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Perform PFMT Antepartum?
Podcast family, as we have said on many previous occasions, we get episode suggestions from either real-world patient encounters, from things that are hot in press, and/or from podcasts family member suggestions. Recently, one of our podcast family members asked me about the utility of performing pelvic floor muscle therapy (PFMT) antepartum. Is this evidence-based? Does performing PFMT help with postpartum urinary incontinence? Not all PFMTs are kegel exercises! In this episode, we will review peripartum urinary incontinence and answer the question, “Is there value in teaching antepartum PFMT?”. We will summarize key concepts from the Oct 2025 Narrative Review on this subject from the Green Journal (Obstet Gynecol).
1. Siddique, Moiuri MD, MPH; Hickman, Lisa MD; Giugale, Lauren MD. Peripartum Urinary Incontinence and Overactive Bladder. Obstetrics & Gynecology 146(4):p 466-472, October 2025. | DOI: 10.1097/AOG.0000000000005993
2. Woodley SJ, Lawrenson P, Boyle R, et al. Pelvic Floor Muscle Training for Preventing and Treating Urinary and Faecal Incontinence in Antenatal and Postnatal Women.
The Cochrane Database of Systematic Reviews. 2020;5:CD007471. doi:10.1002/14651858.CD007471.pub4.
3. Pelvic Floor Muscle Training to Prevent and Treat Urinary and Fecal Incontinence in Antenatal and Postnatal Patients. American Academy of Family Physicians (2021). Practice Guideline
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Published on 2 months, 2 weeks ago