Volume 21 No 6 (2023)
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KNOWLEDGE, ATTITUDE AND PRACTICE REGARDING ANTENATAL AND POSTNATAL KEGEL EXERCISES AMONG PAROUS WOMEN
DUR-E-SAMEEN AHMAD, FARYAL KASHIF, KHUSHBOO GULZAR, FAROOQ ISLAM, ZAFRA SEEMAB
Abstract
Background: Kegel exercises, sometimes referred as pelvic floor muscle exercises(PFMEs), also include the voluntary contraction and relaxation of muscle of pelvic floor to raise muscle tone, strength, and stamina. Kegel exercises aid to enhance mobility, reduce pain, and strengthen the muscle of pelvic floor in the treatment of prolapse and urinary incontinence. Throughout antenatal and postnatal period, urinary incontinence (UI) is common. Urine incontinence during pregnancy is a powerful indicator of uri ne incontinence after delivery and in later life. Kegel exercises aim to increase muscle tone by fortifying the pelvic floor's pubococcygeus muscles. Pregnancy exercise benefits the well-being of the mother, the fetus, and the neonatal. Reduced risk of too much pregnancy weight gain, gestational diabetes, pre-eclampsia, delivery difficulties, preterm delivery, neonatal issues, and post-delivery depression are some of the health advantages of prenatal physical activity. Objective: To assess knowledge, attitude and practice regarding antenatal and postnatal Kegel exercises among parous women. Methodology: A cross-sectional study was conducted among 384 women in district Gujrat, Pakistan through non-probability sampling technique with the age range between 18-45 years. The participants were selected according to inclusion and exclusion criteria and were investigated using a self-structured questionnaire for the knowledge, attitude and practice (KAP) related to antenatal and postnatal Kegel exercise among parous women. Results: A cross-sectional study was carried out on 384 parous females in district Gujrat, Pakistan through a self-structured questionnaire. Most participants were between age group 25-31(n=170,44.3%). The women participated in this study majority of them were housewives (n=274,71.4%). Most of them were with healthy BMI (n=169,44%). 294 participants with the percentage of (76.6%) were with no disease. 32.8% were with high knowledge level and 54.2% were with positive attitude level. Only 6.5% show good practice of antenatal and postnatal Kegel exercises. There is a strong association between knowledge level, attitude level practice level as p-value is less than <0.001 so the results were statistically significant. Conclusion: The majority of women, according to this study, are unaware of Kegel exercises for antenatal and postnatal period, but most of them also exhibit a positive attitude toward Kegel exercises, with only few of them participating in it themselves. It was shown that there is a considerable Correlation between knowledge, attitude and practice achievement. It is crucial that such favorable attitudes toward antenatal and postnatal Kegel exercises do not translate into good practice.
Keywords
Kegel exercise, cross-sectional study, antenatal, postnatal, parous women, physical activity.
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