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Urinary IncontinenceNCT07104292

Pelvic Floor Muscle Training During Pregnancy

A study testing PFMT in people with Urinary Incontinence and Anal Incontinence, run by University of Southern Denmark at 1 site in Denmark.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
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Trial summary

The project seeks to investigate effectiveness of PFMT during pregnancy. Read more about this study

Who is it for?
Ages 18 years and older, women onlyHealthy volunteers can take part
What is being tested?
PFMT
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
804 participants
Where
1 siteDenmark
Study dates
27 Oct 2025to 1 Aug 2028
Phase
Interventional
Are there results?
Not yet: the study is under way

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • Women only
  • Healthy volunteers accepted
  • Adult, Older adult

Who may be able to join

  • up to 12+6 weeks of gestation to receive invitation and up to 16+0 weeks of gestation to be enrolled
  • Para 0 (no previous birth or pregnancy > 16 weeks of gestation)
  • Understands, writes, and reads fluently in Danish or English
  • Has a smart phone or computer/tablet to reach the training program

Who cannot join

  • Severe psychiatric illness (e.g. schizophrenia, bipolar disorder, severe depression or anxiety)
  • Active substance abuse
  • Acute social crises (e.g. homelessness, ongoing domestic violence, severe financial instability, lack of social support)
  • Women with limited capacity to provide informed consent (due to cognitive impairment or language barriers)
  • Previous pregnancy of > 16 weeks of gestation

Trial locations and contacts

1 site in 1 country. Contact the study team or a site near you to ask about taking part.

Christina Prinds contact

+4565504953

cprinds@health.sdu.dk

Denmark1 site, 1 recruiting
  • Sygehus Sønderjylland

    Aabenraa, Southern Denmark, 6200

    Recruiting

Other trials in Denmark

About this study

Official title: Antenatal Pelvic Floor Muscle Training in Nulliparous Women: A Hybrid Type 1 Randomised Controlled Trial

The project seeks to investigate effectiveness of PFMT during pregnancy.

Read the detailed description

First-time pregnant women will be recruited through visitations received from family doctors in all obstetrics departments of the Southern Denmark Region. Women will be randomised into two groups: ( Pelvic Floor Muscle Training) PFMT and a control group (standard care). The women will receive an easily accessible, home-based PFMT program electronically in which they will be motivated to start and engage during pregnancy with continuity after birth. The data regarding pelvic floor disorders will be obtained at baseline, follow-ups once every trimester of pregnancy, as well as three months, and six months postpartum with further follow-up after the study. The data regarding obstetric outcomes will be collected from electronic patient records. For evaluation of implementation process, data regarding motivation and training acceptability will be obtained via questionnaire at the baseline and at follow-up together with telephonically interviews during pregnancy and postpartum.

Being tested
PFMT, Standard care
Keywords
Pelvic floor muscle training, Pregnancy, Nulliparous women, urinary incontinence, Pelvic floor disorders, sexual function, obstetric outcomes, implementation, Randomised controlled trial
Medical subject headings
Urinary Incontinence, Encopresis, Pelvic Organ Prolapse, Sexual Dysfunction, Physiological, Pelvic Floor Disorders

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • PFMTBehavioural

    A structured home-based pelvic floor muscle training programme consisting of progressive pelvic floor muscle exercises, training reminders as well as supportive information with educational materials and habit-building strategies. Participants are advised to perform pelvic floor muscle training three to five times per week during pregnancy and continue after birth.

  • Standard careBehavioural

    Routine antenatal care provided according to local clinical practice. This may include general information about pelvic floor muscle training but does not include access to the study programme, study application, structured training support, or study-specific reminders.

Study groups in NCT07104292
Study groupRoleWhat they receive
Pelvic Floor Muscle Training (PFMT)ExperimentalParticipants receive access to the pelvic floor muscle training programme in addition to usual antenatal care. The programme is delivered through a mobile application and supporting materials is sent out.
Receives: Behavioral: PFMT
Standard carePlacebo comparatorThe control group will receive routine care - recommendation to do the training without any further instructions.
Receives: Behavioral: Standard care

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. The presence of urinary incontinence (UI) at 3 months postpartum

    International Consultation on Incontinence Questionnaire-Urinary Incontinence Short Form (ICIQ-UI SF) score > 0.

