Hafiz Muhammad Asim, Khizar Hayyat, Anam Iqbal.
Postpartum stress; effects of pelvic floor muscle training (kegel exercises) in women with postpartum stress urinary incontinence.
Professional Med J Jan ;20(2):208-13.

There is no consensus on the amount of exercise necessary to improve pelvic floor muscle (PFM) function. We reviewed the pathophysiology of PFM dysfunction and the evolution of PFM training regimens since Kegel introduced the concept of pelvic floor awareness and the benefits of strength. This paper describes the effect of pelvic floor muscle training (Kegel Exercises) in stress urinary incontinence. The design of PFM training logically requires multiple factors to be considered in each patient. Objectives:The objective of the study was to determine the effects of pelvic floor muscle training with postpartum urinary incontinence (1) Improvement in urinary control. (2) Improvement in relieving urinary urgency. (3) Time duration in which patient returns to functional activities. (4) Any complications after exercises. Study Design: Quasi Study. Place and Duration of Study: the study was carried out in department of physiotherapy Ghurki Trust Teaching Hospital Lahore the duration of study was 12 months from May 2011 to April 2012. Patients and Methods: The study was based on 28 patients who were having the complaint of postpartum urinary incontinence. Abdominal and pelvic control was assessed and recorded before commencing the exercises and was also assessed regularly on every follow up. Results: Kegel exercises helps to control and eradicate the problem of postpartum stress urinary incontinence. Conclusions: Kegel exercises give a good result in postpartum stress urinary incontinence.

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