Study Comparing Specialist-led Rehabilitation and Self-training for Preventing and Treating Pelvic Floor Dysfunction After Childbirth in Women Aged 18 to 50

What this Trial Is About

This research aims to compare the effects of specialist-supported rehabilitation versus self-training on preventing and treating pelvic floor dysfunction in women during the postpartum period. The study evaluates changes in pelvic organ position, pelvic floor muscle function, symptoms of pelvic floor dysfunction, and how these symptoms affect quality of life. Participants are women who are 6 to 10 weeks postpartum and will be assessed with various validated questionnaires and objective tests. Participants are divided into two groups one group receives supervised physiotherapy, biofeedback, and transcutaneous electrical nerve stimulation TENS treatments led by specialists, including a physical medicine and rehabilitation doctor and a physiotherapist. The other group follows a self-training program at home based on specialist instructions, using a mobile app called squeezy to remind and record training sessions. The study includes assessments before training, after six months of training, and after twelve months. Women in the study will have medical examinations, pelvic floor muscle assessments, ultrasound scans, and complete questionnaires that cover urinary incontinence, prolapse symptoms, sexual function, and overall quality of life. Researchers will track pelvic floor muscle strength and coordination, pelvic organ position, pain levels, and muscle activity over time. The study also monitors factors such as birth history and body measurements that may affect rehabilitation outcomes. Participation lasts for at least one year with evaluations at key intervals.

Comparison of Outpatient Rehabilitation Versus Self-training for the Treatment and Prevention of Postpartum Pelvic Floor Dysfunction