Antenatal Exercise Research Articles

Perceptions, attitudes and beliefs on antenatal exercises among primiparous pregnant women: a qualitative study in Sri Lanka

BackgroundEven if promoting antenatal exercises is an evolving concept worldwide, there is a scarcity of qualitative exploratory studies which directly focus on pregnant mothers’ views about exercises. So, this study...

Effect of home based tele pilates on pelvic girdle pain and lumbo pelvic stability among pregnant women – A randomized controlled trial

Introduction. Pelvic girdle pain is one of the common musculoskeletal problems in pregnancy, resulting from hormonal variations and biomechanical alterations in the muscles that support lumbo-pelvic stability. The Pilates method, which includes mind-body approaches and focuses on core strength, provides relief from pelvic pain. In recent years, tele-rehabilitation has emerged as one of the most popular solutions in clinical practice. Aim. To find out the effect of home-based Tele Pilates on pelvic girdle pain and lumbo-pelvic stability among pregnant women. Materials and methods. A randomized controlled trial was conducted in Sri Ramachandra Hospital, Chennai, from January 2023 to June 2023. Pregnant women with pelvic girdle pain from 20-30 weeks of gestation were screened and randomly divided into a Pilates exercise group (n = 19) and a control group (n = 19). Subjects in the Pilates group followed the exercise thrice a week for eight weeks. Subjects in the control group followed standardized antenatal exercises and education. The outcome measures used were Visual Analogue Scale (VAS) for pain level, Pelvic Girdle Questionnaire (PGQ) for functional disability, and Pressure Biofeedback for lumbo-pelvic stability. Mann-Whitney test, Wilcoxon signed rank test, and ‘t’ test were performed to examine the pain score, Pelvic Girdle Questionnaire, and the lumbo-pelvic stability. Results. Baseline parameters are similar and comparable. (p < 0.05). Between-group analysis revealed that the experimental group showed improvement in the pain and disability with a significant difference (p ≤ 0.001). Both groups showed significant improvement in lumbo-pelvic stability in the within-group analysis (p < 0.001). Conclusion. Home-based tele Pilates (HTPE) can be recommended as an effective and safe method for decreasing pain levels and improving lumbo-pelvic stability among pregnant women with pelvic girdle pain.

Does antenatal exercise shape labor and delivery outcomes?

Incorporating regular physical activity into the lifestyle of a pregnant woman offers numerous health benefits and prepares her effectively for labor. This study was conducted to determine the impact of antenatal exercise on labor, delivery and perinatal outcome. An interventional study was conducted including 200 women attending the antenatal clinic of Obstetrics and Gynaecology department of PGIMS Rohtak, India. The study subjects were randomly divided into two groups-exercise group and control group. The demographic profile of both the groups was similar. A higher proportion of patients in control group required labor induction compared to exercise group (33% vs 16%, P = 0.002). The rate of vaginal delivery was significantly higher in exercise group than in control group (71% vs 56%, P = 0.027). Additionally, women in exercise group had fewer assisted vaginal deliveries than control group (7% vs 20%, P = 0.007). Rates of cesarean section were comparable between both groups (P = 0.736). The mean duration of labor was significantly shorter in exercise group compared to control group (428.69 ± 131.242min vs 516.91 ± 143.105min, P < 0.0001). Mean Visual Analog Scale (VAS) score for pain was 6.38 ± 1.94 in exercise group compared to 7.89 ± 1.49 in control group (P < 0.0001). No significant difference was observed between the groups in birth weight and APGAR score of neonates. A structured exercise program, practiced regularly during the antenatal period reduced the need for labor induction, shortened labor duration, increased the incidence of vaginal deliveries, and decreased pain perception during labor and delivery.

