Integrated Medical, Surgical and Physiotherapy Care for Pregnant Women With Chronic Diseases
NCT07589946 · Status: COMPLETED · Phase: NA · Type: INTERVENTIONAL · Enrollment: 200
Last updated 2026-05-15
Summary
This non-randomized controlled quasi-experimental study evaluates the effectiveness of an integrated medical-surgical and physiotherapy community-based care model for pregnant women with chronic diseases. Eligible pregnant women aged 18 years or older and enrolled before 20 weeks of gestation are allocated to either an intervention group receiving coordinated multidisciplinary care plus individualized physiotherapy or a control group receiving standard antenatal care. The intervention includes standardized clinical pathways, care coordination, self-management education, community linkages, and physiotherapy exercises tailored to gestational age, chronic disease type, and baseline functional assessment. Outcomes are assessed at baseline, delivery, and 6 weeks postpartum and include maternal complications, neonatal outcomes, quality of life, treatment adherence, patient satisfaction, healthcare utilization, and maternal physical-function indicators.
Conditions
- Pregnancy
- Pregnancy-Related Pain
- Musculoskeletal Disorders
- Physical Therapy
Interventions
- DEVICE
-
Physiotherapy-based Care
* Aerobic exercises for cardiovascular endurance. * Resistance exercises to improve muscle strength. * Posture correction exercises to improve body alignment. * Core stabilization exercises to improve overall strength and stability. * Pelvic floor muscle training for better support during pregnancy. * Breathing exercises to enhance relaxation and reduce
- OTHER
-
control group
The participants in the control group received the usual routine antenatal care without the added physiotherapy program. The focus was on the management of chronic diseases during pregnancy but did not include the structured exercise regimen provided to the intervention group.
Sponsors & Collaborators
-
Sinai University
lead OTHER
Study Design
- Allocation
- NON_RANDOMIZED
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Sex
- FEMALE
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2025-11-15
- Primary Completion
- 2026-03-01
- Completion
- 2026-05-01
Countries
- Egypt
Study Locations
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