Kegal Exercises With and Without Postural Correction on Postpartum Pelvic Organ Prolapse in Primiparous Women

Study Overview
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Brief Summary
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To study the effects of kegal exercises with and without postural correction on pelvic organ prolapse in primiparous women. Although pregnancy is a physiological process, it is associated with risk factors. These risk factors can put women at risk. One of the most common problems is pelvic floor muscle weakness, and this weakness of pelvic floor muscles causes many other problems, such as pelvic organ prolapse. Normal delivery (vaginal delivery) can cause laxity and weakness of ligaments such as the external urethral and pubourethral. Pelvic organs prolapse severely affects the quality of life of patients. Pelvic organ prolapse appears in women after vaginal delivery. Pelvic muscle training is a conservative treatment for many problems, including pelvic organ prolapse. However, the effects of pelvic floor muscle training for pelvic organ prolapse in primiparous women are controversial. This study is aimed at a systematic review of the effects of pelvic floor muscle training on pelvic organ prolapse in primiparous women.

Detailed Description
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The design of this study will randomize controlled trial. Data will collect from the Settings of Jinnah Hospital Lahore, THQ Hospital Depalpur, and Al-Shifa Hospital Depalpur. The sample size for this study is 30 primiparous women. Participants will be screened for eligibility. Women will be randomly assigned to the training group, which conducts 12 weekly individual sessions. Outcomes will be assessed after the last session. The control group will receive kegal exercise after the initial assessment. Main outcome measures for this study include the symptoms pelvic floor impact questionnaire, the pelvic floor distress inventory questionnaire, and the pelvic organ prolapse quantification examination. The pelvic floor impact questionnaire will assess the lifelong impact of pelvic floor disorders on women. A pelvic floor distress inventory questionnaire will assess distress caused by PFD (pelvic floor dysfunction).

Official Title
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Effects of Kegal Exercises With and Without Postural Correction on Postpartum Pelvic Organ Prolapse in Primiparous Women

Conditions
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Pelvic Organ Prolapse

Intervention / Treatment
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* Other: Kegal exercises with postural correction
* Other: Kegal exercises without postural correction


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Primiparous,Age: 20-40, 6th to 8th week after delivery, Singleton baby vaginally fully term, Non instrumented birth of child, Grade 1 prolapse (5) Exclusion Criteria: Women with Chronic Cough, Constipation, Previous Pelvic surgery, Pelvic malignancy, Genitourinary Infection

Ages Eligible for Study
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Minimum Age: 20 Years
Maximum Age: 40 Years

Sexes Eligible for Study
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Female

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Double


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Kegal exercises with postural correction<br> | Other: Kegal exercises with postural correction<br>* Kegal exercises with postural correction<br>|
| Experimental: Kegal exercises without postural correction<br> | Other: Kegal exercises without postural correction<br>* Kegal exercises without postural correction<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Pelvic Floor Impact Questionnaire. (PFIQ-7) | The PFIQ is a patient report designed to assess life impact of pelvic floor disorders on women | 1st day |