Klinik Pilates Egzersizleri ve Doğuma Hazırlık Eğitiminin Sadece Doğum Eğitimine Göre Doğum Sonuçları Üzerine Etkisi

Abstract

This study was designed to investigate the effect of clinical Pilates exercise and childbirth education on the delivery outcomes. A total of 64 pregnant women included in the study group. By using random sampling method, women were categorized in three groups as pregnants who received childbirth education and Clinical Pilates exercises (n = 21, age: 27.52 ± 3.88), pregnants who only received childbirth education (n = 21, age: 25.85 ± 3.63) and control group (n = 22, age: 25.5 ± 4.19). Clinical Pilates exercise and childbirth education were applied in 2 days per week for 8 weeks and 1 day per week for 4 weeks, respectively. Gross muscle testing for muscle strength, short form of International Physical Activity Questionnaire (IPAQ) for physical activity status and the State-Trait Anxiety Inventory–2 (STAI-2) for the state of anxiety were performed to the pregnant women in the study. Before the education, presence of low back pain was also questioned. After the education, the state of anxiety was assessed with STAI 1 in pregnant women. In addition, weight gaining was followed during the pregnancy. Intensity of labor pain and labor time were recorded as centimeter with visual analogue scale and hour, respectively. The type of delivery, gestational age, birth weight and APGAR scores were recorded. The anxiety of pregnant women after the birth state was reassessed with STAI 1. It was found that childbirth education and clinical Pilates exercises had positive effect on the gestational age, birth weight and APGAR scores (p <0.05) in pregnants. Our results showed that pregnant women who underwent clinical Pilates exercises and received childbirth education felt less pain (p <0.05); however, there was no difference among the labor time of women in all three groups (p >0.05). It was also found that pregnant women who underwent clinical Pilates exercises and received childbirth education got less weight and better postpartum anxiety situation compared with other groups (p <0.05). Our study shows that clinical Pilates exercise and childbirth education may positively affect delivery outcomes in pregnancy.