Efeect of kegel's exercises on first degree pelvic organ prolapse among women / Abeer Nasr Eldeen ; Supervised Abeer Saad Zaghlol Eswi , Azza Ali Abdelhamed , Salwa Mostafa Elbadry

Thesis (Ph.D.) - Cairo University - Faculty of Nursing - Department of Maternal and Newborn Health Nursing

Background: Kegel's exercises are recommended to increase the strength and elasticity of the pelvic floor muscles and decrease the incidence of prolapse and stress urinary incontince. Aim: was to assess the effect of kegel's exercises on first degree pelvic organ prolapse among women. Subject and methods: Design; quasiexperimental, non equivalent pre-post test research design was adopted. Setting: this research was carried out at gynecological clinic at El Galaa Obstetrics and Gynecology Teaching Hospital Sample: purposive sample of 110 women were recruited as one group to be measured before and after following kegel's exercises according to certain criteria. Tools: three tools were used for data collection: structured interview tool; assessment & follow up tool for clinical picture of prolapse and Perineometery. Collected data were taking about 12weeks for initial visit, followup visit and evaluation visit. Results: revealed that, a statistically significance differences were found before and after following of kegel's exercises in relation to sexual clinical picture, urinary clinical picture was ({2 = 145.4 and p value {u2264} 0.001 and types of urinary problems. {2 = 167.4 and p value{u2264} 0.001 ) ,bowel clinical picture was ({2 =128.8 & P.value {u2264} 0.001). Regarding to perineometery reading the results revealed that, highly statistically significant differences were found between the three reading of perineometery (F=68.047, p{u2264}0.001). Conclusion: practicing kegel's exercises lead to decrease of clinical picture of prolapse and improve strength of pelvic floor muscles. Recommendation: based on the study findings it's recommended that; kegel's exercises should be followed during each development phases of women's life span, and the nurse should be work as educator and counselor to teach women benefits and technique of kegel's exercises

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