Effect of Exercise on Mode of Delivery in Elderly Primigravida With Rigid Perineum

NCT07771543 | Completed

• 1 other identifier: FPTBSUREC/0612/15426
• Study Type: interventional
• Target: 60
• Locations: 1 country
• Sites: 2

Brief Summary

Objective of the study is to explore effect of therapeutic exercise program on mode of delivery in elderly primigravida with rigid perineum. women. The main question to be answered by this study: Does a therapeutic exercise program on mode of delivery in elderly primigravida with rigid perineum ? Researchers will compare 2 groups of 70 elderly primigravida women group A (study group) included participants who joined ten-weeks of specific therapeutic exercise program and received pieces of advice. While, group B involved control participants who followed the routine care and received advice as group A participants.

Conditions

Pregnancy Complication

Outcome Measures

Primary Outcomes (2)

• Mode of Delivery

  It included normal vaginal delivery, instrumental vaginal delivery that demanded using of special devices such as forceps or a vacuum extractor to deliver the fetus vaginally, and caesarean delivery.

  3 months

• Pelvic floor muscle tone

  Assessment of pelvic floor muscle tone was conducted twice before and after 8 weeks of the intervention procedure for all participants by means of vaginal probe of Myo 200 apparatus.

  3 months

Secondary Outcomes (1)

• Neonate APGAR score

  3 months

Study Arms (2)

Intervention group

EXPERIMENTAL

ten-weeks of specific therapeutic exercise program and received pieces of advice

Other: control group advice

No Intervention

PLACEBO COMPARATOR

routine care and received advice

Other: Therapeutic exercise program

Interventions

Therapeutic exercise program OTHER

collection of relaxation exercises and stretching exercises

No Intervention

control group advice OTHER

routine antenatal care and advice

Intervention group

Eligibility Criteria

• Age: 35 Years - 40 Years
• Sex: female
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• elderly primipara women at their 27 -28 weeks' of gestation diagnosed with rigid perineum were enrolled. Their ages ranged from 35-40 years and their body mass index (BMI) did not surpass 30 kg/m2.

You may not qualify if:

• Participants diagnosed with heart disease, lung disease, incompetent cervix or cervical cerclage, intrauterine fetal growth retardation, hypertension, diabetes mellitus, severe anaemia, thyroid disease, placenta previa, unexplained vaginal bleeding, or active preterm labor, as well as patients with current multiple gestation.

Sponsors & Collaborators

• Beni-Suef University: lead

Study Sites (2)

Beni-Suef University

Banī Suwayf, Egypt

Location

Faculty of Physical Therapy- Beni-Suef University

Banī Suwayf, Egypt

Location

MeSH Terms

Conditions

Pregnancy Complications

Condition Hierarchy (Ancestors)

Female Urogenital Diseases and Pregnancy Complications; Urogenital Diseases

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Who Masked: PARTICIPANT, CARE PROVIDER
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Associate professor of physical therapy for woman's health

Study Record Dates

• First Submitted: August 8, 2026
• First Posted: August 18, 2026
• Study Start: April 15, 2026
• Primary Completion: August 8, 2026
• Study Completion: August 8, 2026
• Last Updated: August 18, 2026

Record last verified: 2026-08

Locations

EG (2)