Abstract
Objective: To compare the effects of Bebo concept and Diaphragmatic Breathing technique on stress incontinence in females after vaginal birth.
Study design: It is a descriptive cross sectional hospital based study.
Place and duration of study: A Six-month study was carried out in Jinnah Hospital Lahore and Bahria International Hospital Lahore. (March 2022 to September 2022)
Material and Methods: The study design was RCT (Randomized control trial). Duration of the study was 6 months, March 2022 to September 2022. The total sample size of this study was 66. Out of which 33 candidates were allocated in each of the two groups. During this study, the Non probability purposive Sampling technique was used to select the sample and then randomly allocated into groups through Lottery Method. Group.1 was assigned for the receiving of Bebo Concept as intervention plan whereas the Group.2 was applied with the Diaphragmatic. Breathing exercises. Treatment plan consisted of 6-weeks for the females with stress urinary incontinence after vaginal birth. Palpation perfect test was used to measure
Results: Man Whitney U Test was for between group analysis of palpation perfect test, which indicated significant difference observed in posttest palpation perfect test results in both the interventions (p=0.001) and significant difference was observed in posttest palpation perfect test results in both the interventions (p=0.001) showing better results with Bebo.
Conclusion: Bebo concept showed more statistically significant improvement Urinary Distress Inventory, Short Form UDI-6 and Palpation perfect test but Quality of Life (ICIQ-US SF) remained same in both the groups, according to UDI-6 and ICIQ.
Keywords: Vaginal birth, Urinary stress incontinence, Physical Therapy techniques
References
Wiśniewska B, Marciniak A, Rutkowska-Nawrocka J, Ciećwież M, Szydłowska I, Starczewski A. Urinary stress incontinence-one of basic diseases of modern society. Polski Merkuriusz Lekarski: Organ Polskiego Towarzystwa Lekarskiego. 2015;38(223):51-4.
Zhang Y, Zhou Z, Wei D, Jiao Y, Zhu Q, Shi Y, et al. Efficacy and safety of moxibustion in the treatment of female stress urinary incontinence: A protocol for systematic review and meta-analysis. Medicine. 2022;101(7):e28893.
Leng B, Zhou Y, Du S, Liu F, Zhao L, Sun G, et al. Association between delivery mode and pelvic organ prolapse: a meta-analysis of observational studies. European Journal of Obstetrics & Gynecology and Reproductive Biology. 2019;235:19-25.
Moradi M, Niazi A, Shariat Moghani BS, Mohammadzadeh F, Afiat M, Mazloumi E. The relationship between mode of delivery and pelvic organ prolapse in women: A cross-sectional study. The Iranian Journal of Obstetrics, Gynecology and Infertility. 2022;24(13):41-50.
Śnieżek A, Czechowska D, Curyło M, Głodzik J, Szymanowski P, Rojek A, et al. Physiotherapy according to the BeBo Concept as prophylaxis and treatment of urinary incontinence in women after natural childbirth. Scientific Reports. 2021;11(1):1-9.
Hwang U-J, Lee M-S, Jung S-H, Ahn S-H, Kwon O-Y. Effect of pelvic floor electrical stimulation on diaphragm excursion and rib cage movement during tidal and forceful breathing and coughing in women with stress urinary incontinence: A randomized controlled trial. Medicine (Baltimore). 2021;100(1):e24158-e.
Toprak N, Sen S, Yigit B. The role of diaphragmatic breathing exercise on urinary incontinence treatment: A pilot study. Journal of Bodywork and Movement Therapies. 2021.
Colla C, Paiva LL, Ferla L, Trento MJ, de Vargas IM, Dos Santos BA, et al. Pelvic floor dysfunction in the immediate puerperium, and 1 and 3 months after vaginal or cesarean delivery. International Journal of Gynecology & Obstetrics. 2018;143(1):94-100.
Zarawski M, Kołomańska-Bogucka D, Maj M, Panicz D, Opławski M, Mazur-Biały A. The impact of pelvic floor exercises on the quality of life of women with urinary incontinence: analysis of pregnancy and the postpartum period. Journal of Novel Physiotherapy and Physical Rehabilitation. 2017;4(2).
El Nahas EM, Mohamed MA, Kamal HM. Postnatal rehabilitation of pelvic floor muscles using aerobic and Kegel exercises. Bulletin of Faculty of Physical Therapy. 2017;22(2):67-73.

This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
Copyright (c) 2023 Azka Farooqi, Dr. Rabiya Noor, Muhammad Faizan Hamid, Laiq ur Rehman