanowski P, Rojek A, Marchewka A. Physiotherapy according to the BeBo Concept as prophylaxis and treatment of urinary incontinence in women after natural childbirth. Sci Rep. 2021;11(1):18096; DOI:10.1038/s41598-021-96550-x. Search in Google Scholar

8 Moossdorff-Steinhauser HFA, Berghmans BCM, Spaanderman MEA, Bols EMJ. Prevalence, incidence and bothersomeness of urinary incontinence in pregnancy: a systematic review and meta-analysis. Int Urogynecol J. 2021;32(7):1633-52; DOI:10.1007/s00192-020-04636-3. Search in Google Scholar

9 Babini D, Lemos A. Risk factors for urinary incontinence in primiparous adolescents after vaginal delivery: a cohort study. J Pediatr Adolesc Gynecol. 2020;33(5):500-5; DOI:10.1016/j.jpag.2020.06.011. Search in Google Scholar

10 Davis NJ, Wyman JF. Managing urinary incontinence. Am J Nurs. 2020;120(2):55-60; DOI:10.1097/01.NAJ.0000654340.42201.54. Search in Google Scholar

11 Feria-Ramírez C, Gonzalez-Sanz JD, Molina-Luque R, Molina-Recio G. The effects of the Pilates Method on pelvic floor injuries during pregnancy and childbirth: a quasi-experimental Study. IJERPH. 2021;18(13):6995; DOI:10.3390/ijerph18136995. Search in Google Scholar

12 Brennen R, Frawley HC, Martin J, Haines TP. Group-based pelvic floor muscle training for all women during pregnancy is more cost-effective than postnatal training for women with urinary incontinence: cost-effectiveness analysis of a systematic review. J Physiother. 2021;67(2):105-14; DOI: 10.1016/j.jphys.2021.03.001. Search in Google Scholar

13 Vašek P, Gärtner M, Szabová O, Juráková M. Urinary incontinence during pregnancy. Ceska Gynekol. 2019;84(1):73-6. Search in Google Scholar

14 Ribeiro MM, Andrade A, Nunes I. Physical exercise in pregnancy: benefits, risks and prescription. J Perinat Med. 2021;50(1):4-17; DOI:10.1515/jpm-2021-0315. Search in Google Scholar

15 Sheng Y, Carpenter JS, Ashton-Miller JA, Miller JM. Mechanisms of pelvic floor muscle training for managing urinary incontinence in women: a scoping review. BMC Womens Health. 2022;22(1):161; DOI:10.1186/s12905-022-01742-w. Search in Google Scholar

16 Soave I, Scarani S, Mallozzi M, Nobili F, Marci R, Caserta D. Pelvic floor muscle training for prevention and treatment of urinary incontinence during pregnancy and after childbirth and its effect on urinary system and supportive structures assessed by objective measurement techniques. Arch Gynecol Obstet. 2019;299(3):609-23; DOI:10.1007/s00404-018-5036-6. Search in Google Scholar

17 Sigurdardottir T, Steingrimsdottir T, Geirsson RT, Halldorsson TI, Aspelund T, Bø K. Can postpartum pelvic floor muscle training reduce urinary and anal incontinence? Am J Obstet Gynecol. 2020;222(3):247.e1-e8; DOI:10.1016/j.ajog.2019.09.011. Search in Google Scholar

18 Von Aarburg N, Veit-Rubin N, Boulvain M, Bertuit J, Simonson C, Desseauve D. Physical activity and urinary incontinence during pregnancy and postpartum: A systematic review and meta-analysis. Physical activity and urinary incontinence during pregnancy and postpartum: a systematic review and meta-analysis. Eur J Obstet Gynecol Reprod Biol. 2021;267:262-8; DOI:10.1016/j.ejogrb.2021.11.005. Search in Google Scholar

19 Alouini S, Memic S, Couillandre A. Pelvic floor muscle training for urinary incontinence with or without biofeedback or electrostimulation in women: a systematic review. IJERPH. 2022;19(5):2789; DOI:10.3390/ijerph19052789. Search in Google Scholar

20 Diz-Teixeira P, Alonso-Calvete A, Justo-Cousiño LA, González-González Y, Cuña-Carrera ID. Update on physiotherapy in postpartum urinary incontinence. a systematic review. Arch Esp Urol. 2023;76(1):29; DOI:10.56434/j.arch.esp.urol.20237601.2. Search in Google Scholar

21 Wu X, Zheng X, Yi X, Lai P, Lan Y. Electromyographic biofeedback for stress urinary incontinence or pelvic floor dysfunction in women: a systematic review and meta-analysis. Adv Ther. 2021;38(8):4163-77; DOI:10.1007/s12325-021-01831-6. Search in Google Scholar

