Effects of Postpartum Exercise Program on Fatigue and Depression During “Doing-the-Month” Period

Ko, Yi-Li; Yang, Chi-Li; Chiang, Li-Chi

doi:10.1097/01.jnr.0000387304.88998.0b

Cited by 54 publications

(89 citation statements)

References 33 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: 59%

“…According to available evidence, (1,19) postpartum maternal fatigue is generally characterised as a dynamic, complicated and multidimensional phenomenon that negatively affects a mother's mental, physical and social health. Manifestations of postpartum fatigue (e.g.…”

Section: Discussionmentioning

confidence: 99%

“…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 shown to result in a significant reduction of postpartum depression and fatigue. In that study, however, the effect of Pilates exercises alone was not quantified.…”

Section: Introductionmentioning

confidence: 99%

“…(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.…”

Section: Introductionmentioning

confidence: 99%

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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: 59%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Effect of Pilates exercises on postpartum maternal fatigue

Ashrafinia¹,

Mirmohammadali²,

Rajabi³

et al. 2015

smedj

View full text Add to dashboard Cite

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“…On average, 18-20 lb is usually lost within a month after delivery, but the extra weight can be difficult to lose. Postpartum exercise helps raise metabolism, shed extra weight, reduce stress and tension, and provide much-needed energy [1,2]. However, some research has shown that postpartum exercise results in significant increase in lactic acid (LA) concentration in breast milk that might be high enough to affect its taste; and decreased acceptance of post-exercise milk was associated with increased LA concentration [3][4][5][6][7].…”

Section: Introductionmentioning

confidence: 99%

Study on the Effect of Moderate Exercise on Lactic Acid Content in Breast Milk by Indirect CE with Amperometric Detection

et al. 2011

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An indirect high-performance capillary electrophoresis with amperometric detection (CE-AD) method has been developed for determination of lactic acid (LA) in body fluids of lactating postpartum women. Several important factors such as the running buffer additive and concentration, the working electrode potential, the pH value and concentration of the running buffer, the separation voltage and injection time were investigated. Under the optimum conditions, LA could be well separated with co-existing interferences including uric acid (UA) in real samples in a 90-cm-length capillary at separation voltage of 12 kV in 4.0 9 10 -6 g mL -1 3,4-dihydroxybenzylamine (DHBA)/40 mmol L -1 H 3 BO 3 -Na 2 B 4 O 7 buffer (pH 7.8). The linearity between peak current and concentration of LA was over three orders of magnitude with detection limit of 5.00 9 10 -7 g mL -1 (S/N = 3). This proposed method has been successfully used to study the effects of moderate exercise on LA content in breast milk and urine samples of lactating postpartum women, and assay results showed that LA content in breast milk can return to normal level through 60 min rest without decreasing acceptance by breast-feeding infants, although the LA level did increase by 4-6 times in both breast milk and urine samples at 10 min after moderate exercise.

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