Assessment of Knowledge, Attitude, and Practice Toward Physical Activity and It’s Associated Factor Among Women Attending Antenatal Care at Public Health Institutions in Debre Berhan Town, North Eastern Ethiopia

Physical inactivity is linked to pregnancy-related complications. Exercise participation during pregnancy is restricted in low-middle income nations, including Ethiopia. Therefore, this study aimed to assess factors associated with physical activity practice among pregnant women attending antenatal care at public health institutions in Debre Berhan Town Northeastern Ethiopia. Institutional based cross-sectional study was conducted from March 22, 2021 to May 22, 2021 in Debre Berhan Town. The systematic random sampling technique was used to obtain the 418 participants. Data were collected by using standardized questionnaires. Data were entered, cleaned by Epi data version 3.1 and analyzed by SPSS version 25. The variables which had p-value &lt; .05 and with 95% confidence interval were declared as determine factors of antenatal physical exercise. According to this study, 222 (53.1%, CI [48.3, 57.7]), 220 (52.6% [47.8, 57.2]), and 218 (52.2% [CI 47.6, 56.7]) of respondents had good knowledge, favorable attitude, and good practice of physical exercise respectively. Age group of 30 to 34 years (AOR: 2.15, 95% CI [1.08, 4.29]), housewife (AOR: 7.81, 95% CI [1.48, 41.21]), cultural recommendation (AOR: 2.16, 95% CI [1.37, 3.39]), exercise before pregnancy (AOR: 2.69, 95% CI [1.72, 4.19]), and gestational age &gt;24 weeks (AOR: 2.538, 95% CI [1.02, 6.29]) were factors associated with practice of physical exercise during pregnancy. Physical activity during pregnancy was more common in the current study than in the national average. During an ANC visit, health care providers should improve and strengthen physical activity counseling sessions.

Effectiveness of the Antenatal Training Program on Reducing Anxiety and Pain Levels in Mothers During Gestation at the Sobang Community Health Center in 2024

Women often experience anxiety and fear during pregnancy due to concerns about the pain of childbirth. This anxiety can lead to mental and physical tension, resulting in unnatural stiffness in muscles and joints. Such stress is associated with negative pregnancy outcomes, mood disturbances, and various somatic complaints. Physical exercise during pregnancy can be an effective intervention to reduce anxiety and pain, benefiting both maternal and fetal health. This study aimed to evaluate the effectiveness of the Antenatal Training Program in reducing anxiety and altering pain perception during pregnancy. The research involved 30 pregnant women at the Sobang Community Health Center, Pandeglang Regency, who completed pre-test and post-test questionnaires. The study results showed a significant improvement (p &lt; 0.05) in reducing anxiety and pain perception among participants, confirming the effectiveness of antenatal exercise. The findings suggest that consistent participation in antenatal exercises positively impacts the childbirth experience. Additionally, pregnant women are advised to maintain proper nutrition and monitor their activities to ensure a healthy pregnancy and delivery activities carried out during the gestation period.

Midwifery educators' knowledge of antenatal exercises in selected Nigerian midwifery schools.

Exercise during pregnancy is beneficial to both the pregnant woman and the foetus. Midwifery educators play a crucial role in ensuring that midwifery students receive the knowledge and training needed to demonstrate antenatal exercises. To ensure that their students understand and deliver adequate antenatal care, midwifery educators should be highly knowledgeable in pregnancy-related exercises. The study was conducted to determine the knowledge of midwifery educators about antenatal exercise. A descriptive cross-sectional study was conducted of the knowledge about antenatal exercises by midwifery educators. A purposive total population of 54 midwifery educators from three midwifery schools in Cross River State, Nigeria, was included in the study. Questionnaires were used for data collection, and Statistical Package for Social Sciences (SPSS) version 27 was used for data analysis. Ethical issues and rigour were maintained. The study revealed that antenatal exercises are included in the midwifery curriculum and exercise demonstration were mainly done by midwifery educators and clinical instructors. The majority (n= 34, 66.7%) of the respondents were knowledgeable about World Health Organization (WHO) guidelines for exercise during pregnancy and had an average knowledge of the ideal antenatal exercises. Midwifery educators have average knowledge of the ideal antenatal exercises, which prompts the development of an exercise programme to guide midwifery training and practice. Midwifery educators should collaborate with exercise specialists to teach and demonstrate antenatal exercises.Contribution:The study highlighted the need for midwifery educators to obtain more information on antenatal exercises to adequately prepare midwifery students for evidence-based exercise care for pregnant women.

Attitude and concerns on antenatal pelvic floor exercises among pregnant women in Ibadan, Nigeria.