22 Chen L, Zhang D, Li T, Liu S, Hua J, Cai W. Effect of a mobile app-based urinary incontinence self-management intervention among pregnant women in China: pragmatic randomized controlled trial. J Med Internet Res. 2023;25:e43528; DOI:10.2196/43528. Search in Google Scholar

23 Lazarchuk I., Barzak B., Wozniak S. Pelvic floor muscle morphology and its impact on urinary incontinence and faecal incontinence. Med J Cell Biol. 2022;10(4):118-23; DOI:10.2478/acb-2022-0018. Search in Google Scholar

24 Hertelendy F, Zakar T. Regulation of myometrial smooth muscle functions. CPD. 2004;10(20):2499-517; DOI:10.2174/1381612043383926. Search in Google Scholar

25 Georgescu T. The role of maternal hormones in regulating autonomic functions during pregnancy. J Neuroendocrinol. 2023;35(12): e13348; DOI:10.1111/jne.13348. Search in Google Scholar

26 Høj PH, Møller-Sørensen J, Wissing AL, Alatraktchi FA. Electrochemical biosensors for monitoring of selected pregnancy hormones during the first trimester: a systematic review. Talanta. 2023;258:124396; DOI:10.1016/j.talanta.2023.124396. Search in Google Scholar

27 Coomarasamy A, Harb HM, Devall AJ, Cheed V, Roberts TE, Goranitis I, Ogwulu CB, Williams HM, Gallos ID, Eapen A, Daniels JP, Ahmed A, Bender- Atik R, Bhatia K, Bottomley C, Brewin J, Choudhary M, Crosfill F, Deb S, Duncan WC, Ewer A, Hinshaw K, Holland T, Izzat F, Johns J, Lumsden M, Manda P, Norman JE, Nunes N, Overton CE, Kriedt K, Quenby S, Rao S, Ross J, Shahid A, Underwood M, Vaithilingham N, Watkins L, Wykes C, Horne AW, Jurkovic D, Middleton LJ. Progesterone to prevent miscarriage in women with early pregnancy bleeding: the PRISM RCT. Health Technol Assess. 2020;24(33):1-70; DOI:10.3310/hta24330. Search in Google Scholar

28 Cable JK, Grider MH. Physiology, progesterone [Internet]. Treasure Island (FL): StatPearls Publishing. 2023 [cited 2024 Aug 12]. 7 p. Available from: https://pubmed.ncbi.nlm.nih.gov/32644386/. Search in Google Scholar

29 Kumar P. Magon N. Hormones in pregnancy. Niger Med J. 2012;53(4):179; DOI:10.4103/0300-1652.107549. Search in Google Scholar

30 Cope D, Monsivais D. Progesterone receptor signaling in the uterus is essential for pregnancy success. Cells. 2022;11(9):1474; DOI:10.3390/cells11091474. Search in Google Scholar

31 Xie N, Liu L, Li Y, Yu C, Lam S, Shynlova O, Gleave M, Challis JRG, Lye S, Dong X. Expression and function of myometrial PSF suggest a role in progesterone withdrawal and the initiation of labor. Mol Endocrinol. 2012;26(8):1370-9; DOI:10.1210/me.2012-1088. Search in Google Scholar

32 Bai J, Qi Q, Li Y, Day R, Makhoul J, Magness RR, Chen D. Estrogen receptors and estrogen-induced uterine vasodilation in pregnancy. IJMS. 2020;21(12):4349; DOI:10.3390/ijms21124349. Search in Google Scholar

33 Husslein P. Die Bedeutung von Oxytocin und Prostaglandinen für den Geburtsmechanismus beim Menschen. Wien Klin Wochenschr Suppl. 1984;155:1-32. Search in Google Scholar

34 Vannuccini S, Bocchi C, Severi FM, Challis JR, Petraglia F. Endocrinology of human parturition. Ann Endocrinol. 2016;77(2):105-13; DOI:10.1016/j.ando.2016.04.025. Search in Google Scholar

35 Yu K, Huang Z, Xu X, Li J, Fu X, Deng S. Estrogen receptor function: impact on the human endometrium. Front Endocrinol. 2022;13: 827724; DOI:10.3389/fendo.2022.827724. Search in Google Scholar

36 Walter MH, Abele H, Plappert CF. The Role of oxytocin and the effect of stress during childbirth: neurobiological basics and implications for mother and child. Front Endocrinol. 2021;12:742236; DOI:10.3389/fendo.2021.742236. Search in Google Scholar

37 Liu N, Yang H, Han L, Ma M. Oxytocin in women’s health and disease. Front Endocrinol. 2022;13:786271; DOI:10.3389/fendo.2022.786271. Search in Google Scholar

