Background
The awareness and practice of pelvic floor muscle exercise (PFME) in the prevention and reduction of the rate of urinary incontinence among pregnant women was considerably poor, despite the increased prevalence of urinary incontinence during pregnancy across Malaysia. There healthcare providers do not give adequate attention to the potential impact of PFME on urinary incontinence and there is limited local intervention addressed urinary incontinence during pregnancy. The objective of this study was to determine the effectiveness of a newly developed PFME intervention in terms of knowledge, attitude, practice, self-efficacy, and urinary symptoms.
Methods
A single-blinded, two-armed, randomized control trial was included pregnant women from 18 to 20 weeks of gestation and was conducted at the Maternity Hospital of Kuala Lumpur. The intervention group received PFME in addition to the usual perinatal care. The data were collected using validated questionnaires at 4 time points: baseline, post-intervention in the early third trimester, late third trimester, and early postnatal period. The intervention effects were analyzed using a generalized estimating equation.
Results
The primary analysis included pregnant women who had at least one follow-up; 122 women (71.8%) in the intervention group had significant improvement in knowledge, attitude, practice, and self-efficacy, as well as in the severity of urinary incontinence over time. However, improvement was not observed in self-reported urinary incontinence.
Conclusion
PFME can be considered an effective initial intervention to provide information about urinary incontinence prevention to pregnant women.

Citations

• Barriers and facilitators to pelvic floor muscle exercises among postpartum women: A meta-synthesis based on the capability, opportunity, motivation, and behavior (COM-B) model
  Zhouli Gui, Yingni Liang, Yiqin Huang, Qingyan Gu, Qian Li, Xixian Li, Ruotong Liu, Li OuYang, Hongwu Liao
  Midwifery.2026; 153: 104695.     CrossRef
• Pelvic floor exercise: Awareness, knowledge, beliefs and practices among pregnant women in a Ghanaian setting
  Yaa Abrafi Ankomah, Bright Anneh Awaitey, Moses Monday Omoniyi, Benjamin Asamoah, Obed Kwame Numadzi, Kwofie Robert Amoah, Joel Innocent Goli, Sunita Panda
  PLOS One.2026; 21(4): e0347199.     CrossRef
• Effects of Pelvic Floor Muscle Training in Pregnant and Postpartum Women: A Systematic Review
  Shiyu Jin, Haneul Lee
  International Urogynecology Journal.2026;[Epub]     CrossRef
• Prenatal Exercise Decreases Urinary Incontinence in Late Pregnancy and 3 Months Postpartum: A Randomized Controlled Trial
  DINGFENG ZHANG, MIGUEL SÁNCHEZ-POLÁN, CRISTINA SILVA-JOSE, ÁNGELES DÍAZ-BLANCO, MAIA BRIK, ARANZAZU MARTÍN ARIAS, PALOMA HERNANDO, RUBÉN BARAKAT
  Medicine & Science in Sports & Exercise.2025; 57(3): 555.     CrossRef
• Effect of lattice CO2 laser combined with Kegel exercise mild moderate stress urinary incontinence and postpartum depression anxiety
  Zhao-Xia Lou, Shu-Ying Huang, Ze-Qiu Wan, Yun Chen, Hua-Ying Shan, Ling-Yan Wang
  World Journal of Psychiatry.2025;[Epub]     CrossRef
• Compliance and Adherence to Pelvic Floor Exercise Therapy in People with Pelvic Floor Disorders: A Systematic Review and Meta-Analysis
  Inmaculada Villa-Del-Pino, José-Jesús Jiménez-Rejano, Manuel Rebollo-Salas, Álvaro-José Rodríguez-Domínguez, Carmen-María Suárez-Serrano
  Life.2025; 15(4): 613.     CrossRef
• A Scoping Review of Quantitative Assessments of Women’s Bladder Health Knowledge, Attitudes, and Beliefs
  D. Yvette LaCoursiere, Shayna D. Cunningham, Camille P. Vaughan, Lisa Kane Low, Haitao Chu, Alayne D. Markland, Diane K. Newman, Sheila Gahagan, Jean F. Wyman
  Journal of Women's Health.2025; 34(9): 1099.     CrossRef
• Influence of pelvic floor muscle training alone or as part of a general physical activity program during pregnancy on urinary incontinence, episiotomy and third‐ or fourth‐degree perineal tear: Systematic review and meta‐analysis of randomized clinical tr
  Dingfeng Zhang, Kari Bo, Rocío Montejo, Miguel Sánchez‐Polán, Cristina Silva‐José, Montse Palacio, Rubén Barakat
  Acta Obstetricia et Gynecologica Scandinavica.2024; 103(6): 1015.     CrossRef
• Knowledge, attitudes, and practices of pelvic floor muscle exercises among pregnant women visiting public hospitals
  Javeria Saeed, Laiba Abdullah
  Journal of Basic & Clinical Medical Sciences.2023; 1: 12.     CrossRef
• Preliminary Findings on Urinary Incontinence Screening Among Childbearing Women Attending Maternal and Child Health Clinic in Kuantan
  Siti Mariam Muda, Umi Maisarah Sutaji, Muzaitul Akma Mustapa Kamal Basha, Haliza Hasan, Zalina Nusee
  Malaysian Journal of Medicine and Health Sciences.2022; 18(s19): 142.     CrossRef
• Effects of exercises for strengthening pelvic floor muscles in pregnant women
  Ranka Ogurlić, Anka Vukićević, Ljiljana Stijepović
  Medicinski casopis.2022; 56(4): 107.     CrossRef