##plugins.themes.bootstrap3.article.main##

The psychophysical preparation program for pregnant women includes physical exercises and theoretical lectures aimed at preparing the pregnant woman for childbirth and that the benefits far outweigh the risks. Exercise is an essential element of pregnancy, and OB-GYNs and other obstetric care providers should encourage their patients to continue or begin exercise. The aim of this work is to understand the impact of psychophysical preparation of pregnant women on health during and after pregnancy, birth outcomes and postpartum recovery. Twenty scientific research papers/articles including 5517 respondents were reviewed, based on databases: Web of Science, EBSCO, Scopus, Medline, PubMed, ScienceDirect, Google Scholar, and others. Works published from 2017-2022 were reviewed. The results of this study show that pregnant women who attended the program of psychophysical preparation for childbirth had a chance to experience childbirth in a more beautiful light, to be prepared, so that they would go to the maternity hospital with less fear, how to use breathing techniques during childbirth, and how to have the easiest and most beautiful childbirth without the use of drugs and interventions. Pregnant women had significantly more positive outcomes of childbirth as well as postpartum recovery and mental health. Psychological support and education have positive outcomes on the mental health of pregnant women because they reduce fear of the unknown and reduce the risk of postpartum depression. Higher rates of intact perineum, reduction of episiotomy and less damage of perineal tears are recorded. The preparation itself significantly affects the outcome of the test subjects’ births, where vaginal births are much more common, and the rate of instrumental methods of birth and caesarean section is reduced. A positive outcome was recorded during postpartum recovery.

Downloads

Download data is not yet available.

