Background
Pelvic floor muscle exercise is effective for pelvic floor muscle dysfunction. Despite the high prevalence of pelvic floor muscle dysfunction in women in the community, pelvic floor muscle exercise recognition is low in Malaysian society; thus, this intervention is not frequently used . This study assessed the knowledge of, attitudes towards, and use of pelvic floor muscle exercise among antenatal women before and after educational classes. The study also determined factors associated with exercise practice.
Methods
An interventional study was conducted in 121 antenatal women selected through systematic random sampling between June and December 2010. Baseline knowledge of, attitude towards, and practice of pelvic floor muscle exercise were assessed using self-administered validated questionnaires at first visit and at 2 months postpartum. All participants attended two exercise education classes on their next two visits before delivery. A paired ttest and multivariate analysis were used for data evaluation.
Results
The mean pre-intervention scores for knowledge, attitudes, and practice were 24.98, 24.25, and 3.51, respectively, with statistically significant mean score increments after intervention (P<0.001). The mean differences were 4.67 (95% confidence interval [CI], 3.86–5.49), 3.77 (95% CI, 3.05–4.50) and 3.45 (95% CI, 2.90–4.00) for knowledge, attitudes, and practice, respectively. Lack of baseline information on pelvic floor muscle exercise was significantly associated with practice change following an educational class.
Conclusion
Education is effective in improving knowledge of, attitude towards, and practice of pelvic floor muscle exercise. There is a need for greater effort to increase exercise awareness in our community, especially during antenatal class.

Citations

• Effectiveness of the pelvic floor awareness education program in rural women
  Zehra Korkut, İsmail Özsoy, Mehmet Kaan Altunok, Yasemin Gedikli
  Türkiye Halk Sağlığı Dergisi.2026;[Epub]     CrossRef
• Empowering women, strengthening support: a quality improvement project to enhance pelvic floor health awareness
  Rachel Phoy Cheng Chun, Wan Lin Goh, Khaing Mon Nanda Kyaw Isabella, Jason Shau Khng Lim
  BMJ Open Quality.2026; 15(2): e003940.     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
• Pelvic floor muscle exercise practice and its determinants among postpartum women in Central Ethiopia: as a strategy for preventing pelvic floor disorders
  Mebratu Demissie Senbeta, Aberash Beyene Derribow, Aynalem Belay, Ayana Benti Terefe, Mangistu Abera
  Scientific Reports.2025;[Epub]     CrossRef
• Epidemiological Profile and Attitudes of Pregnant Women Toward Urinary Incontinence: A Single-Center Cross-Sectional Study
  Andy-Müller Nzinga Luzolo, Elie Dilu Mabiala, Inès Bilo Mbaki, Patient Ngereza Kibimbi, Nene Bope Matshinga, Ra-Shin Kasonga
  International Urogynecology Journal.2024; 35(3): 521.     CrossRef
• Attitude and concerns on antenatal pelvic floor exercises among pregnant women in Ibadan, Nigeria
  Oluwatimilehin Azeezat Yusuf, Olatunji Okikiola Lawal, Gbolahan Oladele Obajimi, Kelechukwu Peter Ughagwu, Iseoluwa Philip Owoeye, Boluwaduro Ogooluwa Alebiosu, Victoria Oyindamola Moradeyo, David Oluwasayo Babalola, Offorbuike Chiamaka Bianca, Yusuf Olat
  Journal of West African College of Surgeons.2024; 14(3): 295.     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
