Implementation of Kegel Exercises for Pregnant Women with Urinary Incontinence in the Third Trimester at Kahuripan Public Health Center, Tasikmalaya

Etty Komariah Sambas; Enok Nurliawati; Talitha Agripina Salsabilla; Aneng Yuningsih

doi:10.56359/kian.v4i1.613

Authors

Etty Komariah Sambas Univesitas Bakti Tunas Husada
Enok Nurliawati Universitas Bakti Tunas Husada
Talitha Agripina Salsabilla Universitas Bakti Tunas Husada
Aneng Yuningsih Universitas Bakti Tunas Husada

DOI:

https://doi.org/10.56359/kian.v4i1.613

Keywords:

Urinary Incontinence, Third Trimester Pregnancy, Kegel Exercises, Urination Problems, Quality of Life of Pregnant Women

Abstract

Introduction: Third trimester pregnancy is often accompanied by physical discomfort such as urinary incontinence, which affects the quality of life of pregnant women. Kegel exercises are one of the exercises that can help overcome this problem by strengthening the pelvic floor muscles and bladder sphincter. This study aims to determine the effect of Kegel exercises on urinary incontinence in third trimester pregnant women in the working area of Kahuripan Community Health Center, Tasikmalaya City.

Objective: This study aimed to determine the response of changes in third trimester pregnant women who experience urinary incontinence after implementing Kegel exercises for three consecutive days.

Methods: This study used a case study design with two pregnant women in their third trimester experiencing urinary incontinence. Data were collected through interviews, physical examinations, and observations before and after the Kegel exercise intervention. Kegel exercises were performed three times a day for three consecutive days. Data were analyzed descriptively by measuring changes in urinary frequency, nocturia, enuresis, and bladder distension.

Results: Before the intervention, both subjects experienced an increase in urinary frequency, nocturia, enuresis, and bladder distension. After three days of Kegel exercises, there was a significant decrease in all these parameters, with increased control of the pelvic floor muscles and bladder sphincter.

Conclusion: Regular Kegel exercises can effectively reduce urinary incontinence in pregnant women in the third trimester. This intervention can improve the quality of life of pregnant women by improving urinary frequency, nocturia, enuresis, and bladder distension. It is recommended that pregnant women independently perform Kegel exercises as a preventative and treatment measure for urinary incontinence during pregnancy.

Downloads

Download data is not yet available.

References

Amalia, R., Ulfa, S. M., Hikmah, N., & Azizah, N. (2022). Health education on third-trimester pregnancy discomforts and how to manage them. Malahayati Silver Journal, 4(2), 109–117. https://doi.org/10.33024/jpm.v4i2.8470

Astuti, D., & Kulsum, U. (2018). Diet and gestational age in the third trimester of pregnancy with anemia in pregnant women. Indonesian Journal of Midwifery, 2(1), 24. https://doi.org/10.26751/ijb.v2i1.448

Aziz, I. M., Nurapandi, A., Firmansyah, A., & Setiawan, H. (2022). Murottal Quran Therapy Intervention to Reduce Anxiety Level of Asthma Client. KIAN JOURNAL, 1(1), 27-33.

Devitasari, R. (2021). The effect of bladder training therapy on restoring normal urination patterns. Journal of Midwifery, 1–23.

Galaupa, R., Fadilah, A. N., Karimah, I., Hernawati, L., & Wahyuningsih, T. (2022). Prenatal Exercise Pocket Book. NEM Publisher.

Jaffar, A., Muhammad, N. A., Sidik, S. M., Admodisastro, N., Manaf, R. A., Foo, C. N., & Suhaili, N. (2022). Feasibility and usability of Kegel exercise pregnancy training app (KEPT app) among pregnant women with urinary incontinence. International Journal of Environmental Research and Public Health, 19(6), 1–13. https://doi.org/10.3390/ijerph19063574

Lestari, R. P., Jauhar, M., Keperawatan, J., Kemenkes, P., Keperawatan, J., Kesehatan, F. I., Kudus, U. M., & History, A. (2021). Kegel exercises are effective in reducing urinary frequency. Literature Review, 1, 29–38.

Pangestu, F., Oktavioanty, J., & Merry. (2023). The effect of Kegel exercises on urination frequency in third-trimester pregnant women in the Sebawi Community Health Center, Sambas Regency. Equatorial Midwifery Journal, 9, 87–91.

Rahardjo, H. E. (2018). Guidelines for the management of urinary incontinence in adults. Indonesian Continence Association (PERKINA), 1–80.

Rahmawati, I., & Putri, R. L. (2018). The effect of Kegel exercises on the level of urinary incontinence in postpartum women. IJOHNS, 3(2), 66–74.

Selvianti, D. (2019). Physiology of pregnancy, childbirth, postpartum and newborn. Textbook Module, 1–7. http://repository.stikessaptabakti.ac.id/160/1/modul%20Fisiologi%20Kehamilan%2C%20lin%2C%20fa%2C%20BBL-converted.pdf

Shir, H. L. (2022). Antenatal pelvic floor education: A review of the midwifery role in promoting pelvic floor health. Bethel University, 1–10.

Sikoway, S., Mewo, Y., & Assa, Y. (2020). Description of hemoglobin levels in pregnant women in the third trimester at Robert Wolter Mongisidi Hospital, Manado. Medical Scope Journal, 1(2), 1–8. https://doi.org/10.35790/msj.1.2.2020.28004

Suminar, E., & Islamiyah, L. (2020). The relationship between parity and the incidence of stress urinary incontinence in women aged 40-45 years. Indonesian Journal Of Professional Nursing, 1(1), 25–32. https://doi.org/10.30587/ijpn.v1i1.2017

Wang, X., Jin, Y., Xu, P., & Feng, S. (2022). Urinary incontinence in pregnant women and its impact on health-related quality of life. Health and Quality of Life Outcomes, 1–8. https://doi.org/10.1186/s12955-022-01920-2

Yulia, F. E. (2019). The effect of Kegel exercises on wound healing in postpartum mothers. Sai Betik Scientific Journal of Nursing, 15(2), 179–184.

Ziya, H., & Putri Damayanti, I. (2021). Kegel exercises to reduce frequent urination in the third trimester of pregnancy. Latest Obstetrics Journal (Current Midwifery Journal), 1(2), 119–125. https://doi.org/10.25311/jkt/vol1.iss2.603