    Measured: At 3 months follow-up after giving birth

Secondary outcomes (49)
  1. The presence of urinary incontinence at inclusion

    ICIQ-UI SF score between 0-21. Outcome is defined if (ICIQ-UI SF total score > 0) (binary outcome)

    Measured: At baseline: inclusion

  2. Urinary incontinence severity at inclusion

    ICIQ-UI SF score between 0-21. Outcome is continuous

    Measured: At baseline: inclusion

  3. The presence of urinary incontinence at the 2nd trimester of pregnancy

    ICIQ-UI SF score between 0-21. Outcome is defined if (ICIQ-UI SF total score > 0) (binary outcome)

    Measured: At follow-up gestational age 26 weeks and 0 days

  4. Urinary incontinence severity at the 2nd trimester of pregnancy

    ICIQ-UI SF score between 0-21. Outome is continuous

    Measured: At follow-up gestational age 26 weeks and 0 days

  5. The presence of urinary incontinence at the 3rd trimester of pregnancy

    ICIQ-UI SF score between 0-21. Outcome is defined if (ICIQ-UI SF total score > 0) (binary outcome)

    Measured: At follow-up gestational age 36 weeks and 0 days

  6. Urinary incontinence severity at the 3rd trimester of pregnancy

    ICIQ-UI SF score between 0-21. Outcome is continuous

    Measured: At follow-up gestational age 36 weeks and 0 days

  7. The presence of urinary incontinence at 6 months postpartum

    ICIQ-UI SF score between 0-21. Outcome is defined if (ICIQ-UI SF total score > 0) (binary

    Measured: At follow-up at 6 months postpartum

  8. UI severity at 6 months postpartum

    IICIQ-UI SF score between 0-21. Outcome is continuous

    Measured: At follow-up at 6 months postpartum

  9. The presence of anal incontinence (AI) at inclusion

    Colorectal-anal distress inventory 8 (CRAD-8), a part of Pelvic Floor Disability Index (PFDI-20) questionnaire: score calculated by the mean value of all item scores (possible 0-4) multiplied by 25 to obtain the score (range 0 to 100). Outcome is binary and defined by positive response to any of the three questions about anal incontinence (question 9, 10 and 11)

    Measured: At baseline: inclusion

  10. Colorectal-anal symptoms severity at inclusion

    Defined by the CRAD-8 score (Colorectal-anal distress inventory 8), continuous outcome, Higher score indicates greater symptom severity

    Measured: At baseline: inclusion

  11. The presence of anal incontinence (AI) in the 2nd trimester of pregnancy

    Colorectal-anal distress inventory 8 (CRAD-8), score 0-100. Outcome is binary and defined by positive response to any of the three questions about anal incontinence (question 9, 10 and 11)

    Measured: At follow-up gestational age 26 weeks and 0 days

  12. Colorectal-anal symptoms severity 2nd trimester of pregnancy

    Defined by the CRAD-8 score (Colorectal-anal distress inventory 8), continuous outcome, Higher score indicates greater symptom severity

    Measured: At follow-up gestational age 26 weeks and 0 days

  13. The presence of anal incontinence (AI) in the 3rd trimester of pregnancy

    Colorectal-anal distress inventory 8 (CRAD-8), score 0-100. Outcome is binary and defined by positive response to any of the three questions about anal incontinence (question 9, 10 and 11)

    Measured: At follow-up gestational age 36 weeks and 0 days

  14. Colorectal-anal symptoms severity 3rd trimester of pregnancy

    Defined by the CRAD-8 score (Colorectal-anal distress inventory 8), continuous outcome, Higher score indicates greater symptom severity

