Abstract
Amaç: Bu çalışmanın amacı, gebelerde klinik pilatesin doğum sonuçları üzerine etkisini araştırmaktır. Gereçler ve Yöntem: Çalışmaya seksen üç gebe dahil edildi. Çalışma grupları, pilates yapmayı gönüllü olarak kabul eden (n: 26, yaş: 28.77 ± 4.43 yıl) çalışma grubu ve pilates yapmayan (n: 57, yaş: 28.18 ± 4.69 yıl) kontrol grubundan oluşturuldu. Pilates eğitimi haftada iki gün fizyoterapist tarafından sağlandı (1 saat / seans). Retrospektif olarak boy, kilo, gebelikte kazanılan kilo, hemoglobin düzeyi, eğitim düzeyi, doğum süresi, doğum şekli, doğum haftası, indüksiyon gereksinimi ve süresi, bebeklerin doğum ağırlığı ve APGAR (Görünüm, Nabız, Grimace yanıtı, Aktivite, Solunum) puanları hasta dosyalarından kaydedildi.
Bulgular: Pilates'in gebelik yaşı, doğum haftası, bebeklerin doğum ağırlığı ve APGAR skorları üzerinde olumsuz bir etkisi olmadığı bulundu. Pilates yapan gebeler hamilelikte kontrol grubuna göre daha az kilo aldı (p <0.05).
Sonuç: Bu çalışma, hamile kadınlar tarafından yapılan pilatesin doğum sonuçları üzerinde olumlu bir etkisi olduğu sonucunu desteklemektedir.
References
- Foti T, Davids JR, Bagley A. A biomechanical analysis of gait during pregnancy. J Bone Joint Surg Am 2000; 82: 625-32.
- ACOG Committee Opinion No. 650: Physical activity and exercise during pregnancy and the postpartum period. Obstet Gynecol 2015; 126: e135-e142.
- Bird ML, Hill KD, Fell JW. A randomized controlled study investigating static and dynamic balance in older adults after training with Pilates. Arch Phys Med Rehabil 2012; 93: 43-9.
- Unal E. Romatizmal Hastalıkalrda Biyopsikososyal Model: Bilişsel Egzersiz Terapi Yaklaşımı (BETY). Ankara: Pelikan Yayıncılık. 2014.
- Winsor M, Laska M. The Pilates Pregnancy: Maintaining Strength, Flexibility, And Your Figure. Da Capo Press; 2001.
- Culligan PJ, Scherer J, Dyer K, et al. A randomized clinical trial comparing pelvic floor muscle training to a Pilates exercise program for improving pelvic muscle strength. Int Urogynecol J 2010; 21: 401-8.
- ACOG Committee Obstetric Practice. ACOG Committee opinion. Number 267, January 2002: exercise during pregnancy and the postpartum period. Obstet Gynecol. 2002; 99: 171-3.
- Zhang J, Savitz DA. Exercise during pregnancy among US women. Ann Epidemiol 1996; 6: 53-9.
- Evenson KR, Savitz DA, Huston SL. Leisure-time physical activity among pregnant women in the US. Paediatr Perinat Epidemiol 2004; 18: 400-7.
- Petersen AM, Leet TL, Brownson RC. Correlates of physical activity among pregnant women in the United States. Med Sci Sports Exerc 2005; 37: 1748-53.
- Fell DB, Joseph KS, Armson BA, Dodds L. The impact of pregnancy on physical activity level. Matern Child Health J 2009; 13: 597-603.
- Hinton PS, Olson CM. Predictors of pregnancy-associated change in physical activity in a rural white population. Matern Child Health J 2001; 5: 7-14.
- Rutkowska E, Łepecka-Klusek C. The role of physical activity in preparing women for pregnancy and delivery in Poland. Health Care Women Int 2002; 23: 919-23.
- Rose NC, Haddow JE, Palomaki GE, Knight GJ. Self-rated physical activity level during the second trimester and pregnancy outcome. Obstet Gynecol 1991; 78: 1078-80.
- Watson PE, McDonald BW. Activity levels in pregnant New Zealand women: relationship with socioeconomic factors, well-being, anthropometric measures, and birth outcome. Appl Physiol Nutr Metab 2007; 32: 733-42.
- Chasan-Taber L, Schmidt MD, Pekow P, Sternfeld B, Manson J, Markenson G. Correlates of physical activity in pregnancy among Latina women. Matern Child Health J 2007; 11: 353-63.
