Objectives: Survey effect of pelvic floor muscle exercise on sexual self-efficacy and sexual quality of life, in nulliparous women after childbirth
Design: This study is a clinical trial is designed as a before and after.
method: this study perform on 104 women refer to selected health centers of Mashhad after obtaining informed consent . sampling will be done as two-stage (class - cluster) and women Be selected who are eligible and
at 8 weeks after childbirth. and place in two groups(control- intervention) randomly.
After examination including height, weight, BMI and pelvic examination is completed questionnaires by the researcher. Both groups received routine postpartum care training in the face to face for 30 minutes. In addition, the intervention group received a 30 minute face to face training about Kegel exercises. And from them are asked to do these exercises twice daily, and 20 to 15 times per shift their pelvic floor muscles contracted for 10 seconds and to relax for 10 seconds. This exercise should be repeated 20 times (5 min). After 2 minutes of rest, repeat the exercise for 3 times of 5 minutes. The participants will be required in the absence of muscle fatigue Increase the number of exercise to 35 times. Also a Booklet and a training audio CD will be given to the intervention group about Kegel exercises and pelvic floor muscles . Then will be given them the check list recorded of daily exercises . The researcher checks by phone participation of Kegel exercises and other problems. The samples will be asked to return 4 and 8 weeks later to evaluate the problems and Correct method exercises and again will be assessed sexual self efficacy, sexual quality of life at 12 weeks and 16 weeks. Inclusion criteria: Primiparous, vaginal delivery,at 8 weeks after childbirth,healthy singleton infant. Exclusion criteria: Couples addiction drug and alcohol, Couple with a spiritual and medical disease, Postpartum complications, be a professional athlete.