• Pelvic Floor Disorders and Pelvic Floor Muscle Exercise: A Survey on Knowledge, Attitude, and Practice among Pregnant Women in Northwest Ethiopia
  Merete Kolberg Tennfjord, Belayneh Ayanaw Kassie, Zelalem Mengistu Gashaw, Mengstu Melkamu Asaye, Haymanot Alem Muche, Tibebu Tadesse Fenta, Kalkidan Nigussie Chala, Karolina S. Mæland
  International Journal of Environmental Research and Public Health.2023; 20(5): 4201.     CrossRef
• Hemşire ve Ebelerin Kadınlara Pelvik Kas Egzersizi Öğretimine Yönelik Uygulamaları
  Cansu KARADENİZ BENLİ, Nedime Gül DOĞAN ÖZDEMİR, Özen KULAKAÇ
  Samsun Sağlık Bilimleri Dergisi.2023; 8(1): 157.     CrossRef
• Knowledge, attitudes, and practice of pelvic floor dysfunction and pelvic floor ultrasound among women of childbearing age in Sichuan, China
  Xiaoli Wu, Xiaohong Yi, Xiu Zheng, Zeling Chen, Junxi Liu, Xiong Dai
  Frontiers in Public Health.2023;[Epub]     CrossRef
• Knowledge, attitude and practice towards pelvic floor muscle training among childbearing women
  Nur Fairuz Mohd Fauzey, Siti Mariam Muda, Haliza Hasan, Zalina Nusee, Muzaitul Akma Mustapa Kamal Basha
  Archivio Italiano di Urologia e Andrologia.2023;[Epub]     CrossRef
• Effectiveness of a Pelvic Floor Muscle Exercise Intervention in Improving Knowledge, Attitude, Practice, and Self-Efficacy among Pregnant Women: A Randomized Controlled Trial
  Parwathi Alagirisamy, Sherina Mohd Sidik, Lekhraj Rampal, Siti Irma Fadhilah Ismail
  Korean Journal of Family Medicine.2022; 43(1): 42.     CrossRef
• Troubles pelvipérinéaux de la période périnatale : état des connaissances des femmes, une revue systématique
  M. Charrié, S. Billecocq
  Progrès en Urologie.2021; 31(4): 204.     CrossRef
• Importance of a pelvic floor lifestyle program in women with pelvic floor dysfunctions: A pilot study
  Véronique Blanchard, Krystel Nyangoh-Timoh, Xavier Fritel, Arnaud Fauconnier, Anne-Cécile Pizzoferrato
  Journal of Gynecology Obstetrics and Human Reproduction.2021; 50(4): 102032.     CrossRef
• KEPT-app trial: a pragmatic, single-blind, parallel, cluster-randomised effectiveness study of pelvic floor muscle training among incontinent pregnant women: study protocol
  Sherina Mohd Sidik, Aida Jaffar, Chai Nien Foo, Noor Azimah Muhammad, Rosliza Abdul Manaf, Siti Irma Fadhilah Ismail, Parwathi Alagirisamy, Amalina Farhi Ahmad Fazlah, Zailiza Suli, Felicity Goodyear-Smith
  BMJ Open.2021; 11(1): e039076.     CrossRef
• Association of Knowledge and Presence of Pelvic Floor Disorders and Participation in Pelvic Floor Exercises: A Cross-sectional Study
  Sophia Delpe Goodridge, Leah P. Chisholm, Jessica Heft, Siobhan Hartigan, Melissa Kaufman, Roger R. Dmochowski, Thomas Stewart, William Stuart Reynolds
  Female Pelvic Medicine & Reconstructive Surgery.2021; 27(5): 310.     CrossRef
• GEBE KADINLARIN PELVİK TABAN KAS EGZERSİZLERİ HAKKINDA BİLGİ VE İNANÇLARI
  Hatice KAHYAOĞLU SÜT, Burcu KÜÇÜKKAYA
  Samsun Sağlık Bilimleri Dergisi.2021; 6(3): 525.     CrossRef
• Pelvic floor muscle training programme in pregnant Nepalese women—a feasibility study
  Ranjeeta Shijagurumayum Acharya, Anne Therese Tveter, Margreth Grotle, Bimika Khadgi, Ingeborg Hoff Braekken, Britt Stuge
  International Urogynecology Journal.2020; 31(8): 1609.     CrossRef
• Urinary incontinence and its association with pelvic floor muscle exercise among pregnant women attending a primary care clinic in Selangor, Malaysia
  Aida Jaffar, Sherina Mohd-Sidik, Foo Chai Nien, Gan Quan Fu, Nor Hazlin Talib, Peter F.W.M. Rosier
  PLOS ONE.2020; 15(7): e0236140.     CrossRef