Cesarean and Vaginal Birth Complications
Conditions
Brief summary
Pregnancy may impact the musculoskeletal apparatus of females through pregnancy-associated biomechanical, vascular, and hormonal changes. Pregnant females may complain of lumbopelvic pain, especially during their last trimester. This lumbopelvic pain can be the result of an enlarged uterus and unstable lumbopelvic joints.
Detailed description
Cesarean birth can affect the lumbopelvic biomechanics through its impact on the sacroiliac joints and the abdominal muscles. while vaginal birth can trigger lumbopelvic pain through its impact on the pelvic joints like the symphysis pubis and sacroiliacs. When puerperium is finished, most of these pregnancy-related changes assume its prepregnant conditions. Physiotherapists are responsible for providing PT care for women to improve their quality of life during the puerperium and even during the delayed postpartum interval.
Interventions
DEVICEBubble Inclinometer and Digital Pelvic Inclinometer
They are valid and reliable devices to measure the range of motion of the lumbar spine
Sponsors
South Valley University
Study design
Observational model
OTHER
Time perspective
CROSS_SECTIONAL
Eligibility
Sex/Gender
FEMALE
Age
18 Years to 35 Years
Healthy volunteers
Yes
Inclusion criteria
1. All women either primiparous or multiparous have not had anaesthesia (epidural, spinal, or general) for at least one year prior to the last obstetric anaesthesia. 2. Their ages ranged from 18 to 35 years. 3. Participants were assessed between the 6th week to the 12th week postnatal. 4. All participants were able to continue all assessment procedures. 5. They might have a mild or moderate myofascial LBP
Exclusion criteria
1. Women who were below 18 years old or above 35 years. 2. Women who did not continue all assessment procedures. 3. Women who had a severe myofascial LBP or any specific low back conditions.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Lumbar Spine Extension Active Range of Motion | Assessment will be done 6-12 weeks after Cesarean or Vaginal birth | It represent the non-painful full range of motion from standing upright to leaning backward in the sagittal plane |
| Lumbar Spine Flexion Active Range of Motion | Assessment will be done 6-12 weeks after Cesarean or Vaginal birth | It represent the non-painful full range of motion from standing upright to leaning forward in the sagittal plane |
| Lumbar Spine Right Side Bending Active Range of Motion | Assessment will be done 6-12 weeks after Cesarean or Vaginal birth | It represent the non-painful full range of motion from standing upright to leaning sideway to the right in the frontal plane |
| Lumbar Spine Left Side Bending Active Range of Motion | Assessment will be done 6-12 weeks after Cesarean or Vaginal birth | It represent the non-painful full range of motion from standing upright to leaning sideway to the left in the frontal plane |
| Lumbar Spine Right Axial Rotation Active Range of Motion | Assessment will be done 6-12 weeks after Cesarean or Vaginal birth | It represents the non-painful full range of motion from standing with trunk forward bended 90 degree then head, neck, shoulders, and trunk rotation to the right side |
| Lumbar Spine Left Axial Rotation Active Range of Motion | Assessment will be done 6-12 weeks after Cesarean or Vaginal birth | It represents the non-painful full range of motion from standing with trunk forward bended 90 degree then head, neck, shoulders, and trunk rotation to the left side |
Countries
Egypt
Outcome results
None listed