Postpartum Pelvic Floor Function and Symptoms
Conditions
Keywords
Postpartum Woman, Pelvic Floor Dysfunction, Telerehabilitation
Brief summary
These events are largely due to pelvic floor dysfunction that develops after pregnancy. Kegel exercises and core stabilisation exercises performed in the postpartum period are important in preventing pelvic floor dysfunction. However, considering the mother's adaptation process to both the baby and her new life in the postpartum period, there may be problems with exercise compliance. Increasing exercise compliance through telerehabilitation can be effective in preventing pelvic floor dysfunction and improving women's quality of life.
Interventions
OTHERPelvic floor exercises with telerehabilitation
Patients in the telerehabilitation group will be assigned the same 8-week exercise programme as those in the conventional group to be carried out at home. Unlike the conventional group, patients in the telerehabilitation group will be contacted by telephone each week throughout the exercise programme to check their adherence to the programme, to ask if they have encountered any problems with the exercise programme, and to answer any questions they may have.
OTHERPelvic floor exercises without telerehabilitation
An 8-week exercise programme consisting of 45-minute Kegel exercises and core stabilisation exercises per day will be provided for implementation at home in the conventional group.
Sponsors
Ankara Etlik City Hospital
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
FEMALE
Age
18 Years to 45 Years
Healthy volunteers
No
Inclusion criteria
1. Aged between 18 and 45 2. Primiparous women 3. Term vaginal delivery 4. 6 weeks postpartum 5. Willingness to participate in the study
Exclusion criteria
1. Presence of faecal or urinary incontinence prior to pregnancy 2. Use of assisted delivery devices (vacuum, forceps) 3. Presence of neurological disease 4. Presence of psychiatric illness or cognitive problems that make it difficult to answer questions 5. Caesarean section delivery 6. History of diabetes mellitus 7. Perineal rupture
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Pelvic floor muscle strength assessment | Before exercises programme and 8th week of exercises programme | Pelvic floor muscle strength assessment using the SineBravo 2-channel EMG Biofeedback device |
Secondary
| Measure | Time frame |
|---|---|
| Measurement of the distance between the inferior edge of the pubic symphysis and the anteromedial edge of the puborectalis muscle using transperineal ultrasound | Before exercises programme and 8th week of exercises programme |
| Pelvic floor questionnaire for pregnant and postpartum women | Before exercises programme and 8th week of exercises programme |
| Female Sexual Function Index | Before exercises programme and 8th week of exercises programme |
Countries
Turkey (Türkiye)
Contacts
CONTACTAyşe Naz Kalem Özgen, specialist
Outcome results
None listed