    Measured: At follow-up at gestational age 36 weeks and 0 days

  15. The presence of anal incontinence (AI) at 3 months postpartum

    Colorectal-anal distress inventory 8 (CRAD-8), score 0-100. Outcome is binary and defined by positive response to any of the three questions about anal incontinence (question 9, 10 and 11)

    Measured: At follow-up 3 months postpartum

  16. Colorectal-anal symptoms severity 3 months postpartum

    Defined by the CRAD-8 score (Colorectal-anal distress inventory 8), continuous outcome, Higher score indicates greater symptom severity

    Measured: At follow-up 3 months postpartum

  17. The presence of anal incontinence (AI) at 6 months postpartum

    Colorectal-anal distress inventory 8 (CRAD-8), score 0-100. Outcome is binary and defined by positive response to any of the three questions about anal incontinence (question 9, 10 and 11)

    Measured: At follow-up 6 months postpartum

  18. Colorectal-anal symptoms severity 6 months postpartum

    Defined by the CRAD-8 score (Colorectal-anal distress inventory 8), continuous outcome, Higher score indicates greater symptom severity

    Measured: At the follow-up at 6 months postpartum

  19. The presence of sexual dysfunction at inclusion

    Female Sexual Function Index-6 (FSFI-6) score between 2 to 30. Outcome is defined if FSFI-6 score is ≤ 19

    Measured: At baseline: inclusion

  20. Sexual dysfunction severity at inclusion

    Female Sexual Function Index-6 (FSFI-6) score between 2 to 30. Outcome is continuous

    Measured: At baseline: inclusion

  21. The presence of sexual dysfunction at inclusion, during the 2nd trimester of pregnancy

    Female Sexual Function Index-6 (FSFI-6) score between 2 to 30. Outcome is defined if FSFI-6 score is ≤ 19

    Measured: At follow-up at gestational age 26 weeks and 0 days

  22. Sexual dysfunction severity at inclusion, during the 2nd trimester of pregnancy

    Female Sexual Function Index-6 (FSFI-6) score between 2 to 30. Outcome is continuous. Lower scores indicate poorer sexual functioning

    Measured: At follow-up gestational Age 26 weeks and 0 days

  23. The presence of sexual dysfunction at inclusion, during the 3rd trimester of pregnancy

    Female Sexual Function Index-6 (FSFI-6) score between 2 to 30. Outcome is defined if FSFI-6 score is ≤ 19

    Measured: At follow-up at gestational Age 36 weeks and 0 days

  24. Sexual dysfunction severity at inclusion, during the 3rd trimester of pregnancy

    Female Sexual Function Index-6 (FSFI-6) score between 2 to 30. Outcome is continuous. Lower scores indicate poorer sexual functioning

    Measured: At follow-up gestational Age 36 weeks and 0 days

  25. The presence of sexual dysfunction at 3 month postpartum

    Female Sexual Function Index-6 (FSFI-6) score between 2 to 30. Outcome is defined if FSFI-6 score is ≤ 19. Lower scores indicate poorer sexual functioning

    Measured: At the follow-up at 3 month postpartum

  26. Sexual dysfunction severity at 3 month postpartum

    Female Sexual Function Index-6 (FSFI-6) score between 2 to 30. Outcome is continuous. Lower scores indicate poorer sexual functioning

    Measured: At the follow-up at 3 month postpartum

  27. The presence of sexual dysfunction at 6month postpartum

    Female Sexual Function Index-6 (FSFI-6) score between 2 to 30. Outcome is defined if FSFI-6 score is ≤ 19. Lower scores indicate poorer sexual functioning

    Measured: At the follow-up at 6 month postpartum

  28. Sexual dysfunction severity at 6months postpartum

    Female Sexual Function Index-6 (FSFI-6) score between 2 to 30. Outcome is continuous. Lower scores indicate poorer sexual functioning

    Measured: At the follow-up at 6 month postpartum

  29. The presence of pelvic organ prolapse (POP) symptoms at inclusion

    Pelvic Organ Prolapse Distress Inventory 6 (POPDI-6), a part of Pelvic Floor Disability Index (PFDI-20) questionnaire: score calculated by the mean value of all item scores (possible 0-4) multiplied by 25 to obtain the score (range 0 to 100). Outcome defined if POPDI-6 score > 0