- Clarke PE, Gross H. Women's behaviour, beliefs and information sources about physical exercise in pregnancy. Midwifery 2004; 20: 133-41.
- Mottola MF, Campbell MK. Activity patterns during pregnancy. Can J Appl Physiol 2003; 28: 642-53.
- Gouveia R, Martins S, Sandes AR, et al. [Pregnancy and physical exercise: myths, evidence and recommendations]. Acta medica portuguesa 2007; 20: 209-14.
- Artieta-Pinedo I, Paz-Pascual C, Grandes G, et al. The benefits of antenatal education for the childbirth process in Spain. Nurs Res. 2010; 59: 194-202.
- Price BB, Amini SB, Kappeler K. Exercise in pregnancy: effect on fitness and obstetric outcomes-a randomized trial. Med Sci Sports Exerc 2012; 44: 2263-9.
- Kramer MS, McDonald SW. Aerobic exercise for women during pregnancy. Cochrane Database Syst Rev 2006; 2006: CD000180.
- Magann EF, Evans SF, Weitz B, Newnham J. Antepartum, intrapartum, and neonatal significance of exercise on healthy low-risk pregnant working women. Obstet Gynecol 2002; 99: 466-72.
- Clapp JF 3rd, Kim H, Burciu B, Schmidt S, Petry K, Lopez B. Continuing regular exercise during pregnancy: effect of exercise volume on fetoplacental growth. Am J Obstet Gynecol 2002; 186: 142-7.
- Clapp JF 3rd, Little KD. Effect of recreational exercise on pregnancy weight gain and subcutaneous fat deposition. Med Sci Sports Exerc. 1995; 27: 170-7.
- Haakstad LA, Voldner N, Henriksen T, Bø K. Physical activity level and weight gain in a cohort of pregnant Norwegian women. Acta obstetricia et gynecologica Scandinavica 2007; 86: 559-64.
- Clapp JF 3rd, Dickstein S. Endurance exercise and pregnancy outcome. Med Sci Sports Exerc 1984; 16: 556-62.
- Collings CA, Curet LB, Mullin JP. Maternal and fetal responses to a maternal aerobic exercise program. Am J Obstet Gynecol 1983; 145: 702-7.
- Hall DC, Kaufmann DA. Effects of aerobic and strength conditioning on pregnancy outcomes. Am J Obstet Gynecol 1987; 157: 1199-203.
- Rice PL, Fort IL. The relationship of maternal exercise on labor, delivery and health of the newborn. J Sports Med Phys Fitness 1991; 31: 95-9.
- Bungum TJ, Peaslee DL, Jackson AW, Perez MA. Exercise during pregnancy and type of delivery in nulliparae. J Obstet Gynecol Neonatal Nurs 2000; 29: 258-64.
- Kardel KR, Kase T. Training in pregnant women: effects on fetal development and birth. Am J Obstet Gynecol 1998; 178(: 280-6.
- Horns PN, Ratcliffe LP, Leggett JC, Swanson MS. Pregnancy outcomes among active and sedentary primiparous women. J Obstet Gynecol Neonatal Nurs 1996; 25: 49-54.
- Gollenberg AL, Pekow P, Bertone-Johnson ER, Freedson PS, Markenson G, Chasan-Taber L. Sedentary behaviors and abnormal glucose tolerance among pregnant Latina women. Med Sci Sports Exerc 2010; 42: 1079-85.
- Pivarnik JM, Perkins CD, Moyerbrailean T. Athletes and pregnancy. Clin Obstet Gynecol 2003; 46: 403-14.
- Cléroux J, Feldman RD, Petrella RJ. Lifestyle modifications to prevent and control hypertension. 4. Recommendations on physical exercise training. Canadian Hypertension Society, Canadian Coalition for High Blood Pressure Prevention and Control, Laboratory Centre for Disease Control at Health Canada, Heart and Stroke Foundation of Canada. CMAJ 1999; 160: S21-S28.
- Hatch MC, Shu XO, McLean DE, et al. Maternal exercise during pregnancy, physical fitness, and fetal growth. Am J Epidemiol 1993; 137: 1105-14.
- Nascimento SL, Surita FG, Parpinelli MÂ, Siani S, Pinto e Silva JL. The effect of an antenatal physical exercise programme on maternal/perinatal outcomes and quality of life in overweight and obese pregnant women: a randomised clinical trial. BJOG 2011; 118: 1455-63.
