Impact of inter pregnancy intervals on abortion rates among women in Chennai

Karthika Ramalingam, Kamalakannan M, Suriya Nedunchezhiyan, Bharathi Ravichandran, Tamilselvi S, Jenifer Augustina S, Sushil Bella Amali J

Karthika Ramalingam et al. – Impact of inter pregnancy intervals on abortion rates among women in Chennai –  Fizjoterapia Polska 2025; 25(4); 237-241

DOI: https://doi.org/10.56984/8ZGA4313VM4

Abstract
Introduction. Inter pregnancy interval (ipi) is defined as the time between a woman’s delivery of one pregnancy and the conception of her next. It is a crucial factor influencing the health of both the mother and baby during subsequent pregnancies. Despite the high rates of infant mortality in Chennai, India, there is limited research on ipi and its outcomes. This study aims to analyze the demographic profile of women who have experienced abortions, including both medical terminations and natural abortions, in Chennai.
Methodology. This hospital-based observational cohort study retrospectively examined the medical records of 200 women of childbearing age (25–29 years) who delivered at a tertiary care hospital in Chennai between January 2017 and December 2022. The study focused on women with consecutive pregnancies spaced by an ipi of 6 to 24 months.
Results. The 200 women were divided into four groups of 50 based on their ipi. Among these, 32 women who conceived within less than 6 months reported abortions; 26 women with an ipi of 6–12 months reported abortions; 18 women with an ipi of 12–18 months reported abortions; and 10 women with an ipi of 18–24 months reported abortions. These abortion cases included both medical terminations and natural abortions.
Conclusion. The study indicates that shorter inter pregnancy intervals are associated with higher odds of adverse birth outcomes, including increased rates of abortion.
Key words
inter pregnancy interval, natural abortion, medical termination of pregnancy, maternal health, infant mortality
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Efficacy of soft tissue manipulation technique vs therapeutic exercise for an inadequate venous supply in women after pregnancy

Jenifer Augustina S, Kamalakannan M, Radhika S, Dhanusia S, Bharathi Ravichandran

Jenifer Augustina S, Kamalakannan M, Radhika S, Dhanusia S, Bharathi Ravichandran – Efficacy of soft tissue manipulation technique vs therapeutic exercise for an inadequate venous supply in women after pregnancy –  Fizjoterapia Polska 2025; 25(1); 67-70

DOI: https://doi.org/10.56984/8ZG007DZPX0

Abstract
Background. It is caused by primary problems in the vascular wall and valve structure, as well as their insufficiency. Additionally, factors such as hormonal changes, pregnancy, obesity, insufficient movement, working in a sedentary position, and oral contraceptives contribute to impaired vascular tension and structure.
Objective. This study compares the effect of soft tissue manipulation technique and therapeutic exercise on inadequate venous supply in postpartum women.
Methodology. Thirty individuals were included in the study based on inclusion and exclusion criteria. They were randomly allocated into two groups receiving one of the two physiotherapy interventions. NPRS and SF-36 were used to assess the effect of the interventions by comparing venous blood flow improvement before and after the allotted treatment for 10 weeks.
Results. A significant difference in NPRS and SF-36 scores was observed in both groups, indicating the effectiveness of both myofascial release manual therapy and therapeutic exercise. However, myofascial release manual therapy proved to be more effective in improving venous blood flow.
Conclusion. This study concludes that both soft tissue manipulation and therapeutic exercise improve venous blood flow. However, soft tissue manipulation was significantly more effective than therapeutic exercise.
Keywords
physiotherapy, venous insufficiency, postpartum, manual therapy, therapeutic exercises
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Comparing the effectiveness of laser therapy with pelvic floor strengthening exercises and interferential therapy in reducing postpartum low back pain

Jenifer Augustina S., Kamalakannan M, Dhanusia S, Bharathi Ravichandran

Jenifer Augustina S., Kamalakannan M, Dhanusia S, Bharathi Ravichandran – Comparing the effectiveness of laser therapy with pelvic floor strengthening exercises and interferential therapy in reducing postpartum low back pain –  Fizjoterapia Polska 2024; 24(5); 432-435

DOI: https://doi.org/10.56984/8ZG020C9HJ7

Abstract Background. Postpartum low back pain is a common discomfort reported by women, which has a multifactorial etiology. Physical therapy during and after pregnancy helps to resolve various pregnancy-related and postpartum discomforts, impacting the daily activities of the mother. Objective. The objective of this study is to compare the effectiveness of laser therapy with pelvic floor strengthening exercises and interferential therapy in reducing postpartum low back pain. Methodology. This study involved 30 individuals selected based on the inclusion and exclusion criteria, and they were randomly allotted to two groups receiving the two physiotherapy interventions. Application of hot packs was advised to both groups. NPRS and Oswestry Disability Index were used to analyse the effect of the interventions by comparing the severity of the symptoms associated with postpartum low back pain before and after receiving the allotted treatment for 4 weeks. Results. Significant differences in NPRS and ODI were noted in both groups, indicating the efficiency of both laser therapy with exercises and IFT. However, laser therapy with exercises was more effective in reducing the pain and preventing further pain in comparison to IFT. Conclusion. The conclusion of this study states that both laser with exercises and IFT reduced the severity of pain, among which laser therapy with pelvic floor strengthening was comparatively more effective than IFT.
Key words physiotherapy, postnatal, NPRS, Oswestry disability index, strengthening exercises
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