Several studies had investigated the importance and benefit of pelvic floor exercises (PFEs) to the pregnant women and their unborn babies, however, the concerns of antenatal women on the exercise have been sparsely investigated. This study examined the attitude and concerns of pregnant women towards engaging in PFEs in Ibadan, Nigeria. This was cross-sectional study of pregnant women aged ≥15 years. Participants were recruited at primary, secondary and tertiary health facilities. A face-to-face interview was conducted using a structured questionnaire with open and close-ended questions for data collection. Bivariate analysis was performed using chi-square and Fisher's exact test to investigate the association between categorical variables. Multivariate analysis was performed with log-binomial and multinomial regressions to select significant variables that affect the attitude of pregnant women. Of the 373 pregnant women recruited, 118 had ever practiced PFEs. A little below average (43%) performed PFE for less than 3 days a week. Ability to have easy childbirth was the most common motivator for practicing PFE. Participants were most concerned about abdominal pain. No association between any of the factors and participants' attitudes. Though there was a positive attitude of pregnant women towards the PFE but the practice was low. This might be due to inadequate availability of information. We recommend health promotional messages to encourage pregnant women to engage in PFE as part of antenatal messages for healthy living.

A Study to Assess the Effectiveness of Computer Assisted Teaching Programme on Knowledge Regarding Antenatal Exercises among Primi Mothers at Primary Health Center Tambaram

A Study to Assess the Effectiveness of Computer Assisted Teaching Programme on Knowledge Regarding Antenatal Exercises among Primi Mothers at Primary Health Center Tambaram

Knowledge, Attitudes, and Patterns of Antenatal Exercise among a Sample of Pregnant Women in Baghdad City/ 2020

Knowledge, Attitudes, and Patterns of Antenatal Exercise among a Sample of Pregnant Women in Baghdad City/ 2020

Pregnant Women's Knowledge, Attitudes, and Associated Factors Toward Physical Exercise During Pregnancy in Al-Ahsa City, KSA.

Introduction This research study aims to explore the understanding and perspective of pregnant women in Al-Ahsa regarding physical exercise during their pregnancy. Presently, there exists a deficiency in knowledge concerning the advantages of exercise for the well-being of both the expectant mother and the developing fetus within this area. The study endeavors to enlighten and empower pregnant women about the appropriate types and levels of exercise suitable for their individual physical activity during pregnancy, with the ultimate aim of attaining noteworthy health benefits. The proposed solution entails offering comprehensive education and guidance on the advantages and techniques of exercising during pregnancy. Methodology This is a cross-sectional study carried out in the city of Al-Al-Ahsa, located in Saudi Arabia. The data was collected through an online questionnaire. Subsequently, the collected data underwent a series of essential steps, including coding, thorough checking, and entry into an Excel spreadsheet. The final stage involved analyzing the data using the widely used statistical software SPSS. Results In this research conducted in Al-Ahsa City, the findings were based on a sample of 306 Saudi nationals. Several of the participants were aged over 45 (33.7%), married (81.4%), and had completed their college education (79.7%). In terms of their beliefs, the participants had an average score of 3.51 out of 7. Their level of awareness scored 5.13 out of 8, while their knowledge level scored 3.52 out of 5. A significant number of participants (68.3%) agreed on the importance of exercise during pregnancy, and a considerable percentage (72.9%) believed that any pregnant woman could exercise without seeking healthcare advice. When it came to accessing information about antenatal exercise, digital platforms, especially social media, were the primary source for the participants (63.4%). The most commonly practiced exercise type was walking (77.1%), and the main barriers reported were fatigue (64.4%) and time constraints (34.3%). Age was found to have a notable association with beliefs, awareness, and knowledge scores, while marital status and functional status showed marginal, insignificant associations. Conclusion This research underscores the significance of fostering optimistic beliefs, improving awareness, and addressing knowledge deficiencies through focused educational interventions. It emphasizes the crucial roles that healthcare professionals and digital platforms assume in spreading reliable information and assisting expectant mothers in making well-informed choices regarding their exercise routines. It is essential for future studies to investigate the efficacy of customized interventions and encompass diverse populations, thus deepening our comprehension of antenatal exercise behaviors and the factors that influence them.

