The effect of combining post-partum yoga and pelvic floor training on life quality of post-partum mothers

Ni Putu Mirah Yunita Udayani, Ni Gusti Ayu Pramita Aswitami, Ni Made Septiari Maryani

Abstract


Background: Data from the World Health Organization (WHO) indicate that the postpartum phase has the highest rates of maternal death and morbidity. In the first year following childbirth, almost 50% of women experience mental health issues and declining life quality scores on the physical-emotional dimension significantly. Objectives: This study aims to determine the effect of the combination of postpartum yoga and pelvic floor training on the life quality of postpartum mothers.

Methods: This research was a Quasy Experimental Pre-Posttest Design of nonequivalent control groups which was conducted from February to August 2023 in Mengwi I Health Center, Badung Regency, Bali. The sample in this study consisted of 36 postpartum mothers in the control group and 36 postpartum mothers in the intervention group. Pre-data was in the form of quality of life before the intervention was given to the control and intervention groups and post-data was taken after the intervention was given and then data analysis was carried out using the Mann-Whitney test and the Wilcoxon test.

Results: The results showed that the mean value of the increase in life quality scores in the intervention group was greater than the control group. In the 1st domain (physical healthiness) there was a significant difference between the two groups after study (p-value = 0.000). In the 2nd domain (psychological well-being) there was a significant difference between the two groups after study (p-value = 0.000). In the 3rd domain (social relationship) there was a significant difference between the two groups after study (p-value = 0.000). In the 4th domain (environmental dimension) there was a significant difference between the two groups after study (p-value = 0.000). Lastly, in the 5th domain (general healthiness) there was a significant difference between the two groups after study (p-value = 0.000).

Conclusions: There is an increase in the life quality of postpartum mothers after being given a combination of postpartum yoga and pelvic floor training. 


Keywords


life quality;pelvic floor trainning;postpartum mothers;postpartum yoga

Full Text:

PDF

References


Winarni LM, Ikhlasia M, Sartika R. Dampak Latihan Yoga Terhadap Kualitas Hidup Dan Psikologi Ibu Nifas. Jurnal Kebidanan Malahayati. 2020;6(1):8–16. doi :10.33024/jkm.v6i1.2126

Smith CA, Hill E, Denejkina A, Thornton C, Dahlen HG. The effectiveness and safety of complementary health approaches to managing postpartum pain: A systematic review and meta-analysis. Integrative Medical Research Journal [Internet]. 2022;11(1):100758. https://doi.org/10.1016/j.imr.2021.100758 Available from:https://www.sciencedirect.com/science/article/pii/S2213422021000457?via%3Dihub

Saboia DM, Bezerra K de C, Vasconcelos Neto JA, Bezerra LRPS, Oriá MOB, Vasconcelos CTM. The effectiveness of post-partum interventions to prevent urinary incontinence: a systematic review. Revista Brasileira Enfermagem Journal. 2018;71(suppl 3):1460–8. https://doi.org/10.1590/0034-7167-2017-0338

https://www.scielo.br/j/reben/a/TzqK67wLnhN9RFsStSDJPgj/#

Tarukallo JS, Lotisna D, Pelupessy NU. Effect of Postpartum Pelvic Floor Muscles Training in Pelvic Floor Muscles Strength on Postpartum Women with Stress Urinary Incontinence. Indonesia Journal Obstetri Gynecology. 2018;114. DOI: https://doi.org/10.32771/inajog.v6i2.772

https://inajog.com/index.php/journal/article/view/772

Sadat Z, Abedzadeh Kalahroudi M, Kafaei Atrian M, Karimian Z, Sooki Z. The impact of postpartum depression on quality of life in women after child’s birth. Iran Red Crescent Medical Journal. 2014;16(2). doi: 10.5812/ircmj.14995

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3965880/

Zhang S, Yuan L, Zhou L, Lei X, Zhu L. Design of Exercise Nursing Program for Pelvic Floor Muscle Function Recovery at 42 Days Postpartum. Computational Mathematical Methods Medicine. 2021;2021. doi: 10.1155/2021/1714610

https://pubmed.ncbi.nlm.nih.gov/34804191/

Mogos MF, August EM, Salinas-Miranda AA, Sultan DH, Salihu HM. A Systematic Review of Quality of Life Measures in Pregnant and Postpartum Mothers. Applied Research Quality Life. 2013;8(2):219–50. DOI: 10.1007/s11482-012-9188-4

https://pubmed.ncbi.nlm.nih.gov/23734167/

Sofiyanti S. Peran Aktivitas Fisik Pada Depresi Postpartum: Literatur Review. Jurnal Riset Kesehatan Poltekkes Depkes Bandung. 2021;13(1):254–61. https://doi.org/10.34011/juriskesbdg.v13i1.1917

Jeong YJ, Nho JH, Kim HY, Kim JY. Factors influencing quality of life in early postpartum women. International Journal Environmental Research Public Health. 2021;18(6):1–9. doi: 10.3390/ijerph18062988

Bahrami N, Karimian Z, Bahrami S, Bolbolhaghighi N. Comparing the postpartum quality of life between six to eight weeks and twelve to fourteen weeks after delivery in Iran. Iran Red Crescent Medical Journal. 2014;16(7). doi: 10.5812/ircmj.16985

Bhoir KV, Honkalas P. Comparative effect of yoga therapy and conventional therapy on pain , functional disability and quality of life in post natal females with lumbopelvic pain : Randomized clinical trial. International Journal Physical Education Sport Health. 2022;9(3):115–20.