    Measured: At baseline: inclusion

  30. Pelvic organ prolapse (POP) symptoms severity at inclusion

    Pelvic Organ Prolapse Distress Inventory 6 (POPDI-6), a part of Pelvic Floor Disability Index (PFDI-20) questionnaire: score calculated by the mean value of all item scores (possible 0-4) multiplied by 25 to obtain the score (range 0 to 100). Outcome is continuous

    Measured: At baseline: inclusion

  31. The presence of pelvic organ prolapse (POP) symptoms, in the 2nd trimester of pregnancy

    Pelvic Organ Prolapse Distress Inventory 6 (POPDI-6), a part of Pelvic Floor Disability Index (PFDI-20) questionnaire: score calculated by the mean value of all item scores (possible 0-4) multiplied by 25 to obtain the score (range 0 to 100). Outcome defined if POPDI-6 score > 0

    Measured: At follow-up gestational age 26 weeks and 0 days

  32. Pelvic organ prolapse (POP) symptoms severity, in the 2nd trimester of pregnancy

    Pelvic Organ Prolapse Distress Inventory 6 (POPDI-6), a part of Pelvic Floor Disability Index (PFDI-20) questionnaire: score calculated by the mean value of all item scores (possible 0-4) multiplied by 25 to obtain the score (range 0 to 100). Outcome is continuous

    Measured: At follow-up gestational age 26 weeks and 0 days

  33. The presence of pelvic organ prolapse (POP) symptoms, in the 3rd trimester of pregnancy

    Pelvic Organ Prolapse Distress Inventory 6 (POPDI-6), a part of Pelvic Floor Disability Index (PFDI-20) questionnaire: score calculated by the mean value of all item scores (possible 0-4) multiplied by 25 to obtain the score (range 0 to 100). Outcome defined if POPDI-6 score > 0

    Measured: At the follow-up at gestational age 36 weeks and 0 days

  34. Pelvic organ prolapse (POP) symptoms severity, in the 3rd trimester of pregnancy

    Pelvic Organ Prolapse Distress Inventory 6 (POPDI-6), a part of Pelvic Floor Disability Index (PFDI-20) questionnaire: score calculated by the mean value of all item scores (possible 0-4) multiplied by 25 to obtain the score (range 0 to 100). Outcome is continuous

    Measured: At the follow-up at gestational age 36 weeks and 0 days

  35. The presence of pelvic organ prolapse (POP) symptoms at 3 months postpartum

    Pelvic Organ Prolapse Distress Inventory 6 (POPDI-6), a part of Pelvic Floor Disability Index (PFDI-20) questionnaire: score calculated by the mean value of all item scores (possible 0-4) multiplied by 25 to obtain the score (range 0 to 100). Outcome defined if POPDI-6 score > 0

    Measured: At the follow-up at 3 months postpartum

  36. Pelvic organ prolapse (POP) symptoms severity at 3 months postpartum

    Pelvic Organ Prolapse Distress Inventory 6 (POPDI-6), a part of Pelvic Floor Disability Index (PFDI-20) questionnaire: score calculated by the mean value of all item scores (possible 0-4) multiplied by 25 to obtain the score (range 0 to 100). Outcome is continuous

    Measured: At the follow-up at 3 months postpartum

  37. The presence of pelvic organ prolapse (POP) symptoms at 6 months postpartum

    Pelvic Organ Prolapse Distress Inventory 6 (POPDI-6), a part of Pelvic Floor Disability Index (PFDI-20) questionnaire: score calculated by the mean value of all item scores (possible 0-4) multiplied by 25 to obtain the score (range 0 to 100). Outcome defined if POPDI-6 score > 0

    Measured: At the follow-up at 6 months postpartum

  38. Pelvic organ prolapse (POP) symptoms severity at 6 months postpartum

    Pelvic Organ Prolapse Distress Inventory 6 (POPDI-6), a part of Pelvic Floor Disability Index (PFDI-20) questionnaire: score calculated by the mean value of all item scores (possible 0-4) multiplied by 25 to obtain the score (range 0 to 100). Outcome is continuous

    Measured: At the follow-up at 6 months postpartum

  39. Delivery mode

    Outcome is defined as categorical: vaginal, planned cesarean, emergency cesarean

    Measured: The outcome is registered in electronic patient journal during delivery, but the outcome will be collected during the first 3 months postpartum.