Maternal physical activity and sitting time and its association with placental morphology and blood flow during gestation: Findings from the Queensland Family Cohort study

ObjectivesAntenatal exercise is associated with placental morphological alterations, however research in this area is limited. Given the emphasis on the beneficial effects of antenatal exercise, it is important to understand its effect on placental function and the relationship to foetal development. The aim of this study was to investigate the association between physical activity, sitting time, and placental outcomes measured during gestation. DesignProspective cohort study. MethodsPregnant women in the Queensland Family Cohort study self-reported physical activity at 24 and 36 weeks of gestation (n = 203) and were categorised into physical activity volume groups of nil–low (0–<500 metabolic equivalent of task·minutes/week), moderate (500–<1000 metabolic equivalent of task·minutes/week), or high-volume activity (≥1000 metabolic equivalent of task·minutes/week). Participants reported average daily sitting time, whereby excessive sitting time was considered as ≥8h/day. Placental stiffness, thickness, and uteroplacental blood flow resistance were measured by ultrasound imaging at each timepoint. ResultsPhysical activity volume was not associated with changes to placental morphometrics or uteroplacental blood flow resistance at 24 or 36 weeks of gestation. Excessive sitting time at 36 weeks was associated with greater placental stiffness (p = 0.046), and a lower umbilical artery pulsatility index (p = 0.001). ConclusionsPlacental tissue stiffness and umbilical artery resistance were altered in late gestation with higher maternal sitting time but not with physical activity volume. Overall, excessive sitting time may be a risk for suboptimal placental function and could be an important focus for antenatal care.

Frequency of Diastasis Recti in Second and Third Trimesters of Pregnancy in Jinnah Hospital Lahore. A Cross-Sectional Study

Background: Diastasis Recti (DR) is a condition characterized by the separation of the rectus abdominis muscles, commonly occurring among pregnant women. Despite its prevalence, awareness of DR and its implications remains low. This study aims to investigate the frequency of DR in the second and third trimesters of pregnancy and to identify any associated risk factors. Objective: To determine the prevalence of DR among pregnant women in their second and third trimesters and to assess the level of awareness about the condition. Additionally, the study seeks to explore the relationship between DR and potential risk factors such as the number of pregnancies, Body Mass Index (BMI), and engagement in abdominal muscle exercises. Methods: This cross-sectional study was conducted at Jinnah Hospital Lahore, involving 64 pregnant women in their second and third trimesters. Participants were selected through non-probability convenience sampling. DR was assessed using the Finger width method, alongside a questionnaire to gather demographic information and assess awareness levels. Statistical analysis was performed using SPSS version 25, focusing on descriptive statistics to summarize demographic data, and chi-square tests to explore associations between DR and identified risk factors. Results: Among the 64 participants, DR was present in 45.3% (29/64) of the sample, with a higher prevalence observed in the third trimester. The majority of participants (90.6%) reported never performing abdominal muscle exercises. A systematic review indicated that antenatal exercises could reduce DR cases by approximately 35%. However, awareness of DR among participants was notably lacking, with none having prior knowledge of the condition. Additionally, there was no significant association between DR and BMI, or the frequency of abdominal exercises. Conclusion: DR is a prevalent condition among pregnant women, particularly in their third trimester, with a significant lack of awareness observed. While the number of pregnancies appears to be a contributing factor, other explored risk factors such as BMI and engagement in abdominal exercises did not show a significant association with DR. These findings highlight the need for increased educational efforts and further research to better understand and manage DR during pregnancy.

