The Effect of Integrated Yoga on Labor Outcome: A Randomized Controlled Study

Maharana, Satyapriya; Nagarathna, Raghuram; Padmalatha, Venkatram; Nagendra, Hongasandra Ramarao; Hankey, Alex

doi:10.1891/2156-5287.3.3.165

Cited by 11 publications

(18 citation statements)

References 31 publications

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“…In terms of gestational weeks at delivery, the pregnant women in the control arm delivered a week earlier than in the intervention arm ( P = .011). These findings concur with the result of previous standing yoga studies 18,19,25. The incidence of vaginal delivery in the intervention arm was marginally higher.…”

Section: Discussionsupporting

confidence: 91%

A Randomized Controlled Trial on the Efficacy of Integrated Yoga on Pregnancy Outcome

Pais

Pai

Kamath

et al. 2021

Holistic Nursing Practice

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Physiological and biochemical changes occur in pregnancy to nurture the developing fetus. Pregnancy-related experience is unique to every woman. Pregnancy symptoms and complications can range from mild to severe. Many women can lower their risk by performing different therapies. In this context, the present study targets to evaluate the efficacy of integrated yoga consisting of (asanas and pranayama) on pregnancy to reduce the risk of complications. This study is a prospective randomized controlled single-blinded trial with parallel arms: the intervention arm received specific integrated yoga therapy; the control arm received routine standard care from 18 to 22 weeks of gestation until delivery. The incidence of preeclampsia and preterm delivery was lower in the intervention arm. Women in the intervention arm delivered at higher gestational age. Apgar scores and birth weights of neonates were significantly higher in the intervention arm. The findings suggest that yoga is a safe and effective intervention during pregnancy to reduce or prevent pregnancy-related complications. However, further randomized controlled trials are needed to provide firmer evidence regarding the utility and validity of yoga intervention during pregnancy.

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Section: Discussionsupporting

confidence: 91%

A Randomized Controlled Trial on the Efficacy of Integrated Yoga on Pregnancy Outcome

Pais

Pai

Kamath

et al. 2021

Holistic Nursing Practice

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“…Cross-checking was performed for all articles by a second reviewer. Overall, 16 RCTs met the inclusion criteria for this systematic review [27][28][29][30][31][32][33][34][35][36][37][38][39][40][41][42]. The majority of included studies were based in a hospital setting (n = 11), 4 in universities, and 1 in multiple settings (hospital, university, and primary care units).…”

Section: Resultsmentioning

confidence: 99%

Effects of Supervised Exercise on the Development of Hypertensive Disorders of Pregnancy: A Systematic Review and Meta-Analysis

Danielli

Gillies

Thomas

et al. 2022

JCM

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Hypertensive disorders of pregnancy (HDP) are the most common medical complication in pregnancy, affecting approximately 10–15% of pregnancies worldwide. HDP are a major cause of maternal and perinatal morbidity and mortality, and each year, worldwide, around 70,000 mothers and 500,000 babies die because of HDP. Up-to-date high-quality systematic reviews quantifying the role of exercise and the risks of developing HDP are currently lacking. Physical exercise is considered to be safe and beneficial to pregnant women. Supervised exercise has been shown to be safe and to be more beneficial than unsupervised exercise in the general population, as well as during pregnancy in women with obesity and diabetes. Therefore, we undertook a systematic review and meta-analysis to investigate the effects of women performing supervised exercise during pregnancy compared to a control group (standard antenatal care or unsupervised exercise) on the development of HDP. We searched Medline, Embase, CINHAL, and the Cochrane Library, which were searched from inception to December 2021. We included only randomized controlled trials (RCTs) investigating the development of HDP compared to a control group (standard antenatal care or unsupervised exercise) in pregnant women performing supervised exercise. Two independent reviewers selected eligible trials for meta-analysis. Data collection and analyses were performed by two independent reviewers. The PROSPERO registration number is CRD42020176814. Of 6332 articles retrieved, 16 RCTs met the eligibility criteria, comparing a total of 5939 pregnant women (2904 pregnant women in the intervention group and 3035 controls). The risk for pregnant women to develop HDP was significantly reduced in the intervention compared to the control groups, with an estimated pooled cumulative incidence of developing HDP of 3% in the intervention groups (95% CI: 3 to 4) and of 5% in the control groups (95% CI: 5 to 6), and a pooled odds ratio (OR) comparing intervention to control of 0.54 (95% CI:0.40 to 0.72, p < 0.001). A combination of aerobic and anaerobic exercise, or yoga alone, had a greater beneficial effect compared to performing aerobic exercise only (mixed-OR = 0.50, 95% CI:0.33 to 0.75, p = 0.001; yoga-OR = 0.28, 95% CI:0.13 to 0.58, p = 0.001); aerobic exercise only-OR = 0.87, 95% CI:0.55 to 1.37, p = 0.539). Pregnancy is an opportunity for healthcare providers to promote positive health activities, thus optimizing the health of pregnant women with potential short- and long-term benefits for both mother and child. This systematic review and meta-analysis support a beneficial effect of either structured exercise (combination of aerobic, strength, and flexibility workouts) or yoga for preventing the onset of HDP. Yoga, considered a low-impact physical activity, could be more acceptable and safer for women in pregnancy in reducing the risk of developing HDP.

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“…Many YfP studies ( Deshpande et al, 2013;Satyapriya et al, 2013;Sun et al, 2010 ) have been carried out in developing countries where both the culture of childbirth and the practice of yoga are very different from western countries, making transferability of findings questionable. Most western yoga programmes comprise asanas (postures), Pranayama (breathing), Dhyana (meditation) and relaxation, but some authors ( Maharana et al, 2013;Rakhshani et al, 2015 ) argue that YfP is an integrated therapy which should also encompass lifestyle and nutritional guidance. This raises questions about how YfP achieves its putative effects and whether it is a holistic intervention, or whether individual elements can be isolated and utilised in other forms of antenatal education ( Curtis et al, 2012;Field, 2016 ).…”

Section: Introductionmentioning

confidence: 99%

‘It definitely made a difference’: A grounded theory study of yoga for pregnancy and women's self-efficacy for labour

Campbell

Nolan

2019

Midwifery

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Objective: To explore women's experience of attending yoga for pregnancy classes in order to generate a theory about which aspects, if any, are effective in enhancing self-efficacy for labour and birth. Design: A longitudinal grounded theory study. Methods: Semi-structured interviews were undertaken with women before they started yoga for pregnancy classes, after they had attended at least six classes, and finally, postnatally. Interview transcripts were analysed using constructive grounded theory and a self-efficacy framework. Setting: Three yoga for pregnancy teachers' classes in England. Participants: Twenty two women attending yoga for pregnancy classes. Findings: Analysis of interviews with women at three time points led to a propositional theory that yoga for pregnancy enhances women's self-efficacy for labour by building their confidence and competence through a combination of techniques. These include repeated practice of a variety of pain management strategies, use of affirming language and the telling of positive labour stories, underpinned by yoga practice to lower somatic response to stress.

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The Effect of Integrated Yoga on Labor Outcome: A Randomized Controlled Study

Cited by 11 publications

References 31 publications

A Randomized Controlled Trial on the Efficacy of Integrated Yoga on Pregnancy Outcome

A Randomized Controlled Trial on the Efficacy of Integrated Yoga on Pregnancy Outcome

Effects of Supervised Exercise on the Development of Hypertensive Disorders of Pregnancy: A Systematic Review and Meta-Analysis

‘It definitely made a difference’: A grounded theory study of yoga for pregnancy and women's self-efficacy for labour

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