  40. Foetal position

    Cephalic regular (occiput anterior), cephalic occiput posterior or breech. Outcome is categorical

    Measured: The outcome is registered in electronic patient journal during delivery, but the outcome will be collected during the first 3 months postpartum.

  41. Episiotomy

    Yes or no. Outcome is binary

    Measured: The outcome is registered in electronic patient journal during delivery, but the outcome will be collected during the first 3 months postpartum

  42. Perineal tear

    Yes or no; if yes - tear degree (1st, 2nd, 3rd (3a, 3b, 3c), 4th). Outcome is categorical

    Measured: The outcome is registered in electronic patient journal during delivery, but the outcome will be collected during the first 3 months postpartum.

  43. Instrumental delivery

    Yes or no; if yes - type (vacuum assisted or forceps). Outcome is binary

    Measured: The outcome is registered in electronic patient journal during delivery, but the outcome will be collected during the first 3 months postpartum.

  44. Fidelity of PFMT

    Self-reported training frequency (0 times, 1-2 times, 3-4 times or more per week)

    Measured: The questionnaire is filled every week from baseline to 6 months postpartum

  45. Implementation outcomes

    Collected through short interviews

    Measured: At study completion

  46. Proportion of participants reporting capability-, opportunity-, and motivation-related barriers and facilitators for pelvic floor muscle training.

    Capability, Opportunity and Motivation (COM-B) related to pelvic floor muscle training, assessed using a study-specific COM-B Self-Evaluation Questionnaire. Participants may select one or more response options within the domains of capability, opportunity, and motivation. Participants may select one or more response options within the domains of capability, opportunity, and motivation. Responses are analysed as individual items (selected/not selected), and no total score is calculated. Therefore, minimum and maximum values are not applicable. A higher frequency of endorsement of a specific item indicates a greater perceived barrier, need, or facilitator related to pelvic floor muscle training.

    Measured: at the follow-up at gestational age 36 weeks and 0 days

  47. Length of the first stage of delivery

    Length in minutes (minimum 0 - no maximum)

    Measured: The outcome is registered in electronic patient journal during delivery, but the outcome will be collected during the first 3 months postpartum.

  48. Length of the passive second stage of delivery

    Outcome is continuous and Length in minutes (minimum 0 - maximum 300 minutes).

    Measured: The outcome is registered in electronic patient journal during delivery, but the outcome will be collected during the first 3 months postpartum.

  49. Length of the active second stage of delivery

    Outcome is continuous and Length in minutes (minimum 0 - maximum 300 minutes).

    Measured: The outcome is registered in electronic patient journal during delivery, but the outcome will be collected during the first 3 months postpartum.

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted5 Aug 2025
  2. Study start27 Oct 2025
  3. Primary completion1 Aug 2027 (estimated)
  4. Study completion1 Aug 2028 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Prevention
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
804 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07104292
Sponsor's protocol ID
SHS-KS-06-2025
Status last verified
Nov 2025
First submitted
10 Jul 2025
Last updated
8 Oct 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A study testing PFMT in people with Urinary Incontinence and Anal Incontinence, run by University of Southern Denmark at 1 site in Denmark.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 4 inclusion and 5 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: looking for participants now, as of the sponsor's last update on 8 Oct 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Denmark. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

Contact Greta Puriene (+4571638335, greta.puriene@rsyd.dk), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

The presence of urinary incontinence (UI) at 3 months postpartum (time frame: At 3 months follow-up after giving birth). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 8 Oct 2026.

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