Effectiveness of Antenatal Exercises Program for the Management of Neck and Shoulder Pain

Background: Pregnancy is a significant period in a woman's life, often accompanied by various physical discomforts, including neck and shoulder pain. The management of these discomforts through non-pharmacological methods, particularly exercise, has gained attention due to its potential benefits for both maternal and fetal health. Objective: This study aimed to evaluate the effectiveness of a structured antenatal exercise program in reducing the severity of neck and shoulder pain, improving functional limitations, and enhancing the quality of life among pregnant women. Methods: A randomized control trial was conducted at the Jinnah College of Rehabilitation Sciences, Sohail University, Karachi, from June to December 2023. A total of 220 pregnant women between 14 to 30 weeks of gestation were recruited and randomly assigned to either an intervention group (n=110) or a control group (n=110). The intervention group participated in a structured antenatal exercise program designed by certified physiotherapists, which included stretching, strengthening, and relaxation exercises targeting the neck and shoulder muscles. The control group received standard prenatal care. Data on pain severity, functional limitations, and quality of life were collected at baseline, mid-intervention, and post-intervention. Statistical analysis was performed using SPSS version 25.0, with p-values less than 0.05 considered statistically significant. Results: The intervention group demonstrated a significant reduction in pain scores from a baseline of 6.0 to 3.0 post-intervention, compared to the control group, which saw a decrease from 6.0 to 5.0 (p&lt;0.01). Functional limitations were also significantly reduced in the intervention group, from 70% at baseline to 20% post-intervention, whereas the control group showed a reduction from 70% to 60% (p&lt;0.01). Positive feedback regarding pain relief, mobility, and empowerment was reported by participants in the intervention group. Conclusion: The structured antenatal exercise program was effective in significantly reducing neck and shoulder pain and improving functional limitations among pregnant women. These findings suggest that antenatal exercise programs can be a valuable component of prenatal care, enhancing the overall well-being of pregnant women.

Evaluation of pregnant women's knowledge and attitude toward physical exercise during pregnancy at maternity hospitals.

There are major health benefits to physical exercise during pregnancy for mothers and newborns. However, physical inactivity during pregnancy varies worldwide, but it is more common during the third trimester of pregnancy. A positive attitude toward antenatal exercise can reduce physical inactivity. This study aimed to evaluate pregnant women's knowledge and attitude toward physical exercise during pregnancy and to find out the relationship between pregnant women's knowledge and attitude. This is a descriptive study utilizing a non-probability purposive sample of 200 women. The data were collected by distributing a structured, self-administered questionnaire. The questionnaire comprised 37 questions for knowledge and 15 questions for attitude. This study was conducted from October 2021 to November 2022. The higher percentage of women's age was 20-24 years, and 30% graduated from primary school. Nearly two-thirds of them were in the second trimester. More than one-third of them have two to three living children. Nearly two-thirds of women have poor knowledge levels about physical exercise during pregnancy, but most of them have a positive attitude. There is a significant relationship between pregnant women's knowledge and attitude. This study indicated that most of the study sample had poor knowledge regarding physical exercise during pregnancy. However, they have a positive attitude toward physical exercise during pregnancy.

Effect of Peanut Ball Exercise on Fear of Labour among Primigravida Mother

Background: Fear of giving birth is the primary factor that has reduced the preference for natural birth. Thesudden rise in the percentage of C-sections has harmed women’s pregnancy and new-born health.Purpose: To evaluate the effectiveness of peanut ball exercise on reducing fear among primigravida mothers.Materials and Methods: Thirty participants were randomly assigned to experimental (peanut ball exercise,antenatal exercise, antenatal education) and conventional (Antenatal exercises) groups. The fear of childbirthquestionnaire (FCQ) was used to evaluate the pre-test the same test used to determine post-treatment values after12 weeks of the treatment.Results: A significant difference was observed between the experimental and control groups (P =0.0001). peanutball exercise and antenatal education were effective in mothers with a fear of childbirth.Conclusion: Peanut ball training is effective in mothers with a fear of childbirth.

Ab. No. 96 Factors Associated With Lumbopelvic Pain Among Pregnant Women in Their Third Trimester