References

  1. About Pregnancy [Internet]. https://www.nichd.nih.gov/. 2022 [cited 5 June 2022]. Available from: https://www.nichd.nih.gov/health/topics/pregnancy/conditioninfo.
     Google Scholar
  2. Muftić M, Mehmedbašić S. Education of pregnant women for exercise during pregnancy. 1st ed. Sarajevo: Federal Ministry of Health FBiH Medical Humane Society Foundation; 2011.
     Google Scholar
  3. Physical Activity and Exercise During Pregnancy and the Postpartum Period [Internet]. Acog.org. 2022 [cited 9 June 2022]. Available from: https://www.acog.org/clinical/clinical-guidance/committee-opinion/articles/2020/04/physical-activity-and-exercise-during-pregnancy-and-the-postpartum-period.
     Google Scholar
  4. Bogavac M. The influence of psychophysical preparation of pregnant women on the outcome of childbirth [Internet]. Zir.nsk.hr. 2022 [cited 18 May 2022]. Available from: https://zir.nsk.hr/islandora/object/fzsri%3A1410.
     Google Scholar
  5. Abdollahi S, Faramarzi M, Delavar MA, Bakouei F, Chehrazi M, Gholinia H. Effect of psychotherapy on reduction of fear of childbirth and pregnancy stress: A randomized controlled trial. Frontiers in Psychology. 2020;11. doi:10.3389/fpsyg.2020.00787.
    DOI  |   Google Scholar
  6. Chamangasht M, Akbari Kamrani M, Farid M. Efficacy of an early self-care-based education program on the self-evaluation of primiparous postpartum mothers: A randomized controlled clinical trial. Shiraz E-Medical Journal. 2021;22(9). doi:10.5812/semj.108132.
    DOI  |   Google Scholar
  7. Kuo T-C, Au H-K, Chen S-R, Chipojola R, Lee GT, Lee P-H. Effects of an integrated childbirth education program to reduce fear of childbirth, anxiety, and depression, and improve dispositional mindfulness: A single-blind randomised controlled trial. Midwifery. 2022;113:103438. doi:10.1016/j.midw.2022.103438.
    DOI  |   Google Scholar
  8. Diotaiuti P, Valente G, Mancone S, Falese L, Corrado S, Siqueira TC, et al. A psychoeducational intervention in prenatal classes: Positive effects on anxiety, self-efficacy, and temporal focus in birth attendants. International Journal of Environmental Research and Public Health. 2022;19(13):7904. doi:10.3390/ijerph19137904.
    DOI  |   Google Scholar
  9. Effects of antenatal yoga on maternal stress and clinical outcomes in ... [Internet]. [cited 2023Feb3]. Available from: https://jiacm.in/2019/Journal_73_Final_Page_10_14.pdf .
     Google Scholar
  10. Spousal participation during pregnancy and delivery in Ilorin, Nigeria [Internet]. [cited 2023Feb3]. Available from: https://web.p.ebscohost.com/ehost/pdfviewer/pdfviewer?vid=1&sid=b15cfe75-b29c-4e11-a3bd-7a2debadb307%40redis.
     Google Scholar
  11. Barakat R, Refoyo I, Coteron J, Franco E. Exercise during pregnancy has a preventative effect on excessive maternal weight gain and gestational diabetes. A randomized controlled trial. Brazilian Journal of Physical Therapy. 2019;23(2):148–55. doi:10.1016/j.bjpt.2018.11.005.
    DOI  |   Google Scholar
  12. Perales M, Valenzuela PL, Barakat R, Cordero Y, Peláez M, López C, et al. Gestational exercise and maternal and child health: Effects until delivery and at post-natal follow-up. Journal of Clinical Medicine. 2020;9(2):379. doi:10.3390/jcm9020379.
    DOI  |   Google Scholar
  13. Wadhwa Y, Alghadir AH, Iqbal ZA. Effect of antenatal exercises, including yoga, on the course of Labor, delivery and pregnancy: A retrospective study. International Journal of Environmental Research and Public Health. 2020;17(15):5274. doi:10.3390/ijerph17155274.
    DOI  |   Google Scholar
  14. Raguema N, Benletaifa D, Mahjoub T, Lavoie JL. Increased physical activity is correlated with improved pregnancy outcomes in women with preeclampsia: A retrospective study. Pregnancy Hypertension. 2020;21:118–23. doi:10.1016/j.preghy.2020.05.005.
    DOI  |   Google Scholar
  15. Feria-Ramírez C, Gonzalez-Sanz JD, Molina-Luque R, Molina-Recio G. The effects of the pilates method on pelvic floor injuries during pregnancy and childbirth: A quasi-experimental study. International Journal of Environmental Research and Public Health. 2021;18(13):6995. doi:10.3390/ijerph18136995.
    DOI  |   Google Scholar
  16. Watkins VY, O’Donnell CM, Perez M, Zhao P, England S, Carter EB, et al. The impact of physical activity during pregnancy on labor and Delivery. American Journal of Obstetrics and Gynecology. 2021;225(4). doi:10.1016/j.ajog.2021.05.036.
    DOI  |   Google Scholar
  17. Barakat R, Franco E, Perales M, López C, Mottola MF. Exercise during pregnancy is associated with a shorter duration of labor. A randomized clinical trial. European Journal of Obstetrics & Gynecology and Reproductive Biology. 2018;224:33–40. doi:10.1016/j.ejogrb.2018.03.009.
    DOI  |   Google Scholar
  18. Ferreira CL, Guerra CM, Silva AI, do Rosário HR, Pereira MB. Exercise in pregnancy: The impact of an intervention program in the duration of labor and mode of delivery. Revista Brasileira de Ginecologia e Obstetrícia / RBGO Gynecology and Obstetrics. 2018;41(02):068–75. doi:10.1055/s-0038-1675613.
    DOI  |   Google Scholar
  19. Rodríguez-Blanque R, Sánchez-García JC, Sánchez-López AM, Aguilar-Cordero MJ. Physical activity during pregnancy and its influence on delivery time: A randomized clinical trial. Peer J. 2019;7. doi:10.7717/peerj.6370.
    DOI  |   Google Scholar
  20. Leon-Larios F, Corrales-Gutierrez I, Casado-Mejía R, Suarez-Serrano C. Influence of a pelvic floor training programme to prevent perineal trauma: A quasi-randomised controlled trial. Midwifery. 2017;50:72–7. doi:10.1016/j.midw.2017.03.015.
    DOI  |   Google Scholar
  21. Silva‐Jose C, Diaz‐Blanco Á, Barakat R, Coterón J, Refoyo I. Physical activity during pregnancy is associated with a lower number of perineal tears. Translational Sports Medicine. 2020;4(1):38–45. doi:10.1002/tsm2.194.
    DOI  |   Google Scholar
  22. Silva-Jose C, Sánchez-Polán M, Díaz-Blanco Á, Pérez-Medina T, Carrero Martínez V, Alzola I, et al. Influence of a virtual exercise program throughout pregnancy during the COVID-19 pandemic on perineal tears and episiotomy rates: A randomized clinical trial. Journal of Clinical Medicine. 2021;10(22):5250. doi:10.3390/jcm10225250.
    DOI  |   Google Scholar
  23. Sanchez-Garcia JC, Aguilar-Cordero MJ, Montiel-Troya M, Marín-Jiménez AE, Cortes-Martin J, Rodriguez-Blanque R. Quality of life in the postpartum recovery of women who practice hypopressive exercise: Randomized clinical trial. Journal of Clinical Medicine. 2022;11(19):5592. doi:10.3390/jcm11195592.
    DOI  |   Google Scholar
  24. Sigurdardottir T, Steingrimsdottir T, Geirsson RT, Halldorsson TI, Aspelund T, Bø K. Can postpartum pelvic floor muscle training reduce urinary and anal incontinence? American Journal of Obstetrics and Gynecology. 2020;222(3). doi:10.1016/j.ajog.2019.09.011.
    DOI  |   Google Scholar
  25. Ristanti AD, Masita ED. The influence of husband’s support on health-seeking behavior in Madurese mothers with postpartum blues. Childhood Stunting, Wasting, and Obesity, as the Critical Global Health Issues: Forging Cross-Sectoral Solutions. 2020; doi:10.26911/the7thicph-fp.03.13.
    DOI  |   Google Scholar
  26. Exercise during pregnancy [Internet]. [cited 2023 Jul 6]. Available from: https://www.acog.org/womens-health/faqs/exercise-during-pregnancy.
     Google Scholar