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Awareness and attitude of Gynecologists/obstetricians regarding the role of Physiotherapy in the management of uterine prolapse

. Dr M. Sarfraz, Dr Azadeh Shadmehr, Dr Amna yaseen, Dr Yasmeen raza, Dr Mazhar Ali Bhutto, Javeria Ahmed & Dr Abida Nadeem


Abstract

Objectives: To determine the Awareness and attitude of gynecologists/obstetricians regarding the role of Physiotherapy in the management of uterine prolapse.

Methodology: A cross-sectional study was done among gynae and obs selected from public and private hospitals of Karachi through non-probability convenient sampling. The awareness and attitude of doctors regarding the role of physiotherapy in the management of uterine prolapse were determined based on a questionnaire. The awareness and attitude of the doctors were studied separately according to their academic qualifications (postgraduate vs graduates) and according to their place of work (Government vs private hospitals)

Results: Overall 236 doctors (88.6%) were found to be aware of the role of physiotherapy in the management of uterine prolapse. Old age and multiple vaginal births were considered by doctors as the most common cause of uterine prolapse, 38%, and 36% respectively. When awareness and attitude regarding the role of physiotherapy were compared between government and private hospitals doctors’ results were 80% vs 20 % respectively; were advised medical treatment. When awareness and attitude regarding the role of physiotherapy were compared between post graduate vs graduate doctors, the post graduated advised many more patients for surgical treatment (79%vs 21%) and for physiotherapy 72% vs 28% for the management of uterine prolapse

Conclusion: The level of awareness among doctors about the role of physiotherapy in the management of uterine prolapse is sufficient and most of the doctors referred their patients for physiotherapy.

Keywords: cervix uteri, physiotherapy, puerperium, cesarean section, pregnancy.

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