USNews.com: Health: In Brief: Pregnancy, Infertility, and Infants: Kegel exercises

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Saturday, August 30, 2008

Kegel exercises

Strong pelvic muscles may make labor easier

By Helen Fields

9/23/04

Pregnant women often do Kegel exercises to strengthen their pelvic floor muscles and to help prevent incontinence. But some people think that having strong pelvic muscles makes labor harder. A group of researchers in Trondheim, Norway, looked at women who had exercised.

What the researchers wanted to know: Does training the pelvic floor muscles have any effect on labor?

What they did: The study was conducted mainly to find out whether the exercises would prevent urinary incontinence—which they did. About 150 women trained with a physical therapist for an hour a week between the 20th and 36th week of pregnancy, and about as many women acted as a control group but were allowed to do pelvic-floor muscle exercises on their own if they wanted.

What they found: Women who'd done the training were less likely to have to actively push for more than an hour—what the researchers defined as "prolonged second-stage labor."

What the study means to you: Doing Kegel exercises helps prevent incontinence and might make your labor just the tiniest bit easier.

Caveats: The researchers didn't find a significant difference in the actual length of the second stage of labor.

Find out more: This page from the National Institute of Diabetes and Digestive and Kidney Diseases explains how to do the exercises. The diagrams are graphic, so consider yourself forewarned: http://kidney.niddk.nih.gov

Read the article: Salvesen, K.A. and S. Morkved. "Randomized Controlled Trial of Pelvic Floor Muscle Training During Pregnancy." British Medical Journal. Aug. 14, 2004, Vol. 329, pp. 378–380.

Article online: http://bmj.bmjjournals.com

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