Comparative Effects of Hypopressive and Transverses Abdominis Focused Core Training in Postpartum

Comparative Effects of Hypopressive and Transverses Abdominis Focused Core Training on Urinary Incontinence, Pelvic Floor Function and Quality of Life in Postpartum

The study aims to compare the effectiveness of these two core training approaches in improving urinary incontinence, pelvic floor function, and quality of life in postpartum women.

The primary outcomes of this study are urinary incontinence, pelvic floor function, and quality of life in postpartum women. These outcomes will be assessed using validated instruments: the International Consultation on Incontinence Questionnaire-Urinary Incontinence (ICIQ-UI) for evaluating the severity of urinary incontinence, the King's Health Questionnaire (KHQ) for assessing the impact on pelvic floor function and health-related quality of life, and the Incontinence Impact Questionnaire (IIQ-7) for measuring the broader impact of incontinence on daily activities and emotional well-being. Outcome measures will be measured at baseline and after 4 weeks. Data analysis will be done by SPSS version 25.

Inclusion Criteria:

• Multiparous women with urinary incontinence
• Who had undergone normal vaginal delivery
• Free from any medical and gynecological risk factors and /or conditions
• Stress urinary incontinence test is positive: Pad test

Exclusion Criteria:

• Had neurological impairments or connective tissue disorders
• Active urinary or vaginal infection in the past 3 months
• Had known detrusor instability
• Had undergone previous surgery to alleviate SUI
• Had pelvic organ prolapse