Affiliation:
1. Department of Obstetrics and Gynecology, Ankara Etlik Zübeyde
Hanım Kadın Hastalıkları Eğitim ve
Araştırma Hastanesi, Ankara, Turkey
2. Physiotherapist, Ankara Etlik Zübeyde Hanım
Kadın Hastalıkları Eğitim ve
Araştırma Hastanesi, Ankara, Turkey
3. Psychologist, Ankara Etlik Zübeyde Hanım Kadın
Hastalıkları Eğitim ve Araştırma
Hastanesi, Ankara, Turkey
Abstract
Abstract
Objective The mental, physical and sexual health of women as well as
maternal and fetal health should be considered during the prenatal and postnatal
periods. Investigating the effect of clinical Pilates exercises and prenatal
education (CPE & PE) on obstetric and neonatal outcomes as well as the
mental, physical, and sexual health of women was intended.
Methods In the second trimester, mothers with singleton pregnancies who
attended (n=79, study group) or did not attend (n=80, control
group) CPE & PR were recruited to this prospective cohort study, and
were evaluated in the prenatal and postnatal periods. Depression was assessed
with Beck Depression Inventory (BDI), sexual functions with Female Sexual
Function Index (FSFI), muscle strength with Gross Muscle Scales (GMS), and labor
pain with Visual Analogue Scale (VAS). In addition, the presence of low back
pain (LBP) was questioned.
Results No significant association of CPE & PE with obstetric
outcomes such as cesarean rates, preterm birth, and neonatal outcomes such as
birth weight and Apgar scores were identified. Changes in VAS scores, the
incidence of perineal trauma, and episiotomy were not associated with CPE
& PE. However, CPE & PE was associated with lower BDI scores, a
gradual increase in the total scores of FSFI, increased GMS, and reduced
LBP.
Conclusion CPE & PE had no adverse effects on obstetric and
neonatal outcomes and was associated with improved mental, physical, sexual
health scores during pregnancy and postpartum.
Subject
Maternity and Midwifery,Obstetrics and Gynecology,Pediatrics, Perinatology and Child Health