Cesarean delivery (CD) is one of the most common surgical procedures in obstetrics, and it is also one of the oldest medical procedures. The rise in the rate of cesarean sections is one of the most striking hallmarks of modern obstetrics.~In Egypt, the prevalence of CD has increased dramatically over the last decade, with the most recent Egypt Demographic and Health Survey (EDHS) reporting a rate of 52 percent, implying that cesarean sections may be overused or utilized for improper reasons.~Core muscles consist mainly of four muscles. Two of them are deep local stabilizers; the transversus abdominis (TrA) and the multifidus muscles, and the other two synergists; are the diaphragm and the pelvic floor muscles. Core muscle strength is defined as the active muscular ability to generate and maintain forces to stabilize the spine via controlling the intra-abdominal pressure.~The prevalence of LBP in women who underwent CD was higher than its counterpart in women who underwent vaginal delivery. The underlying mechanisms for LBP following cesarean delivery could be postural problems and stressful positions during delivery and lactation.
Cesarean delivery (CD) may trigger an increase in low back pain (LBP) intensity and core muscle weakness. This study will assess the correlation between low back pain intensity and core muscle strength of transversus abdominis (TrA) and Lumbar multifidus (LM) muscles among women who underwent CD and compare it with those without previous pregnancy.