Meta-Analysis the Effect of Prenatal Yoga to Lower Anxiety and Stress in Intrapartum Women
DOI:
https://doi.org/10.26911/thejmch.2022.07.04.06Abstract
Background: Pregnant women are very susceptible to complications or high risk during pregnancy, especially before delivery, causing anxiety and stress. Prenatal yoga is known to relax breathing which can relax muscles and reduce anxiety. The purpose of this study was to analyze the effect of prenatal yoga on pregnant women on anxiety and stress in the face of labor.
Subjects and Method: This study was a meta-analysis with the following PICO, population: pregnant women. Intervention: prenatal yoga. Comparison: not doing prenatal yoga. Result: reduced stress and anxiety. Keywords to search for articles “Prenatal Yoga” OR “Pregnancy yoga” AND “Anxiety” AND “Stress” AND “randomized controlled trial”. The articles included are full-text English and a randomized controlled trial study design from 2009-2021. Article selection is done by using PRISMA flow diagram. Articles were analyzed using the Review Manager 5.3 application.
Results: A total of 12 RCT studies from the Asian, American and European continents were selected for systematic review and meta-analysis. Based on 9 articles stated that pregnant women who do prenatal yoga can reduce anxiety about childbirth by 0.86 times compared to not doing prenatal yoga (SMD = -0.86; 95% CI -1.50 to -0.21; p= 0.010) and 5 articles state that pregnant women those who do prenatal yoga can reduce stress during childbirth by 1.23 times compared to those who do not do prenatal yoga (SMD= -1.23; 95% CI= -1.59 to -0.87; p< 0.001).
Conclusion: Prenatal yoga can reduce anxiety and stress in pregnant women in the face of childbirth.
Keywords: anxiety, stress, pregnancy, prenatal yoga
Correspondence: Adetya Wulandari. Master’s Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java, Indonesia. Mobile: 081274814357. Email: Adetya1507@gmail.com.
Keywords:
anxiety, stress, pregnancy, prenatal yogaReferences
Aflahiyah S, Tamtono DG, Prasetya H (2020). Effectiveness of Prenatal yoga on sleep quality and reduction of anxiety during pregnancy: A meta-analysis. J Matern Child Health. 5(6): 629–640. doi: 10.26911/thejmch.2020.05.06.03.
Amalia SN (2021). Prenatal Yoga Against Pregnancy Anxiety: Efforts To Reduce Pregnant Women’s Anxiety Before Labor During The Covid-19 Pandemic: Literatur Review,” International Seminar on Global Health Thursday. 28: 85–99.
Arlym LT, Pangarsi SD (2019). Pengaruh Prenatal Yoga Terhadap Kecemasan Bidan Jeanne Depok (The Effect of Prenatal Yoga on Anxiety Midwife Jeanne Depok). JMWH. 10(1).
Astuti IP, Hadisaputro S (2019). Effectiveness of prenatal yoga on pregnancy anxiety and depression: a systematic review. Icash. 4: 509–517.
Avin A, Khojasteh F, Ansari H (2018). The effect of yoga on anxiety in pregnant women in their first pregnancy of Zahedan City in 2017. Spec. J. Med. Res. Health Sci. 3(4): 24–31.
Bakri KRR, Usman AN, Syamsuddin S, Idris I, Limoa E (2021). The effectiveness of gentle prenatal yoga on the recovery of depression level in pregnant women aged. Gac. Sanit. 35: S310–S313. doi: 10.1016/j.gaceta.2021.10.042.
Bapat RA, Kumari S, Nagendra HR (2016). The effect of one month yoga intervention on percieved stress and anxiety in pregnant women. JWHIC. 05(03): 3–5. doi: 10.4172/2325-9795.1000233.
Bhartia N, Jain S, Shankar N, Rajaram, Gupta M (2019). Effects of antenatal yoga on maternal stress and clinical outcomes in north indian women: A randomised controlled trial. J. Indian Acad. Clin. Med. 20(1): 10–14.
Coll CdeVN, da Silveira MF, Bassani DG, Netsi E, Wehrmeister FC, Barros FC, Stein A (2017). Antenatal depressive symptoms among pregnant women: Evidence from a Southern Brazilian population-based cohort study. J. Affect. Disord. 209: 140–146. doi: 10.1016/j.jad.2016.11.031.
Danti RR, Nuzuliana R, Fitriana H (2020). Prenatal Yoga for Mental Health: A Systematic Literature Review. UPHEC: 272–280. doi: 10.2991/ahsr.k.200311.052.
Davenport MH, McCurdy AP, Mottola MF, Skow RJ, Meah VL, Poitras VJ, Jaramillo Garcia A, et al. (2018). Impact of prenatal exercise on both prenatal and postnatal anxiety and depressive symptoms: a systematic review and metaanalysis. Br J Sports Med. 52(21):1376-1385. doi: 10.1136/bjsports2018099697.
Davis K, Goodman SH, Leiferman J, Taylor M, Dimidjian S (2015). A randomized controlled trial of yoga for pregnant women with symptoms of depression and anxiety. Complement. Ther. Clin. Pract. 21(3): 166–172. doi: 10.1016/j.ctcp.2015.06.005.