Tola Y, Ayele G, Boti N, Yihune M, Gethahun F, Gebru Z. Health-related quality-of-life and associated factors among post-partum women in Arba Minch town. International Journal Womens Health. 2021;13:601–11. DOI: 10.2147/IJWH.S295325

Li Q, Zhang X. Effects of yoga on the intervention of levator ani hiatus in postpartum women: a prospective study. Journal Physical Therapy Science. 2021;33(11):862–9. DOI: 10.1589/jpts.33.862

Qian J, Sun S, Liu L, Yu X. Effectiveness of non-pharmacological interventions for reducing postpartum fatigue: A systematic review protocol. BMJ Open. 2021;11(10):1–5. doi: 10.1186/s12884-021-04096-7

Miftakhul mualimah, dewi kartikasari, sunaningsih yunita puspita. Pengaruh Latihan Yoga terhadap Involusi Uterus pada Ibu Nifas. Journal Health Science. 2022;VII(I):34–7. DOI: https://doi.org/10.24929/jik.v7i1.2016

de Oliveira MF, Parker L, Ahn H, Catunda HLO, Bernardo EBR, de Oliveira MF, et al. Maternal Predictors for Quality of Life during the Postpartum in Brazilian Mothers. Health (Irvine Calif). 2015;07(03):371–80. DOI: 10.4236/health.2015.73042

Kohler S, Sidney Annerstedt K, Diwan V, Lindholm L, Randive B, Vora K, et al. Postpartum quality of life in Indian women after vaginal birth and cesarean section: A pilot study using the EQ-5D-5L descriptive system. BMC Pregnancy Childbirth. 2018;18(1):1–13. DOI: 10.1186/s12884-018-2038-0

Nisak K, Rahayuningsih FB. Perbedaan Kualitas Hidup Postpartum Berdasarkan Jenis Persalinan Di Rsud Dr. Soeratno Gemolong. Prosiding Seminar Nasional Seri 8. 2018;89–100. https://dspace.uii.ac.id/handle/123456789/11440

Wulandari RP, Mufdlilah M. Faktor demografi dan obstetrik dalam mempengaruhi kualitas hidup postpartum. Jurnal Kebidanan. 2020;9(2):129. DOI: https://doi.org/10.26714/jk.9.2.2020.129-142

Skalkidou A, Hellgren C, Comasco E, Sylvén S, Sundström Poromaa I. Biological aspects of postpartum depression. Women’s Health. 2012;8(6):659–72. DOI: 10.2217/whe.12.55

Buttner MM, Brock RL, O’Hara MW, Stuart S. Efficacy of yoga for depressed postpartum women: A randomized controlled trial. Complementary Therapy Clinical Practice [Internet]. 2015;21(2):94–100. Available from: http://dx.doi.org/10.1016/j.ctcp.2015.03.003

Putu N, Ayu D, Herawati L, Widyawati MN, Leo IK. Systematic Review The Effect of Exercise on Postpartum Women ’ s Quality of Life. Jurnal Ners. 2019;14(3). https://doi.org/10.20473/jn.v14i3.16950

Sunarsih S, Astuti T. Yoga Gymnology of Process Involution Uterus Mom Post-Partum. J Aisyah Jurnal Ilmu Kesehatan. 2021;6(2):259–65. DOI : 10.30604/jika.v6i2.489

Hu S, Xu T, Wang X. Yoga as an Exercise Prescription for the Pregnancy or Postpartum Period: Recent Advances and Perspective. Yangtze Medical. 2021;05(03):157–70. DOI:10.4236/ym.2021.53016

Li Q. The Effects of Yoga Exercise on Pelvic Floor Rehabilitation of Postpartum Women. Journal Healthc Eng. 2022;2022. doi: 10.1155/2022/1924232

Ozcan S, Eryilmaz G. Using Levine’s conservation model in postpartum care: a randomized controlled trial. Health Care Women International [Internet]. 2021;42(4–6):794–814. Available from:

https://www.tandfonline.com/doi/full/10.1080/07399332.2020.1797038

lbanese AM, Geller PA, Steinkamp JM, Barkin JL. In their own words: A qualitative investigation of the factors influencing maternal postpartum functioning in the united states. International Journal Environmental Research Public Health. 2020;17(17):1–28. DOI: 10.3390/ijerph17176021

Al Rehaili BO, Al-Raddadi R, ALEnezi NK, ALYami AH. Postpartum quality of life and associated factors: a cross-sectional study. Quality Life Research [Internet]. 2023;32(7):2099–106. Available from: https://doi.org/10.1007/s11136-023-03384-3

Maharana S. The Efficacy of Yoga Practice during Pregnancy on Postnatal Depression & Quality of Life. Indian Journal Holistic Nursing. 2022;13(2):8–15. DOI: https://doi.org/10.24321/2348.2133.202207

Parsa B, Parsa P, Boojarzadeh B, Mohammadi Y. Prediction of postpartum depression based on women’s quality of life. Family Medicine Primary Care Review. 2019;21(4):343–8. DOI: https://doi.org/10.5114/fmpcr.2019.90165




DOI: http://dx.doi.org/10.21927/jnki.2024.12(2).%25p

Refbacks

  • There are currently no refbacks.


Jurnal Ners dan Kebidanan Indonesia (JNKI) indexed by:

      

Lisensi Creative Commons

  View My Stats