Limitations and recommendations
pain
SECONDARY
Due to the necessity of study participants continuing the post-operative physiotherapy exercise prescription at home after discharge, we were unable to directly oversee and ensure compliance with the physiotherapy protocol. Consequently, there is a potential reduction in patient adherence and treatment fidelity, which should be considered as a limitation. Additionally, it is acknowledged that important demographic measures were only collected at baseline, and there was a disparity in parity between the two groups. Moreover, it is important to note that the assessment of QOL was solely reported post-intervention. Therefore, it was not possible to compare the various domains of QOL before and after the physiotherapy session within the two groups. These factors introduce the possibility of bias in the results and should be taken into account.This secondary analysis did not specifically assess the impact of physical therapy on pre- and post-natal QOL due to the absence of baseline data collection among the subjects. Consequently, it is imperative to conduct a more comprehensive study with a wider scope that not only evaluates the impact on the intervention and control groups but also both QOL at the beginning and end of the intervention. Simultaneously, existing research evidence suggests that interventions focusing on emotional and social well-being have shown effectiveness in improving these specific domains of QOL, ultimately enhancing overall health and well-being. Therefore, we propose that future studies investigate interventions that address a broader range of QOL dimensions, including emotional and social components, that could be integrated into the physical therapy protocols to gain a more comprehensive understanding of them.While the current study provides valuable insights into an underexplored area of post-natal physiotherapy, it is essential to acknowledge that parts of the data related to the methodology in this manuscript have been previously published elsewhere [This endeavor enhances the informative value of the intervention package, highlighting the positive impact of this intervention on short-term post-operative outcomes, including reduced post-operative pain, the requirement for additional analgesics, pain upon returning to functional activities, and shorter hospital stays, while also underscoring its significant role in enhancing the physical health-related domains of QOL following CS.Finally, future research on this topic of interest can be further advanced by including a few additional questions aimed at assessing the exercise adherence and treatment fidelity of the subjects. This inclusion would significantly contribute to the meaningfulness and comprehensiveness of the study.