Effect of Bilateral Transcutaneous Tibial Nerve Stimulation on Postpartum Constipation

Inclusion Criteria:•Postpartum women, delivered by caesarean section suffering from constipation after delivery. * Their ages will range from 20 to 35 years old. * Their body mass index (BMI) will range from 25 to 33 kg/m2. * All participating women should have at least two criteria of Rome III diagnostic criteria for constipation. They should stop laxatives intake during treatment program \- Exclusion Criteria: Postpartum women will be excluded if they have: * History of inflammatory bowel disease, and irritable bowel syndrome. * Endocrine disease or digestive tract disease. * History of genital prolapse and anal fissure. * Congental anorectal malformation, stoma in situ. * Diabtes mellitus and sever distal venous insuffiency. * Skin eruption at the site of stimulation. * Implanted pacemaker or defibrillator. * Metalic implant in lower limb. * Recent surgery at the lower limb. * Peripheral neuropathy and neurological disorders. Psychological distress.