Efficacy and safety of acupuncture for early postpartum stress urinary incontinence: A protocol for a pilot randomized controlled trial.

<h4>Objective</h4>Postpartum stress urinary incontinence (PSUI) is a common condition among women after childbirth. While acupuncture is a common clinical treatment for PSUI, high-quality clinical evidence supporting its effectiveness is currently lacking. This study aims to preliminaril...

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Main Authors: Yi Yang, Meng Xu, Qingguo Liu, Xiaoqing Ding, Xi Wang, Dongfeng Wang, Qisheng Sun, Xiaowei Shi, Xiuping Zhang, Dong Liu, Shufeng Shi
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2025-01-01
Series:PLoS ONE
Online Access:https://doi.org/10.1371/journal.pone.0324384
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author Yi Yang
Meng Xu
Qingguo Liu
Xiaoqing Ding
Xi Wang
Dongfeng Wang
Qisheng Sun
Xiaowei Shi
Xiuping Zhang
Dong Liu
Shufeng Shi
author_facet Yi Yang
Meng Xu
Qingguo Liu
Xiaoqing Ding
Xi Wang
Dongfeng Wang
Qisheng Sun
Xiaowei Shi
Xiuping Zhang
Dong Liu
Shufeng Shi
author_sort Yi Yang
collection DOAJ
description <h4>Objective</h4>Postpartum stress urinary incontinence (PSUI) is a common condition among women after childbirth. While acupuncture is a common clinical treatment for PSUI, high-quality clinical evidence supporting its effectiveness is currently lacking. This study aims to preliminarily evaluate the efficacy and safety of acupuncture for early postpartum stress urinary incontinence, providing reference data for sample size calculation and protocol feasibility in formal trials.<h4>Design and methods</h4>This is a randomized controlled trial. Seventy-two PSUI patients between 42 days and 1 year postpartum will be randomly assigned in a 1:1 ratio to either the acupuncture group (n = 36) or the sham acupuncture group (n = 36). Both groups will receive acupuncture treatments three times per week for two weeks. Both groups will receive identical education regarding pelvic floor muscle training. The primary outcomes are changes in urine leakage volume measured by 1-hour pad test at week 2 of treatment and week 6 of follow-up compared to baseline (week -1), and the proportion of patients achieving at least 50% reduction in urine leakage volume at week 2 compared to baseline. Secondary outcomes include 72-hour bladder diary, The International Consultation on Incontinence Questionnaire-Short Form (ICIQ-SF), Incontinence Quality of Life questionnaire (I-QOL), and pelvic floor muscle strength assessment.<h4>Discussion</h4>The results of this study will provide preliminary evidence on the efficacy and safety of acupuncture for PSUI, offering reference data for sample size calculation and protocol feasibility in formal trials, ultimately providing more treatment options for PSUI patients.<h4>Trial registration</h4>ITMCTR2024000290.
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spelling doaj-art-542a3be1c07d439c970bce8b39d2c43c2025-07-10T05:31:54ZengPublic Library of Science (PLoS)PLoS ONE1932-62032025-01-01205e032438410.1371/journal.pone.0324384Efficacy and safety of acupuncture for early postpartum stress urinary incontinence: A protocol for a pilot randomized controlled trial.Yi YangMeng XuQingguo LiuXiaoqing DingXi WangDongfeng WangQisheng SunXiaowei ShiXiuping ZhangDong LiuShufeng Shi<h4>Objective</h4>Postpartum stress urinary incontinence (PSUI) is a common condition among women after childbirth. While acupuncture is a common clinical treatment for PSUI, high-quality clinical evidence supporting its effectiveness is currently lacking. This study aims to preliminarily evaluate the efficacy and safety of acupuncture for early postpartum stress urinary incontinence, providing reference data for sample size calculation and protocol feasibility in formal trials.<h4>Design and methods</h4>This is a randomized controlled trial. Seventy-two PSUI patients between 42 days and 1 year postpartum will be randomly assigned in a 1:1 ratio to either the acupuncture group (n = 36) or the sham acupuncture group (n = 36). Both groups will receive acupuncture treatments three times per week for two weeks. Both groups will receive identical education regarding pelvic floor muscle training. The primary outcomes are changes in urine leakage volume measured by 1-hour pad test at week 2 of treatment and week 6 of follow-up compared to baseline (week -1), and the proportion of patients achieving at least 50% reduction in urine leakage volume at week 2 compared to baseline. Secondary outcomes include 72-hour bladder diary, The International Consultation on Incontinence Questionnaire-Short Form (ICIQ-SF), Incontinence Quality of Life questionnaire (I-QOL), and pelvic floor muscle strength assessment.<h4>Discussion</h4>The results of this study will provide preliminary evidence on the efficacy and safety of acupuncture for PSUI, offering reference data for sample size calculation and protocol feasibility in formal trials, ultimately providing more treatment options for PSUI patients.<h4>Trial registration</h4>ITMCTR2024000290.https://doi.org/10.1371/journal.pone.0324384
spellingShingle Yi Yang
Meng Xu
Qingguo Liu
Xiaoqing Ding
Xi Wang
Dongfeng Wang
Qisheng Sun
Xiaowei Shi
Xiuping Zhang
Dong Liu
Shufeng Shi
Efficacy and safety of acupuncture for early postpartum stress urinary incontinence: A protocol for a pilot randomized controlled trial.
PLoS ONE
title Efficacy and safety of acupuncture for early postpartum stress urinary incontinence: A protocol for a pilot randomized controlled trial.
title_full Efficacy and safety of acupuncture for early postpartum stress urinary incontinence: A protocol for a pilot randomized controlled trial.
title_fullStr Efficacy and safety of acupuncture for early postpartum stress urinary incontinence: A protocol for a pilot randomized controlled trial.
title_full_unstemmed Efficacy and safety of acupuncture for early postpartum stress urinary incontinence: A protocol for a pilot randomized controlled trial.
title_short Efficacy and safety of acupuncture for early postpartum stress urinary incontinence: A protocol for a pilot randomized controlled trial.
title_sort efficacy and safety of acupuncture for early postpartum stress urinary incontinence a protocol for a pilot randomized controlled trial
url https://doi.org/10.1371/journal.pone.0324384
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