Introduction: With the increasing prevalence of lumbopelvic pain (LPP) among pregnant women, it is important to identify the factors associated with it. Previous studies have focused on the Western population. Hence, it is important to identify potential risk factors among the Indian population to find if the culture, or level of physical activity may influence the factors associated with pelvic girdle pain. Identification of risk factors will help in early screening and development of exercise intervention for the prevention of LPP. Methods: Primigravidae in third trimester aged between 18 to 40 years were included. Those with medical or obstetric complications were excluded. A cross-sectional study was conducted in which subjective measures were administered through questionnaires and objective measures by physical examinations were carried out to confirm LPP. Chi-square test was used to find the association between the variables. Univariate and multivariate logistic regression was performed to calculate the odds ratio. Results: Of the total 253 participants, 60.47% (n=153) were tested positive for LPP. Multivariate regression analysis (p &lt; 0.05) demonstrated that factors associated with a greater risk of developing LPP were increase in period of gestation and pain intensity. Conclusion: Factors associated with lumbopelvic pain were period of gestation and pain intensity. The strength of the study is that special tests were conducted to confirm the LPP rather than subjective measures. Limitations of the study were previous history of low back pain was not noted and usage of analgesics or other remedial measures were not considered. Future research may focus on Randomized controlled trials to find the effectiveness of structural intervention program to prevent or treat lumbo-pelvic pain. Implications: Antenatal exercise program must be included as an integral part of Physiotherapy program from first trimester which may prevent Lumbo-pelvic pain

Effect of Circuit Training on Calcium Level and Physical Fitness in Pregnant Women with Hypocalcemia: A randomized controlled trial

Background: Hypocalcemia is a common problem during pregnancy that affects maternal and fetal outcomes. So, preventive and treatment measures are warranted to prevent complications and promote health and well-being in pregnant women with calcium deficiency. Purpose: This study aimed to investigate the effect of circuit training (CT) on calcium levels and physical fitness in pregnant women with hypocalcemia. Methods: Forty-four pregnant women in their 2nd trimester having hypocalcemia participated in the study; their ages ranged from 20 to 35 years old, and their body mass index (BMI) was 35.00 to 39.99kg/m2. They were randomly divided into two equal groups. The control group received daily calcium supplements (1.5 – 2 g), while the CT group received the same tablets and performed the CT program for 60 minutes, three sessions per week for 12 weeks. Serum-free and ionized calcium levels were measured, and sit and reach flexibility test, wall squat test, chair stand test, and modified push-up test assessed the physical fitness before and after treatment. Results: The control and CT groups showed statistically significant increases (p&lt;0.0001) in free and ionized calcium levels and a non-significant difference (p&gt;0.05) between groups after treatment. Compared to the control group, the CT group showed statistically significant increases (p&lt;0.0001) in the scores of sit and reach flexibility test, wall squat test, chair stand test, and modified push-up test after treatment. However, the control group showed a non-significant difference (p&gt;0.05) in all test scores. Conclusion: Adding CT to calcium supplements is a safe and effective method that maintains calcium and improves physical fitness in pregnant women with hypocalcemia, which should be a part of the antenatal exercises program for gravid women.

Knowledge, attitude and practice towards antenatal physical exercise among pregnant women in Ethiopia: A systematic review and meta-analysis.

Physical activity and exercise during pregnancy have paramount importance for both the mother and fetus. Regardless of the benefits of exercise during pregnancy, significant proportion of women usually opt sedentary lifestyle during pregnancy. The aim of this systematic review and meta-analysis is to synthesis evidences on knowledge, attitude, and practice towards antenatal physical exercise among pregnant women in Ethiopia. The systematic review and meta-analysis was conducted on knowledge, attitude, practice, and associated factors towards antenatal physical exercise among pregnant women in Ethiopia. The systematic review and meta-analysis protocol was registered on PROSPERO website with registration number CRD42023444723. Articles were searched on international databases using medical subject heading and keywords. After ensuring eligibility, data were extracted using Microsoft excel and imported to STATA 17 for analysis. Cochran Q test and I2 statistics were used to check presence of heterogeneity. Weighted Inverse variance random effect model was used to estimate the pooled level of knowledge, attitude, and practice on antenatal physical exercise among pregnant women in Ethiopia. Funnel plot and egger's test were used to check presence of publication bias. A total of 11 studies were included in this systematic review and meta-analysis. The pooled prevalence of adequate knowledge, favorable attitude and good practice towards antenatal physical exercise were 46.04% with 95% CI (44.45%-47.63%), 43.71%, 95% CI (41.95%-45.46%) and 34.06, 95% CI (20.04%-48.08%) respectively. Good knowledge AOR 2.38 95% CI(1.80-3.14), unfavorable attitude AOR 0.43 95% CI (0.32-0.58), having no pre-pregnancy habit of physical exercise AOR 0.44 95 CI (0.24-0.79) and having diploma or above education status AOR 3.39 95% CI (1.92-5.98) were significantly associated with practice of antenatal physical exercise. The level of knowledge, attitude and practice towards antenatal physical exercise among pregnant women was far below the recommended level in Ethiopia. Knowledge, attitude, education status and pre-pregnancy habit of physical exercise were significantly associated factors with antenatal physical exercise practice. It is highly essential to disseminate health information on the benefits of antenatal physical exercise for all pregnant women during antenatal care contacts.