- Haakstad LA, Bø K. Exercise in pregnant women and birth weight: a randomized controlled trial. BMC Pregnancy Childbirth. 2011; 11: 66.
Abstract
Aim: The aim of this study was to investigate the effect of clinical Pilates on delivery outcomes in pregnant women.
Materials and Method: Eighty-three pregnant women were included in the study. The study comprised pregnant women who voluntarily agreed to perform Pilates (n: 26, age: 28.77 ± 4.43 years) and a control group (n: 57, age: 28.18 ± 4.69 years) that did not perform Pilates. Pilates training was provided by a physiotherapist two days a week (1 h/session). Height, weight, weight gained during pregnancy, hemoglobin level, education level, duration of labor, type of delivery, birth week, induction requirement and duration, birth weight of infants, and APGAR (Appearance, Pulse, Grimace response, Activity, Respiration) scores were retrospectively recorded from the patient files.
Results: It was found that Pilates did not have a negative effect on gestational age, birth week, birth weight of infants and APGAR scores. Pregnant women who performed Pilates gained less weight during pregnancy compared with those in the control group (p < 0.05).
Conclusion: This study supports the conclusion that Pilates performed by pregnant women has a positive effect on delivery outcomes.
References
- Foti T, Davids JR, Bagley A. A biomechanical analysis of gait during pregnancy. J Bone Joint Surg Am 2000; 82: 625-32.
- ACOG Committee Opinion No. 650: Physical activity and exercise during pregnancy and the postpartum period. Obstet Gynecol 2015; 126: e135-e142.
- Bird ML, Hill KD, Fell JW. A randomized controlled study investigating static and dynamic balance in older adults after training with Pilates. Arch Phys Med Rehabil 2012; 93: 43-9.
- Unal E. Romatizmal Hastalıkalrda Biyopsikososyal Model: Bilişsel Egzersiz Terapi Yaklaşımı (BETY). Ankara: Pelikan Yayıncılık. 2014.
- Winsor M, Laska M. The Pilates Pregnancy: Maintaining Strength, Flexibility, And Your Figure. Da Capo Press; 2001.
- Culligan PJ, Scherer J, Dyer K, et al. A randomized clinical trial comparing pelvic floor muscle training to a Pilates exercise program for improving pelvic muscle strength. Int Urogynecol J 2010; 21: 401-8.
- ACOG Committee Obstetric Practice. ACOG Committee opinion. Number 267, January 2002: exercise during pregnancy and the postpartum period. Obstet Gynecol. 2002; 99: 171-3.
- Zhang J, Savitz DA. Exercise during pregnancy among US women. Ann Epidemiol 1996; 6: 53-9.
- Evenson KR, Savitz DA, Huston SL. Leisure-time physical activity among pregnant women in the US. Paediatr Perinat Epidemiol 2004; 18: 400-7.
- Petersen AM, Leet TL, Brownson RC. Correlates of physical activity among pregnant women in the United States. Med Sci Sports Exerc 2005; 37: 1748-53.
- Fell DB, Joseph KS, Armson BA, Dodds L. The impact of pregnancy on physical activity level. Matern Child Health J 2009; 13: 597-603.
- Hinton PS, Olson CM. Predictors of pregnancy-associated change in physical activity in a rural white population. Matern Child Health J 2001; 5: 7-14.
- Rutkowska E, Łepecka-Klusek C. The role of physical activity in preparing women for pregnancy and delivery in Poland. Health Care Women Int 2002; 23: 919-23.
- Rose NC, Haddow JE, Palomaki GE, Knight GJ. Self-rated physical activity level during the second trimester and pregnancy outcome. Obstet Gynecol 1991; 78: 1078-80.
- Watson PE, McDonald BW. Activity levels in pregnant New Zealand women: relationship with socioeconomic factors, well-being, anthropometric measures, and birth outcome. Appl Physiol Nutr Metab 2007; 32: 733-42.
- Chasan-Taber L, Schmidt MD, Pekow P, Sternfeld B, Manson J, Markenson G. Correlates of physical activity in pregnancy among Latina women. Matern Child Health J 2007; 11: 353-63.
- Clarke PE, Gross H. Women's behaviour, beliefs and information sources about physical exercise in pregnancy. Midwifery 2004; 20: 133-41.
- Mottola MF, Campbell MK. Activity patterns during pregnancy. Can J Appl Physiol 2003; 28: 642-53.