38 Hermesch AC, Kernberg AS, Layoun VR, Caughey AB. Oxytocin: physiology, pharmacology, and clinical application for labor management. Am J Obstet Gynecol. 2024;230(3):S729-39; DOI:10.1016/j.ajog.2023.06.041. Search in Google Scholar

39 Giggins OM, Persson U, Caulfield B. Biofeedback in rehabilitation. J Neuroeng Rehabil. 2013;10(1):60; DOI:10.1186/1743-0003-10-60. Search in Google Scholar

40 Hite M, Curran T. Biofeedback for pelvic floor disorders. Clin Colon Rectal Surg. 2020;34(01):056-61; DOI:10.1055/s-0040-1714287. Search in Google Scholar

41 Wagner B, Steiner M, Huber DFX, Crevenna R. The effect of biofeedback interventions on pain, overall symptoms, quality of life and physiological parameters in patients with pelvic pain. Wien Klin Wochenschr. 2021;134(S1):11-48; DOI:10.1007/s00508-021-01827-w. Search in Google Scholar

42 Narayanan SP, Bharucha AE. A Practical guide to biofeedback therapy for pelvic floor disorders. Curr Gastroenterol Rep. 2019;21(5):21; DOI:10.1007/s11894-019-0688-3. Search in Google Scholar

43 Leonardo K, Seno DH, Mirza H, Afriansyah A. Biofeedback‐assisted pelvic floor muscle training and pelvic electrical stimulation in women with overactive bladder: a systematic review and meta‐analysis of randomized controlled trials. Neurourol Urodyn. 2022;41(6):1258-69; DOI:10.1002/nau.24984. Search in Google Scholar

44 Oleksy Ł, Mika A, Kielnar R, Grzegorczyk J, Marchewka A. Zastosowanie przezbrzusznego badania ultrasonograficznego w ocenie mięśni dna miednicy w fizjoterapii. Acta BioOpt. Inform Med. Biomed. Enginer. 2017;23(4):270-277. Search in Google Scholar

45 Wang X, Sun Z, Xu T, Fan G. Efficacy of supervised pelvic floor muscle training with a home-based biofeedback device for urinary incontinence in postpartum women: protocol for a multicentre randomised controlled trial. BMJ Open. 2023;13(4):e069874; DOI:10.1136/bmjopen-2022-069874. Search in Google Scholar

46 Kuo YL, Lin KY, Wu MH, Wu CH, Tsai YJ. Transabdominal ultrasonography- guided biofeedback training for pelvic floor muscles integrated with stabilization exercise improved pregnancy-related pelvic girdle pain and disability: a randomized controlled trial. Physiotherapy. 2024;124:106-15; DOI:10.1016/j.physio.2024.01.005. Search in Google Scholar

47 Hagen S, Elders A, Stratton S, Sergenson N, Bugge C, Dean S, Hay-Smith J, Kilonzo M, Dimitrova M, Abdel-Fattah M, Agur W, Booth J, Glazener C, Guerrero K, McDonald A, Norrie J, Williams LR, McClurg D. Effectiveness of pelvic floor muscle training with and without electromyographic biofeedback for urinary incontinence in women: multicentre randomised controlled trial. BMJ. 2020;371:m3719; DOI:10.1136/bmj.m3719. Search in Google Scholar

48 Hirakawa T, Suzuki S, Kato K, Gotoh M, Yoshikawa Y. Randomized controlled trial of pelvic floor muscle training with or without biofeedback for urinary incontinence. Int Urogynecol J. 2013;24(8):1347-54; DOI:10.1007/s00192-012-2012-8. Search in Google Scholar

49 Fitz FF, Stüpp L, Costa TF, Bortolini MAT, Girão MJBC, Castro RA. Outpatient biofeedback in addition to home pelvic floor muscle training for stress urinary incontinence: a randomized controlled trial. Neurourol Urodyn. 2017;36(8):2034-43; DOI:10.1002/nau.23226. Search in Google Scholar

50 Özlü A, Yıldız N, Öztekin Ö. Comparison of the efficacy of perineal and intravaginal biofeedback assisted pelvic floor muscle exercises in women with urodynamic stress urinary incontinence. Neurourol Urodyn. 2017;36(8):2132-41; DOI:10.1002/nau.23257. Search in Google Scholar

51 Sahin N, Yesil H, Gorcan B. The effect of pelvic floor exercises performed with EMG biofeedback or a vaginal cone on incontinence severity, pelvic floor muscle strength, and quality of life in women with stress urinary incontinence: a randomized, 6-month follow-up study. Int Urogynecol J. 2022;33(10):2773-9; DOI:10.1007/s00192-021-05006-3. Search in Google Scholar