About this trial
This study will be a randomized clinical trial with a sample size of 60 postpartum females. The setting of the study will be Bilal Medicare, Sargodha. 60 postpartum women will be included based on age, parity, mode of delivery and type of urinary incontinence. Women with primary gravida, cesarean section and urge and mixed urinary incontinence will be excluded. This study aims to compare the effectiveness of Hypopressive Exercises and the Paula Method in improving urinary incontinence severity, pelvic floor muscle strength and quality of life in postpartum women. Patients of both groups receive two treatment sessions per week over an 8-week period. Group A will be given Hypopressive exercise and Group B will be given Paula exercise protocol. Both groups will perform a standardized kegel exercises for pelvic floor muscle activation and strengthening as baseline treatment followed by their assigned interventions.
Eligibility criteria
Qualifiers
• Multipara women from 25-40 years
Six weeks postpartum
Vaginal delivery method
Reported ≥1 episodes of urine leakage per week
Disqualifiers
• No pelvic floor physiotherapy in last 6 months
Patients with any medical and gynaecological risk factors and /or conditions
Patients with any neurological problems, urinary tract infection, diabetes mellitus, hepatitis and ascites
Pelvic surgery in last 6 months
Trial design
Treatments tested in this trial
- Hypopressive exercise
- Paula exercise