Redefining Maternal Wellness: The Role of Antenatal Exercises in Musculoskeletal Issues Among Primigravida Mothers.

During pregnancy, there are notable alterations in biomechanics, hormones, and vascular functioning, which frequently result in a range of musculoskeletal ailments, including back pain, leg cramps, and pelvic girdle discomfort. The significance of pregnancy-related musculoskeletal problems on women's daily functioning and general well-being is highlighted by their widespread occurrence worldwide, necessitating heightened focus and implementation of effective therapeutic approaches. The main aims of this study were to assess the effectiveness of prenatal exercises in musculoskeletal discomfort and investigate the association between post-intervention levels of discomfort and certain demographic factors. A quantitative technique was used in this study, utilizing a pre-experimental design conducted for three months. A total of 60 primigravida mothers were selected as participants through purposive sampling. The study was conducted in a Maternity Tertiary Care Center located in Tamil Nadu. The intervention encompassed the provision of antenatal exercises, specifically focusing on abdominal tightness, pelvic tilting, and foot and ankle movements. The researcher demonstrated the exercises for 20 minutes, and afterward, mothers were asked to perform the activities themselves. The process was monitored and observed for two weeks. The findings were statistically significant, suggesting a noteworthy decrease in musculoskeletal disorders following the implementation of the intervention. The statistical analysis revealed a significant degree of significance (P = 0.001), confirming the efficacy of the exercises. Before the implementation of the intervention, a significant proportion of mothers, namely, 45 (75%) reported experiencing moderate back pain. However, following the intervention, this percentage notably fell to 33.34% (20). The incidence of moderate pelvic pain decreased from 80% (48) to 30% (18), and a comparable pattern was observed in the reduction of leg cramps. Additionally, the research identified significant associations between the improvements and a range of demographic and obstetricfactors, including the level of education, occupation, family structure, age at marriage, and weight of the mother. The results highlight the significance of incorporating antenatal exercises as a regular component of prenatal care to minimize musculoskeletal discomfort, hence promoting the overall health and well-being of expectant mothers.

Knowledge, attitude and practice of antenatal exercise (ANEx) among married women in Afghanistan: A cross-sectional study

Background: Antenatal physical activity is an important physical, mental, and biochemical factor to consider. Several studies across the world have demonstrated the importance of physical activity during the antenatal period. Various factors are associated with knowledge, attitudes, and practices related to Antenatal PA. This study aimed to determine the knowledge, attitudes, and practices related to Antenatal PA among married women in Afghanistan.&#x0D; Methods: This community-based cross-sectional study was conducted in Herat province. In total, 316 married women age group–16-60 were included in this study. Participants were asked about their knowledge, attitudes, and practices regarding Antenatal exercise (ANEx). &#x0D; Results: More than half (56.3%) of the participants were between 16-30 years old. Two-thirds of the participants lived in urban areas, and one-sixth of the participants were illiterate (57.9%). Less than one-third of the participants had heard of antenatal exercises (32.0%). Approximately 72% of the participants had poor knowledge, 90% had poor attitudes, and only 4% practiced antenatal exercises. Higher education, residence in urban areas, and higher monthly family income were important predictors of knowledge regarding ANEx. Similarly, a greater number of children and higher education levels are determinants of ANEx practice.&#x0D; Conclusion: Poor knowledge, attitudes, and practices remained the main barriers to ANEx. In the current situation of political instability and a lack of healthcare facilities, community workers can only be a way to address this issue.