Uterus Involution
Conditions
Keywords
lactation, pregnancy, pelvic floor, pain
Brief summary
The goal of this randomized controlled study was to compare the effect of aerobic exercise and pelvic floor muscle strengthening exercises on uterus involution. In the scope of study following questions will be answered at the end of the study. First which of the exercise type is more effective to enhance uterus involution? Secondly, does exercises induce changes in lactation rate during the study period? Thirdly, does exercises improve the experienced pain? Study will be consisted of three groups as control group, pelvic floor exercise group and aerobic exercise group. Control group will take routine gynaecological treatment. Pelvic floor muscle strengthening exercise group will attend to seven day pelvic floor strengthening exercise programme. Aerobic exercise group will attend to seven day aerobic exercise programme consisting of walking.
Detailed description
A total of 45 mothers who satisfies the eligibility criteria of the study will be recruited to the study. Following to the recruitment process mothers will be randomly assigned to the one of the three groups. Mothers in the control group will only take routine gynecologic treatment. Mothers in the aerobic exercise group will attend to aerobic exercises starting from the second day of the hospitalization for one week. Mothers who will be in pelvic floor strengthening exercise group after the randomization will be asked to perform six exercises with moderate difficulty that are recommended by the national association for incontinence.
Interventions
OTHERExercise
Individuals in the experimental group will be asked to perform aerobic exercise or pelvic floor muscle strengthening exercises.
Sponsors
Bitlis Eren University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Outcomes Assessor)
Masking description
Interventions and assessment will be performed by separate researchers.
Intervention model description
Control group will take routine gynecologic treatment. Aerobic exercise group will attend to aerobic exercise programme for seven days. Aerobic exercise will be given with an intensity of 65% to 75% of the maximum heart rate of the individuals monitored by pulse oximeter.Aerobic exercise will take 30 minutes consisting of 5 minutes warm up, 20 minutes jogging, and 5 minutes cool down. Pelvic floor muscle strengthening group will be asked to perform six pelvic floor muscle strengthening exercise with moderate difficulty, recommended by the national association for incontinence for seven days. These exercises are straight leg raise, oblique reaches, partial curl up-obliques, pelvic tilt with crunch, quadruped hip extension, and bridge with adduction. Prior to discharge exercise sheet will be given to participants to do the exercises at home. Participants will be called daily to question their compliance to the exercise. Participants will be asked to keep exercise diary as well.
Eligibility
Sex/Gender
FEMALE
Age
19 Years to 35 Years
Healthy volunteers
Yes
Inclusion criteria
* Age of 19 to 35 years * New born APGAR score is equal or higher than 8 * First pregnancy * Giving birth in 37th to 40th weeks of the pregnancy * Birthweight ranging from 2500 g to 4000 g
Exclusion criteria
* Eclampsia * Puerperal psychosis * Severe preeclampsia * Multiple pregnancy story * Uterus abnormality story * Uterus surgery story * Use of artificial estrogen * Existence of systemic, mental or pregnancy related diseases * Occurrence of complication during or after the pregnancy * Symptoms of uterus subinvolution
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Uterus involution | Change from baseline uterus involution at one week | To assess the uterus involution uterus volume, uterus diameters and thickness will be measured with ultrasound imaging. Ultrasound imaging will be performed in dorsal lithotomy position, without uterus activation, and with minimal uterus fullness. Uterus volume calculation will be performed with this formula: uterus anteroposterior diameter x uterus transverse diameter x uterus longitudinal diameter x 0.45. |
| Existence and Severity of Pain | Change from baseline pain at one week | Pain will be assessed with visual analog scale (VAS). VAS consists of 10 cm horizontal line. At the one edge of the line 0 point is located meaning no pain, at the other edge 10 point is located meaning worst pain. Mothers will be asked to mark the point matching to their perceived pain. Minimal clinical significance of VAS is reported to be 1.1 or 1.2 cm. VAS and ultrasound imaging will be performed in first, second and eighth days of the study. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Elapsed time from giving birth to first lactation | First day of the study | Elapsed time will be recorded in minutes from giving birth to first lactation |
| Daily Lactation Time | Change from baseline daily lactation time at one week | Daily lactation time and frequency will be calculated based on the mothers' reports. |
| Daily Lactation Frequency | Change from baseline daily lactation frequency at one week | Daily lactation frequency will be calculated based on the mothers' reports. |
Countries
Turkey (Türkiye)
Contacts
Primary Contactömer dursun, Asst. Prof.
Backup Contacterhan dincer, M.Sc.
Outcome results
None listed