AbstractAim: to evaluate the evidence available in literature on interventions to prevent urinary incontinence in pregnant women during prenatal care. Method: an integrative literature review (RI) conducted in October 2014 using the LILACS, MEDLINE, CINAHL, and Cochrane databases. Eleven articles were included in the sample. Results: All of the articles were published in English; seven of them were identified in the PubMed database, and four in Cochrane. Most of this work used cognitive and behavioral interventions, with the training of the musculature of the pelvic floor as a main treatment for preventing and treating urinary incontinence during pregnancy. Conclusion: the results can work jointly to improve the care of women during pregnancy and childbirth.
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Sangsawang B, Serisathien Y. Effect of pelvic floor muscle exercise programme on stress urinary incontinence among pregnant women. J Adv Nurs. 2012, Sep; 68(9):1997-2007. [Included in the review]
Morkved S, Bo K, Schei B, Salvesen KA. Pelvic floor muscle training during pregnancy to prevent urinary incontinence: a single-blind randomized controlled trial. Obstet Gynecol. 2003, Feb; 101(2):313-9. [Included in the review]
Butterfield YC, O’Connell B, Phillips D. Peripartum urinary incontinence: A study of midwives’ knowledge and practices. Women and Birth 2007; 20(2): 65-9. [Included in the review]
Reilly ETC, Freeman RM, Waterfield MR, Waterfield AE, Steggles P, Pedlar F. Prevention of postpartum stress incontinence in primigravidae with increased bladder neck mobility: a randomised controlled trial of antenatal pelvic floor exercises. BJOG 2002, Jan; 109(1):68-76. [Included in the review]
Low LK, Miller JM, Guo Y, Ashton-Miller JA, DeLancey JO, Sampselle CM. Spontaneous pushing to prevent postpartum urinary incontinence: a randomized, controlled trial. Int Urogynecol J. 2013, Mar; 24(3):453-60. [Included in the review]
Agur WI, Steggles P, Waterfield M, Freeman RM. The long-term effectiveness of antenatal pelvic floor muscle training: eight-year follow up of a randomised controlled trial. BJOG 2008, Jul; 115(8):985-90.
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Dietz HP, Eldridge A, Grace M, Clarke B. Does pregnancy affect pelvic organ mobility? Aust N Z Obstet Gynaecol. 2004; 6(44):517-20.
Sampselle CM, Miller JM, Mims BL, Delancey JO, Asthon-Miller JA. Effect of pelvic muscle exercise on transient incontinence during pregnancy and after birth. Obstet Gynecol. 1998; 91(3):406-12.
Reilly ETC, Freeman RM, Walterfield MR, Walterfield AE, Stegles P, Pedlar F. Prevention of postpartum stress incontinence in primigravidae with increased bladder neck mobility: a randomised controlled trial of antenatal pelvic floor exercises. BJOG 2012; 109(1):68–76.