Community‐based postpartum exercise program

Ko, Yousang; Yang, Chi Li; Fang, Chaojun; Lee, Mei Ying; Lin, Pi Chu

doi:10.1111/jocn.12117

Cited by 30 publications

(58 citation statements)

References 29 publications

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“…(1,21,22) In our study, we found that Pilates home exercises were able to reduce postpartum maternal fatigue. The exercises were shown to reduce general, physical and mental fatigue, and improve activity and motivation.…”

Section: Discussionmentioning

confidence: 56%

Effect of Pilates exercises on postpartum maternal fatigue

Ashrafinia¹,

Mirmohammadali²,

Rajabi³

et al. 2015

smedj

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INTRODUCTIONThe postpartum period is a transitional phase that has a decisive effect on a mother's physical and mental health.(1) The changes involved during this period, including hormonal shifts and the beginning of new and unfamiliar child-rearing tasks, can cause primiparous mothers to experience stress and fatigue. (2) Postpartum fatigue, which is the result of the tense and overwhelming experience of caring for a newborn, has negative effects on the health of the mother, the neonate and the family. This phenomenon often begins immediately after delivery and reaches its maximum severity within 36 hours.(4) In contrast to the belief that it is a temporary experience, postpartum fatigue can last for a prolonged period after delivery.(3) A literature review by Groër et al reported that more than 80% of mothers complain of postpartum fatigue.(5) Corwin et al reported a postpartum fatigue incidence of about 70% among mothers who had given birth 1-2 months earlier.(6) Primiparous women were found to be more likely to complain of postpartum fatigue. (7) Although postpartum fatigue is a common and natural phenomenon, it has received attention due to its excruciating nature.(8) Even after more than two decades of study, postpartum fatigue remains one of the five major postpartum concerns and its treatment is often a controversial subject in many studies. The resultant reduced stamina decreases a mother's capability to undertake physical and mental tasks; it also decreases her ability to manage her infant's needs, her responsibilities to other family members and her professional duties.(10) Additionally, reduced maternal energy impairs the immune, nervous and mental systems of both the mother and the infant.(5) Other undesirable and potentially serious outcomes include termination of lactation, (11) impairment of the sexual relationship between spouses, (7) development of stress and mood disorders (5) and an increased risk of postpartum depression.(12) Therefore, it is of utmost importance that an effective solution to this condition is found. There has been some evidence supporting the positive effect of physical exercise on maternal and infant health.(1) The theory behind the use of physical exercise is that, by increasing maternal motivation and self-confidence, postpartum exercise enhances child-rearing practices and helps mothers play their maternal roles more efficiently. (13) Considering the circumstances of a postpartum woman, home exercise is deemed the most suitable and is also the most common type of exercise recommended by healthcare professionals, since it presents fewer childcare-related barriers, resulting in mothers exercising more willingly and with greater motivation. (14) Pilates exercises, introduced by Joseph Pilates in the early 20th century, are considered a good method for accelerating convalescence after pregnancy. However, the effectiveness of Pilates exercises in reducing postpartum fatigue is not well known.(15) In a previous study,(1) the combination of yoga and Pilates exercises was show...

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Section: Discussionmentioning

confidence: 56%

Effect of Pilates exercises on postpartum maternal fatigue

Ashrafinia¹,

Mirmohammadali²,

Rajabi³

et al. 2015

smedj

View full text Add to dashboard Cite

show abstract

“…A 60-minute, once a week exercise session for 3 months revealed a significant reduction in depression scores in those who were at a high risk for depression (P = 0.021). 13 Three years later, Buttner et al 29 performed a small randomized trial that supported Ko's findings. Twentyeight of 57 women at high risk for postpartum depression participated in yoga classes twice a week for 8 weeks.…”

Section: Postpartumsupporting

confidence: 51%

Yoga in Pregnancy

Babbar¹,

Shyken²

2016

Clinical Obstetrics &Amp; Gynecology

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Yoga is a mind-body practice that encompasses a system of postures (asana), deep breathing (pranayama), and meditation. Over 36 million Americans practice yoga of which the majority are reproductive-aged women. Literature to support this practice is limited, albeit on the rise. A prenatal yoga practice has been shown to benefit women who suffer from anxiety, depression, stress, low back pain, and sleep disturbances. A small number of studies have been performed in high-risk pregnancies that also demonstrate an improvement in outcomes. The safety of performing yoga for the first time in pregnancy and fetal tolerance has been demonstrated.

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“…The characteristics of the included studies are summarized in Table , six were single‐arm interventions , seven were non‐RCTs and 33 were RCTs . Most studies were conducted in developed countries: Australia ( n = 6); USA ( n = 24); Taiwan ( n = 4); Canada ( n = 3); and Austria, Finland, Greece, Netherlands, Sweden, Japan and UK ( n = 1 for each country) (Table ).…”

Section: Resultsmentioning

confidence: 99%

“…About half of the studies were at low risk of bias from missing outcome data and six of those conducted intention-to-treat analysis (26,28,29,65,78,80). Seven studies were at high risk of attrition bias due to unequal attrition across the intervention and control groups which could be related to the true outcome (34,40,52,61,70,71,81). All outcomes were reported as pre-specified in seven studies (21,28,35,36,43,52,82), suggesting low risk of bias from selective reporting.…”

Section: Quality Assessmentmentioning

confidence: 99%

Effective strategies for weight loss in post‐partum women: a systematic review and meta‐analysis

Lim¹,

et al. 2015

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Post-partum weight loss is critical to preventing and managing obesity in women, but the results from lifestyle interventions are variable and the components associated with successful outcomes are not yet clearly identified. This study aimed to identify lifestyle intervention strategies associated with weight loss in post-partum women. MEDLINE, EMBASE, PubMed, CINAHL and four other databases were searched for lifestyle intervention studies (diet or exercise or both) in post-partum women (within 12 months of delivery) published up to July 2014. The primary outcome was weight loss. Subgroup analyses were conducted for self-monitoring, individual or group setting, intervention duration, intervention types, the use of technology as a support, and home- or centre-based interventions. From 12,673 studies, 46 studies were included in systematic review and 32 randomized controlled trials were eligible for meta-analysis (1,892 women, age 24-36 years). Studies with self-monitoring had significantly greater weight lost than those without (-4.61 kg [-7.08, -2.15] vs. -1.34 kg [-1.66, -1.02], P = 0.01 for subgroup differences). Diet and physical activity when combined were significantly more effective on weight loss compared with physical activity alone (-3.24 kg [-4.59, -1.90] vs. -1.63 kg [-2.16, -1.10], P < 0.001 for subgroup differences). Lifestyle interventions that use self-monitoring and take a combined diet-and-exercise approach have significantly greater weight loss in post-partum women.

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Community‐based postpartum exercise program

Abstract: It is worthwhile promoting a yoga and Pilates exercise programme for postpartum women in communities.

Cited by 30 publications

References 29 publications

Effect of Pilates exercises on postpartum maternal fatigue

Effect of Pilates exercises on postpartum maternal fatigue

Yoga in Pregnancy

Effective strategies for weight loss in post‐partum women: a systematic review and meta‐analysis

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