Delena Caagbay

Delena Caagbay
The University of Sydney · Discipline of Medicine

M.S Physiotherapy, MPH, PhD

About

16
Publications
2,909
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Citations
Introduction
Physiotherapist, MPH, PhD - passionate about empowering women through health education. My PhD focussed on the development and testing of an informational Flipchart on lifestyle strategies and pelvic floor muscle training for women who have a pelvic organ prolapse living in rural regions of Nepal.
Additional affiliations
August 2020 - November 2020
The University of Sydney
Position
  • PhD
Description
  • Reducing the burden of pelvic organ prolapse in Nepal: how does normal anatomy affect risk and how can we communicate ways of strengthening pelvic floor muscles in remote communities?
March 2015 - present
University of Technology Sydney
Position
  • Professional Tutor
Description
  • Tutor students in subjects related to physiotherapy, exercise science and sports medicine.
February 2015 - July 2016
The University of Sydney
Position
  • MPhil Student
Description
  • This formative qualitative study involved interviewing Nepali women about their knowledge of pelvic organ prolapse and pelvic floor muscle exercise. We also conducted real time ultrasound to visualise their pelvic floor muscle contraction
Education
July 2015 - December 2019
The University of Sydney
Field of study
  • Physiotherapy and Medicine
March 2012 - November 2013
The University of Sydney
Field of study
  • Public Health
September 1996 - May 2001
Andrews University
Field of study
  • Physiotherapy

Publications

Publications (16)
Poster
Full-text available
A manuscript has been submitted to a peer-reviewed journal on this project
Article
Full-text available
Background: Pelvic organ prolapse is a common disorder for women in Nepal causing symptoms and reduced quality of life. Pelvic floor muscle exercise is a conservative treatment option for pelvic organ prolapse but the effective way to teach women in Nepal is not known. The objective of this pilot study was to determine if an illustrative leaflet wi...
Article
Women in Nepal who suffer from pelvic floor disorders often have limited access to health advice. In rural areas, auxiliary nurse midwives (ANMs) are responsible for maternal health counselling and services. We sought to investigate whether an educational workshop on pelvic floor muscle training (PFMT) for ANMs would improve their knowledge and ena...
Article
Full-text available
Introduction and hypothesisPelvic floor muscle training (PFMT) and lifestyle advice are effective at improving the symptoms and severity of pelvic organ prolapse (POP) in a range of populations; however, the impact of these interventions in Nepali women is unknown. We aimed to evaluate the impact of an informational flipchart on PFMT and lifestyle...
Article
Aim: To investigate whether pelvic floor muscle (PFM) morphological changes obtained through four-dimensional translabial ultrasound (4D TLUS) correlate with a PFM contraction as evaluated by digital palpation and PFM electromyographic activity evaluated by surface electromyography (sEMG). The secondary objective was to investigate which ultrasoun...
Article
Objective: The beneficial effects of photobiomodulation (PBM) on cellular function are well characterized, principally deriving from the absorption of red to near-infrared radiation by chromophores such as cytochrome-c-oxidase. However, the effects and underlying mechanisms of PBM on non-mitochondria containing cells, such as red blood cells (RBCs)...
Article
Full-text available
COVID-19 has significantly impacted the world and Nepal is no exception. The pandemic has caused a reduction in health service delivery, especially for women’s health conditions, resulting in an increase in challenges for an already vulnerable group. Maternity care, reproductive health services, preventive interventions, nutritional advice and ment...
Article
Full-text available
COVID-19 has significantly impacted the world and Nepal is no exception. The pandemic has caused a reduction in health service delivery, especially for women's health conditions, resulting in an increase in challenges for an already vulnerable group. Maternity care, reproductive health services, preventive interventions, nutritional advice and ment...
Article
Background Pelvic floor muscle (PFM) function has been shown to be inversely associated with pelvic organ prolapse (POP) in Western women, however differences have been documented between ethnic groups. Objective To determine if PFM strength and thickness and hiatal area (HA) are associated with POP in Nepali women. Methods This cross-sectional s...
Thesis
Pelvic organ prolapse (POP) is a common condition for women in which increased soft tissue mobility allows one or more of the pelvic organs to descend into the vagina causing a variety of distressing symptoms. While POP is a global problem, there are additional challenges and considerations for women living in low- and middle-income countries (LMIC...
Article
Introduction and hypothesisLimited existing evidence suggests that there is a high prevalence of female pelvic organ prolapse (POP) amongst Nepali women. However, to date, no comprehensive assessment of pelvic floor functional anatomy has been undertaken in this population. Our study aimed to determine functional pelvic floor anatomy in Nepali wome...
Article
Objectives Pelvic organ prolapse is very common among women in Nepal, especially uterine prolapse. This would suggest a high rate of levator trauma, which is a strong predictor of such prolapse in the Western world. Hence, we decided to study the prevalence of maternal birth trauma in Nepali women. Methods In November 2016, we offered an interview...

Projects

Projects (3)
Project
Member of the Advisory Committee to update the guidelines for conservative treatment of Pelvic Organ Prolapse. This will involve a systematic review and consensus statement to be completed in 3 years. https://www.iuga.org/publications/iuc/chapter-3-conservative-treatment-of-the-patient-with-pelvic-organ-prolapse
Project
In this study we are conducting 3D/4D real time ultrasound to determine Nepali women to determine the prevalence of POP, pelvic floor trauma and functional anatomy. The second part of this study is developing and testing a training program on pelvic floor muscle training for women living in remote regions of Nepal. We are designing a an informational flipchart for local health workers about the conservative strategies to manage symptomatic POP. We are conducting an RCT to determine the impact of the flipchart.