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\begin{document}

\title{The Effect of Pregnancy Pilates Assisted Childbirth Preparation Training
on Urinary Incontinence and Birth Outcomes: A Randomized Controlled
Study}



\author[1]{Gonca BURAN}%
\author[1]{* 2. Serap Erim AVCI}%
\affil[1]{Bursa Uludag Universitesi}%


\vspace{-1em}



  
  \date{May 22, 2024}


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\begin{abstract}
\textbf{Objective} To examine the effect of pregnancy pilates-assisted
birth preparation training on urinary incontinence UI including during
pregnancy, and the postpartum period and birth outcomes. \textbf{Design}
The randomized controlled experimental study \textbf{Setting} Gynecology
and Pregnancy Education Counseling Center \textbf{Population}
Nulliparous pregnant women (n=126) at 28-30 weeks of gestation
\textbf{Method} The was carried out between March and August 2022.
Participants were divided into two groups by a simple random sampling
method. Intervention was applied twice in a week, a total of eight weeks
to pilates group. The control group was given routine obstetric and
pregnancy care. A personal data form and the M-ISI were used as data
collection tools. The data obtained were analyzed using the program SPSS
20. \textbf{Main outcome measures} A moderate-intensity prenatal pilates
exercise program reduces the severity of UI symptoms during pregnancy
and the early postpartum period. \textbf{Results} The mean weight gains
of women who participated to the experimental group during pregnancy was
significantly lower than the control group. While 80.6\% of women who
received pilates-assisted childbirth preparation training gave birth
vaginally, this rate in the control group was 54.2\%. The duration of
labor mean score of pilates group was five hours and 43 minutes less
than the duration of labor of the control group. After intervention, and
postpartum period, the SUI severity of the experimental group was
significantly lower than that of the control group. \textbf{Conclusion}
Pilates-assisted childbirth preparation training reduced the severity of
UI symptoms during pregnancy and the early postpartum. In addition, the
decrease in weight gain during pregnancy and the increase in the vaginal
birth rate contributed to the shortening of the duration of labor.%
\end{abstract}%



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