Aim: Postpartum is one of the most critical processes in women. Many changes occur in the female
body during this process. Exercise is the easiest method to manage these changes. Our study aimed to
understand how postpartum depression, sleep quality, and functional levels affect women who perform
pilates exercises.
Material and Methods: In this randomized controlled study, 57 postpartum volunteer women between
six weeks and six months, aged 25-38, with a single baby, were randomly included in 28 pilates and 29
control groups. The pilates group was given pilates exercises for one hour a day, two days a week for
12 weeks, by a physical therapist. The control group was given a home program consisting of relaxation
and breathing exercises. Before and after the study, depression was evaluated using the Edinburgh
Postpartum Depression Scale (EPDS), sleep quality, the Postpartum Sleep Quality Scale (PSQS), and
postnatal functional levels, the Inventory of Functional Status After Childbirth (IFSAC) was evaluated
using the questionnaire form-filling method.
Results: EPDS (8.71±1.42 versus 7.06±1.21, p=0.001), PSQS (25.69±3.40 versus 22.91±3.04,
p=0.001), IFSAC (2.47±0.41 versus 2.93±0.21, p=0.001) scores statistically significant improvements
were observed in pilates group. While the control group did not show a significant difference in
depression levels (8.85±1.50 versus 8.95±1.23, p=0.479), statistically worsening of sleep quality
(26.17±3.41 versus 27.59±2.94, p=0.009) and postpartum functional level parameters were observed
(2.65±0.42 versus 2.48±0.46, p=0.016).
Conclusion: The results showed that 12-week pilates exercises applied during the postpartum period
could improve postpartum women’s functional levels, depression levels, and sleep quality.