- Gouveia R, Martins S, Sandes AR, et al. [Pregnancy and physical exercise: myths, evidence and recommendations]. Acta medica portuguesa 2007; 20: 209-14.
- Artieta-Pinedo I, Paz-Pascual C, Grandes G, et al. The benefits of antenatal education for the childbirth process in Spain. Nurs Res. 2010; 59: 194-202.
- Price BB, Amini SB, Kappeler K. Exercise in pregnancy: effect on fitness and obstetric outcomes-a randomized trial. Med Sci Sports Exerc 2012; 44: 2263-9.
- Kramer MS, McDonald SW. Aerobic exercise for women during pregnancy. Cochrane Database Syst Rev 2006; 2006: CD000180.
- Magann EF, Evans SF, Weitz B, Newnham J. Antepartum, intrapartum, and neonatal significance of exercise on healthy low-risk pregnant working women. Obstet Gynecol 2002; 99: 466-72.
- Clapp JF 3rd, Kim H, Burciu B, Schmidt S, Petry K, Lopez B. Continuing regular exercise during pregnancy: effect of exercise volume on fetoplacental growth. Am J Obstet Gynecol 2002; 186: 142-7.
- Clapp JF 3rd, Little KD. Effect of recreational exercise on pregnancy weight gain and subcutaneous fat deposition. Med Sci Sports Exerc. 1995; 27: 170-7.
- Haakstad LA, Voldner N, Henriksen T, Bø K. Physical activity level and weight gain in a cohort of pregnant Norwegian women. Acta obstetricia et gynecologica Scandinavica 2007; 86: 559-64.
- Clapp JF 3rd, Dickstein S. Endurance exercise and pregnancy outcome. Med Sci Sports Exerc 1984; 16: 556-62.
- Collings CA, Curet LB, Mullin JP. Maternal and fetal responses to a maternal aerobic exercise program. Am J Obstet Gynecol 1983; 145: 702-7.
- Hall DC, Kaufmann DA. Effects of aerobic and strength conditioning on pregnancy outcomes. Am J Obstet Gynecol 1987; 157: 1199-203.
- Rice PL, Fort IL. The relationship of maternal exercise on labor, delivery and health of the newborn. J Sports Med Phys Fitness 1991; 31: 95-9.
- Bungum TJ, Peaslee DL, Jackson AW, Perez MA. Exercise during pregnancy and type of delivery in nulliparae. J Obstet Gynecol Neonatal Nurs 2000; 29: 258-64.
- Kardel KR, Kase T. Training in pregnant women: effects on fetal development and birth. Am J Obstet Gynecol 1998; 178(: 280-6.
- Horns PN, Ratcliffe LP, Leggett JC, Swanson MS. Pregnancy outcomes among active and sedentary primiparous women. J Obstet Gynecol Neonatal Nurs 1996; 25: 49-54.
- Gollenberg AL, Pekow P, Bertone-Johnson ER, Freedson PS, Markenson G, Chasan-Taber L. Sedentary behaviors and abnormal glucose tolerance among pregnant Latina women. Med Sci Sports Exerc 2010; 42: 1079-85.
- Pivarnik JM, Perkins CD, Moyerbrailean T. Athletes and pregnancy. Clin Obstet Gynecol 2003; 46: 403-14.
- Cléroux J, Feldman RD, Petrella RJ. Lifestyle modifications to prevent and control hypertension. 4. Recommendations on physical exercise training. Canadian Hypertension Society, Canadian Coalition for High Blood Pressure Prevention and Control, Laboratory Centre for Disease Control at Health Canada, Heart and Stroke Foundation of Canada. CMAJ 1999; 160: S21-S28.
- Hatch MC, Shu XO, McLean DE, et al. Maternal exercise during pregnancy, physical fitness, and fetal growth. Am J Epidemiol 1993; 137: 1105-14.
- Nascimento SL, Surita FG, Parpinelli MÂ, Siani S, Pinto e Silva JL. The effect of an antenatal physical exercise programme on maternal/perinatal outcomes and quality of life in overweight and obese pregnant women: a randomised clinical trial. BJOG 2011; 118: 1455-63.
- Haakstad LA, Bø K. Exercise in pregnant women and birth weight: a randomized controlled trial. BMC Pregnancy Childbirth. 2011; 11: 66.
Details
| Primary Language | English |
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| Subjects | Health Care Administration |
| Journal Section | Original Article |
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| Publication Date | October 22, 2020 |
| Published in Issue | Year 2020 Volume: 3 Issue: 4 |
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