Effects of Diaphragmatic Breathing With Kegal Exercises on Pelvic Floor Muscle Function and Quality of Life Among Multigravida Women With Stress Incontinence

The goal of this clinical trial is to determine the effect of diaphragmatic breathing with kegel exercises on pelvic floor muscle function and quality of life among multigravida women with stress urinary incontinence The main question it aims to answer are The effect of diaphragmatic breathing in combination with Kegel exercises is significant in improving pelvic floor muscle function and quality of life among multigravida women with stress urinary incontinence. The researcher will compare diaphragmatic breathing to kegel exercises as a standard treatment to see if it produces better results for treating SUI Participants will Perform diaphragmatic breathing with kegel exercises for 6 weeks Visit clinic every at the end of every week They will keep a diary regarding when they performed exercises

Inclusion Criteria: * • The population under study was adult women of age between 25-45 years * Women with the history of at least two parities * No previous history of undergoing any physical therapy treatment for SUI * The study included clinically diagnosed women with stress urinary incontinence * Study included grade 1-2 severity of SUI that can be treated conservatively * Women with both vaginal and c-section deliveries were included Exclusion Criteria: * Women with pelvic organ prolapse * Women that were menopausal or post-menopausal * Pregnant women and 6 months post-partum * Any other surgical and medical history (congenital urological disease or tumor of bladder) * Women with detrusor hyperreflexia * Any on-going Infection (vaginal lesion or UTI) * Women that had chronic pelvic pain * Women that had any sextual disorders * Women having any neurological problems