Faujiah IN, Murti B, Prasetya H (2020). Meta-Analysis of the Effect of Prenatal Stress on the Premature Birth. J Matern Child Health. 5(6): 601–613. doi: 10.26911/thejmch.2020.05.06.01.
Field AP, Gillett R (2010). How to do a metaanalysis. Br J Math Stat Psychol. 63(3): 665–694. doi: 10.1348/000711010X502733.
Field T, Diego M, Delgado J, Medina L (2013a). Tai chi/yoga reduces prenatal depression, anxiety and sleep disturbances. Complement. Ther. Clin. Pract. 19(1): 6–10. doi: /10.1016/j.ctcp.2012.10.001.
Field T, Diego M, Delgado J, Medina L (2013b). Yoga and social support reduce prenatal depression, anxiety and cortisol. J Bodyw Mov Ther. 17(4): 397–403. doi: 10.1016/j.jbmt.2013.03.010.
Ganpat T, Kurpad A, Maskar R, Nagendra H, Abbas R, Raghuram N, Anura K, et al. (2013). Yoga for high-risk pregnancy: A randomized controlled trial. Ann. Med. Health Sci. Res. 3(3): 341. doi: 10.4103/2141-9248.117933.
Gong H, Ni C, Shen X, Wu T, Jiang C (2015). Yoga for prenatal depression: A systematic review and meta-analysis. BMC Psychiatry 15(1): 1–8. doi: 10.1186/s1288801503931.
Kusaka M, Matsuzaki M, Shiraishi M, Haruna M (2016). Immediate stress reduction effects of yoga during pregnancy: One group pre–post test. Women and Birth. 29(5): e82–e88. doi: 10.1016/j.wombi.2016.04.003.
Mohyadin E, Ghorashi Z, Molamomanaei Z (2021). The effect of practicing yoga during pregnancy on labor stages length, anxiety and pain: A randomized controlled trial. J Complement Integr Med. 18(2): 413–417. doi: 10.1515/jcim-2019-0291.
Naveen GH, Varambally S, Thirthalli J, Rao M, Christopher R, Gangadhar BN (2016). Serum cortisol and BDNF in patients with major depression—effect of yoga. Int Rev Psychiatry. 28(3): 273–278. doi:10.1080/09540261.2016.1175419.
Newham JJ, Wittkowski A, Hurley J, Aplin JD, Westwood M (2014). Effects of antenatal yoga on maternal anxiety and depression: A randomized controlled trial. Depress Anxiety. 31(8): 631–640. doi: 10.1002/da.22268.
Ningrum SA, Budihastuti UR, Prasetya H (2019). Efficacy of Yoga Exercise to Reduce Anxiety in Pregnancy: A MetaAnalysis using Randomized Controlled Trials. J Matern Child Health. 4(2): 118–125. doi: 10.26911/thejmch.2019.04.02.07.
Purdy J (2013). Chronic physical illness: A psychophysiological approach for chronic physical illness. YJBM. 86(1): 15–28.
Riley KE, Park CL (2015). How does yoga reduce stress? A systematic review of mechanisms of change and guide to future inquiry. Health Psychol. Rev. 9(3): 379–396. doi: 10.1080/17437199.2014.981778.
Ross A, Thomas S (2010). The health benefits of yoga and exercise: A review of comparison studies. J Altern Complement Med. 16(1): 3–12. doi: 10.1089/acm.2009.0044.
Satyapriya M, Nagarathna R, Padmalatha V, Nagendra HR (2013). Effect of integrated yoga on anxiety, depression & well being in normal pregnancy. Complement. Ther. Clin. Pract. 19(4): 230–236. doi: 10.1016/j.ctcp.2013.06.003.
Satyapriya M, Nagendra HR, Nagarathna R, Padmalatha V (2009). Effect of integrated yoga on stress and heart rate variability in pregnant women. Int J Gynecol Obstet. 104(3): 218–222. doi: 10.1016/j.ijgo.2008.11.013.
Sulastri A, Syamsuddin S, Idris I, Limoa E (2021). The effectiveness of gentle prenatal yoga on the recovery of anxiety level in primigravid and multigravid pregnant women. Gac Sanit. 35: S245–S247. doi: 10.1016/j.gaceta.2021.10.072.
Sun YC, Hung YC, Chang Y, Kuo SC (2010). Effects of a prenatal yoga programme on the discomforts of pregnancy and maternal childbirth self-efficacy in Taiwan. Midwifery. 26(6): e31–e36. doi: 10.1016/j.midw.2009.01.005.
Thirthalli J, Naveen GH, Rao MG, Varambally S, Christopher R, Gangadhar BN (2013). Cortisol and antidepressant effects of yoga. Indian J. Psychiatry 55(7). doi: 10.4103/00195545.116315.
Uebelacker LA, Battle CL, Sutton KA, Magee SR, Miller IW (2016). A pilot randomized controlled trial comparing prenatal yoga to perinatal health education for antenatal depression. Arch. Women’s Ment Health. 19(3):543–547.doi:10.1007/s0073701505717.
Yulianti I, Respati SH, Sudiyanto A (2018). The effect of prenatal yoga on anxiety and depression in Kudus, Central Java. J Matern Child Health. 3(2): 100-104: doi: 10.26911/thejmch.2018.03.02.02.
