Effect of compliance to Kegel exercises on the improvement of stress incontinence

Stress incontinence is the most prevalent form of female urinary incontinence; it affects approximately 5% of younger women to nearly 50% of elderly women. The objective of this study was to examine the effect of compliance to Kegel exercises on the improvement of women experiencing stress urinary incontinence and examining the factors affecting their compliance. Subject and Methods of this study was carried out as a quasi-experimental clinical trial. It comprised 60 stress urinary incontinent women attending to the outpatient clinics of urology and gynecology in El Minia University Hospital El Minia General Hospital and Suzan Muharak University Hospital They were assigned to a pelvic floor muscle training program for 3 months. Treatment outcomes "were assessed by subjective evaluation, and palpation and provocation tests. The results revealed that most patients were cured or improved [95.0%] after practicing Kegel exercises. The majority had good or powerful contraction on palpation test [50.0% and 45.0%]. In the provocation test, 40.0% and 50.0% had no or slight leakage, respectively. Age, BMI, level of education, gravidity, parity, number and amount of episodes, and compliance were factors that affected women improvement, while compliance was affected by job status, parity, and residence. Kegel exercises were effective in the treatment of stress incontinence, and the success of Kegel exercises depends on proper technique and compliance with a regular exercise program. The study recommended the development of training programs for nurse midwives and for those working in gynecologic clinics for early selection of women with SUI and caring for them

Acceptability for the use of postpartum intrauterine contraceptive devices: Assiut experience

To evaluate the acceptance of postpartum intrauterine contraceptive devices [PPIUCD] among the inhabitants of Assiut governorate, Egypt and to study the factors that influence this acceptance. Subjects and Contraceptive counseling was given to 3,541 clients: 1,880 and 1,661 during the antenatal visits and postpartum hospitalization, respectively. Acceptors during antenatal counseling were to receive IUCDs via postplacental insertion in the case of vaginal delivery or transcesarean insertion in case of abdominal delivery. The clients who refused PPIUCD and chose interval IUCD insertion were referred to the Family Planning Clinic after the end of puerperium. Among postpartum counselees, PPIUCD acceptors received predischarge insertion within 48 h of delivery and the interval IUCD were referred to have IUCD inserted after the end of puerperium. The acceptance rate of both PPIUCD and interval IUCD and the percentage of actual insertions were recorded. The causes of both acceptance and refusal were also recorded. Of the 3,541 clients, 1,024 [28.9%] accepted the use of IUCD after delivery. Acceptance was approximately the same during antenal and postpartum counseling: 26.4 and 31.8%, respectively. Verbal acceptance was higher among women with formal education than among illiterate women. Planning another pregnancy in the near future, preference for another contraceptive method, namely lactational infertility, and complications from previous use of IUCD were the most common reasons for refusing the use of IUCD. Of the 1,024 verbal acceptors, only 243 [23.7%] had the actual insertion of IUCD. Both the acceptance and actual insertion of IUCD were low probably because the use of IUCD is a new concept in the community. For these women, the only opportunity to receive information about contraceptives is during childbirth when they are in contact with medical personnel. Hence, it is suggested that family planning should be integrated with maternal and child-care services in order to effectively promote the use of contraceptive devices in these women who otherwise would not seek the use of such a device