Hypopressive vs Paula Method for postpartum urinary incontinence
Official title: Comparative Effects of Hypopressive Exercises and Paula Method on Urinary Incontinence, Pelvic Floor Muscle Strength and Quality of Life in Postpartum Women
Run by Riphah International University · NCT07628322 · Data updated 2026-11-12
This trial tests whether Hypopressive Exercises or the Paula Method better improve urinary leakage, pelvic floor strength, and quality of life in postpartum women.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | 25 Years to 40 Years |
| Sex | Women only |
| Enrollment | 60 (estimated) |
| Sponsor | Riphah International University Academic / other |
| Locations | 1 site (Sargodha, Punjab Province) |
| Status | Recruiting |
| Started | October 1, 2025 |
| Main results expected | July 1, 2026 |
| Study ends | July 1, 2026 |
| Registry record updated | June 5, 2026 |
| Trial ID | NCT07628322 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Multiparous women aged 25–40, at least six weeks postpartum, who had vaginal delivery and experience urinary leakage at least weekly with diagnosed stress incontinence.
✕Probably not a fit
Women with urge or mixed incontinence, recent pelvic surgery, or certain medical conditions may not benefit from these specific approaches.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This randomized trial enrolls 60 postpartum women with stress urinary incontinence to compare two non-surgical therapy approaches. Participants are assigned to either Hypopressive Exercises or the Paula Method for eight weeks, with both groups also performing baseline pelvic floor (Kegel) contractions. Treatments occur twice weekly, at Bilal Medicare in Sargodha, and eligibility includes vaginal delivery, six weeks postpartum, and a minimum leakage frequency. Outcomes focus on urinary incontinence severity, pelvic floor muscle strength, and quality of life. Exclusions cover prior pelvic floor physiotherapy, neurological or systemic conditions, and recent pelvic surgery.
Why it matters
Potential benefit: If successful, the more effective method could become a preferred non-invasive option for postpartum women with stress urinary incontinence.
How similar studies have gone: Previous non-surgical pelvic floor therapies have shown benefits for stress urinary incontinence, but comparative data between Hypopressive and Paula Method in this population are limited.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * • Multipara women from 25-40 years * Six weeks postpartum * Vaginal delivery method * Reported ≥1 episodes of urine leakage per week * Diagnosed with SUI (ICIQ-UI SF ≥6) Exclusion Criteria: * • No pelvic floor physiotherapy in last 6 months * Patients with any medical and gynaecological risk factors and /or conditions * Patients with any neurological problems, urinary tract infection, diabetes mellitus, hepatitis and ascites * Pelvic surgery in last 6 months * Mental or cognitive impairment
Where it's running
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Bilal Medicare, Sargodha
Sargodha, Punjab Province, Pakistan Recruiting
Study contacts
- Principal investigator: Hafiza Iqra Rubab, MSWHPT — Riphah International University
- Study coordinator: Imran Amjad, PhD
- Email: imran.amjad@riphah.edu.pk
- Phone: 03324390125
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.