Impact of Post-Cesarean Abdomino-Pelvic Training on Diastasis Recti and Sexual Function

Trial statusNot yet recruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexFemale
Age18-45
SponsorHarran University

About this trial

This study aims to investigate the effects of a specific exercise program on physical recovery and sexual health in women who have had a cesarean section. Pregnancy and abdominal surgery can lead to a separation of the abdominal muscles, known as Diastasis Recti Abdominis (DRA), and may affect pelvic health and sexual function. Participants will be randomly assigned to either an intervention group or a control group. The intervention group will participate in a 6-week "Structured Abdomino-Pelvic Power-Training" program starting at the 6th week after surgery. This program includes specific exercises to strengthen the core and pelvic floor muscles. The control group will follow the standard routine postpartum care. The researchers will use ultrasound and Doppler imaging to measure the distance between the abdominal muscles and the blood flow in the pelvic area at the beginning of the study and after 6 weeks of training. Participants will also complete a validated questionnaire (FSFI) to evaluate their sexual function. The goal of the research is to determine if this structured exercise program helps close the abdominal gap more effectively and improves pelvic blood flow and sexual well-being compared to standard care.

Eligibility criteria

This trial accepts healthy volunteers

Qualifiers

None

Disqualifiers

Multiparous women (those with more than one delivery).

Trial design

Design model

Parallel

Treatments tested in this trial

  • Abdomino-Pelvic Power-Training Program

    Other intervention

    A 6-week structured exercise program including one weekly supervised clinical session and daily home exercises. It focuses on core stabilization (rectus abdominis, obliques, transversus abdominis) to reduce inter-recti distance and Pelvic Floor Muscle Training (PFMT) to improve strength and hemodynamics.

  • Standard Postpartum Follow-up

    Other intervention

    Participants will follow the routine clinical postpartum follow-up protocol. This includes standard medical advice and assessments at the 6th week and 3rd month postpartum, without participation in the structured exercise program.

Treatment groups

120 Participants
are divided into 2 treatment groups
Group A: Intervention Group: Abdomino-Pelvic Power-TrainingExperimental treatment 1 intervention
Group B: Control Group: Standard Postpartum CareActive comparator 1 intervention

Trial outcomes

Primary outcomes

1

Change in Inter-recti Distance (IRD)

The distance between the medial borders of the two rectus abdominis muscles, measured in centimeters (cm) using linear probe ultrasonography to evaluate the severity of Diastasis Recti Abdominis (DRA).

Time frame
From baseline (6th week postpartum) to the completion of the exercise program (3rd month postpartum).

Secondary outcomes

Other outcomes

Sponsors and contacts

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