Search or add a thesis

Advanced Search (Beta)
Home > Effect of Pelvic Floor Muscle Training Among Pregnant Black African Population on the Risk of Postpartum Urinary Incontinence, a Single Blind Randomized Control Trial

Effect of Pelvic Floor Muscle Training Among Pregnant Black African Population on the Risk of Postpartum Urinary Incontinence, a Single Blind Randomized Control Trial

Thesis Info

Author

Ngugi, Samuel

Department

Obstetrics and Gynaecology (East Africa)

Program

MMed

Institute

Aga Khan University

Institute Type

Private

City

Karachi

Province

Sindh

Country

Pakistan

Thesis Completing Year

2015

Thesis Completion Status

Completed

Subject

Medicine

Language

English

Added

2021-02-17 19:49:13

Modified

2024-03-24 20:25:49

ARI ID

1676728047964

Asian Research Index Whatsapp Chanel
Asian Research Index Whatsapp Chanel

Join our Whatsapp Channel to get regular updates.

Similar


Trial registration: The study was registered at the Pan African Clinical Trial Registry and a unique identification number issued PACTR201407000850309. Background: Pelvic Floor Muscle Training (PFMT) in the antenatal period has been found to be an effective primary prevention intervention in the Caucasian population in reducing the risk of postpartum Urinary incontinence. Objective: This study was primarily designed to determine the effect of PFMT introduced in the second trimester amongst pregnant black African population on the risk of six weeks postpartum Urinary Incontinence. Secondary objectives included investigating the risk of postpartum Urinary Incontinence, the effect of mode of delivery on the risk of six weeks postpartum Urinary Incontinence and determining contributory factors in this population on the risk of postpartum Urinary Incontinence. Study design: The study was a single blind Randomized Control Trial. Intervention: PFMT was conducted by a Physiotherapist and a Continence Nurse from recruitment to 37 completed weeks of gestation, with the control group receiving standard Antenatal care. Assessment of urinary incontinence status: Data collection was done primarily by administering a validated questionnaire (ICIQ-UI Short Form) at recruitment in the Antenatal clinic and in the postpartum period at the six week postnatal visit. Main findings: Intention to treat analysis was undertaken using the SPSS Statistics 17.0 software package. The primary outcome of the study was an estimate of the risk of 6 week postpartum Urinary Incontinence as a proportion for the treatment and control groups. The risk in the treatment group was found to be 6% while in the control group was 36%. The Risk Ratio was found to be 0.17 (95% Confidence Interval; 0.04, 0.69) and the Relative Risk Reduction was found to be 83%. Comparison of proportions was done using the Chi-square test to compare the two groups for any statistically significant difference. Χ2 (1) = 9.07, P= 0.003 which was considered statistically significant. The null hypothesis was rejected. There was a statistically and clinically significant difference in the risk of postpartum Urinary Incontinence between PFM trained pregnant black African population and those given standard Antenatal Care.
Loading...
Loading...

Similar Books

Loading...

Similar Chapters

Loading...

Similar News

Loading...

Similar Articles

Loading...

Similar Article Headings

Loading...

بھانویں دنیا بنی گلوبل

بھانویں دنیا بنی گلوبل
عشق دا پینڈا اے مارو تھل
دے دے سُکھ یا پنڈ دُکھاں دی
جو کجھ گھلنا ای، جھبدے گھل
چھڈ دے گلہ تے چغلی غیبت
بن جا ہن بندے دا پھل
ان شا ء اللہ، آساں لگیاں
چنگی ہوسی اَج توں وی کل
سکھ رہندے نیں پرے پریڑے
بیٹھے دکھ دوارہ ای مل
اساں یار، یاراں دے یار
ساڈی سنگت دے نال رل
سر تے پنڈدکھاں دی بھاری
کرسی آپے مولا ای حل

غیر مسلموں سے تعلقات اور بقائے باہمی کی اساس: سیرت النبیﷺ کے تناظر میں

Islam is universal Religion which not only clear with issues related to Muslims but also clarify the rules and regulations to have intinary with Non-Muslims. Islam emphasizes on primary/ basic rules about relationship of Muslims and Non- Muslims Communities; justice, peace, mutual harmony and co-operation. No force conversion and freedom of thought, Non compulsion Of impartiality convenant. Islam forces on mutual existence in according of these rules. So, clash of civilizations can be avoided in the present age.

Use of a Plant Virus Vector for Screening of Gene Constructs With Potential Insecticidal Activity Musarrat Shaheen 2017

Extending the novel implications of plant viruses as invaluable genetic tools in the field of transgenic plant technology, Potato Virus X (PVX) based transient gene expression is a simple rapid, inexpensive methodology employed for preliminary screening and evaluation of insecticidal gene constructs in plant sucking insect species. In this study, PVX vector was employed to achieve high throughput expression of two-candidate insecticidal proteins viz. Hvt, (Hydronyche versuta spider) and ACA Lectin (Allium cepa agglutinin) in tobacco plants. The Reverse transcriptase (RT-PCR) revealed a high throughput expression of 117 bp Hvt, 325 bp ACA Lectin in tobacco were bioassayed in Phenacoccus solenopsis Tinsley (P. solenopsis Tinsley), Aphis gossypii Glover, (A. gossypii Glover), M. persicae Sulzer (M. persicae Sulzer) and herbivorous insect species of Helicoverpa virescens (H. virescens), Spodoptera littoralis (S. littoralis). The results revealed severe insecticidal and antagonistic effect of Hvt in terms of significant insect mortality p<0.01%, reduced population survival and nymph production in P. solenopsis Tinsley, A. gossypii Glover and M. persicae Sulzer. ACA Lectin also exerted significant anti-feedent and insecticidal characteristics at p<0.01% on colonization and population survival in tested insects and larval mortality and lower dry weight gain in herbivorous insect species of H. virescens and S. littoralis. The practical application of PVX vector was extended through PVX- based VIGS mediated production of dsRNAs of two partial insect gene transcripts i.e. Voltage Gated Calcium Channel (PSCaVα1) and Elongation Factor (PSEF-1α) in tobacco plants and RNAi response in P. solenopsis Tinsley. The Reverse Transcriptase (RT-PCR) revealed a high throughput expression of 117 bp Hvt, 325 bp ACA Lectin and plants dsRNAs of 152 bp PSCaVα1 and 325 bp PSEF-1α in tobacco used in plant feeding bioassays. The results revealed significant insect mortality 96% PSCaV-α1 and 46% PSEF-1α and several allied phenotypic deformities like stiffing, melanization and shedding of cuticle, arrested growth and reduced fecundity in P. xviii solenopsis Tinsley were consonant with declined expression of targeted genes in insects feeding corresponding dsRNAs duly elaborated by a semi-quantitative RT-PCR. The specificity of dsRNAs 152 bp PSCaV-α1 and 325 bp PSEF-1α dsRNAs derived from P. solenopsis Tinsley and 402 bp Arginine kinase (AK) from A. gossypii Glover was checked through feeding bioassays in non-target insect species like M. persicae Sulzer, H. virescens and S. littoralis. The results revealed non-significant effect of 152 bp PSCaV-α1 and 325 bp PSEF-1α and significant effect of AK in adult aphid in terms of mortality, nymphs produced and survived, larval mortality and dry weight gain in tested insect species. The cumulative results of this study highlighted the significance of PVX vector as valuable genetic tool for preliminary screening and evaluation of candidate insecticidal proteins and RNAi gene constructs. This study will enhance the efforts of biologists in a way to screen the candidate insect genes and design the complementary transgenic crop protection strategies.