Childbirth training classes, which are referred to as "childbirth training programs", "prenatal classes" and "pregnant groups", are participated in by the vast majority of pregnant women in the world. 1 The increasing interest of women in various exercise programs in recent years has caused these programs to be adapted for pregnancy and especially during this period even an increased eagerness to exercise with aesthetic concerns has developed. Currently, most women include regular exercise in their lifestyles and are eager to continue exercising during pregnancy. The number of women who decide to exercise for the first time when they become pregnant is lower. 2 Continuing or increasing the level of conditioning exercise during pregnancy reduces the risk of gestational diabetes and pre-eclampsia and provides weight control. 3,4 The American College of Obstetricians and Gynecologists and the Association of Canadian Gynecologists and Obstetrics have recently suggested that intensity-adjusted 30-minutes pregnancy exercises should be performed every day of the week if possible, and there were no associated complications. 5,6 The Pilates method of exercise is based on the combination of mind and body and originated from the ancient Greek philosophy and physical activity approach. The Pilates method was initially

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.

Background. The lockdown implemented due to the pandemic has the risk of setting the stage for type 2 diabetes, weight gain and cardiovascular diseases by limiting physical activity. Objectives. The aim of this study is to determine the changes in physical activity and eating habits of people during the COVID-19 lockdown. Material and methods. The data used in this study was obtained using a 25-question questionnaire and the International Physical Activity Questionnaire -Short Form (IPAQ-SF) through communication networks.Results. The mean age of the participants in the study was 43.33 ± 11.35, 45.3% (n = 541) were male, and 54.7% (n = 652) were female. There was a significant increase in the weight of the participants before and after the 2-month lockdown during the pandemic (mean weight before: 69.19 ± 9.11, mean weight after: 70.47 ± 9.47, p < 0.001). It was determined that participants with higher education levels gained significantly more weight (p = 0.01). It was determined that home office workers, retirees and unemployed gained significantly more weight than employee during the lockdown period (p < 0.001). According to IPAQ-SF scale scores, a significant difference was found in vigorous activity, moderate activity and walking times before and after lockdown (p < 0.001). Conclusions. During the lockdown period, those with a higher education level and those who were married or female tended to gain more weight. It was determined that home office workers and retirees gained significantly higher weight during the lockdown period. Guidelines should be created for these lockdown periods.

In this study, the effectiveness of physiotherapy and rehabilitation was investigated in a patient with pain in the shoulder region after gynecological laparoscopic surgery. In the study, posture after surgery, shoulder joint active amount of motion, respiration capacity and perception of pain were evaluated of a 41-year-old female patient (58 kg, 158 cm) who underwent laparoscopic hysterectomy (L / S) + Bilateral Salpingectomy (BS) and myoma uteri operation (MUOP) with the diagnosis of uterine intramural leiomyoma. This patient received posture training, low-intensity stability training, diaphragmatic abdominal breathing exercises, neutral spine position control training, in-bed exercises, and scapulatoracic mobilization. Physiotherapy and rehabilitation was applied as 2 days and 4 sessions. After physiotherapy, the patient showed an increase in active joint movement and a decrease in perception of pain. These study results shed light on randomized controlled advanced studies in future larger samples.