Postnatal Exercise Research Articles

To Study the Knowledge, Attitude and Practice of Postpartum Exercises in Nursing Mothers

Postpartum period has three distinct phases - immediate, early and remote.[1] First six weeks following childbirth known as puerperal period is a stressful for any women due to physiological and psychological adaptation which happens during this period and pelvic organ returns to pre pregnant state.[1] Breastfeeding starts immediately after the birth of the infant and as per the recommendation of WHO it is to be continued exclusively for 6 months.[2] During this period, Postpartum exercises like Kegel’s, abdominal and breathing exercises helps to improve the pelvic floor and abdominal muscle tone, bowel and bladder function and cardiovascular fitness which will have a positive influence on the health of the mother.[3] Two hundred and sixteen postpartum nursing mothers between the time period of six weeks to six months and Women who have given birth in hospitals and have been informed about post- natal exercises during the duration of hospitalization.In conclusion, the findings of this study provided an excellent insight on how many of the participants had knowledge about postnatal exercises and attitude is relatively positive which they were fully aware of the potential benefits of postnatal exercises but most of them did not practice postnatal exercises in their postpartum period regularly because majority of mothers were facing barriers because of household chores and baby care. Key Words: knowledge, attitude and practice of postpartum exercises, nursing mothers, postpartum health.

A Pre and Postnatal Physical Therapy Protocol for Recreational Athletes: A Case Series.

Recent changes to medical recommendations for exercise in pregnancy and postpartum have expanded to include recreational athletes. While women are transitioning into motherhood at the height of their athletic careers, there is limited guidance on musculoskeletal training from pregnancy through safe return to activity. The lack of education and support in this population may lead to increased prevalence of symptoms and delay of treatment, ultimately hindering athletic performance. The purpose of this case series is to assess pelvic floor symptoms through implementing a new pre- and postnatal exercise training paradigm in a group of women aiming to return to recreational athletics. Case series. Six recreationally athletic women between 25-35 years of age were referred to physical therapy during pregnancy to participate in this protocol. The women completed a standardized pregnancy and postpartum rehabilitation plan focused on core and pelvic floor control in addition to specific strength and mobility training. Pain, urinary dysfunction, and pelvic floor muscle strength were assessed at six weeks postpartum and at discharge. Meaningful improvement was noted in pain, urinary dysfunction, and muscle strength by the time of discharge. The decrease in symptoms and improvements in measures of musculoskeletal health suggests that a physical therapist guided rehabilitation protocol may be useful as part of the standard of care to reduce prevalence of pain and dysfunction, particularly in the recreational athlete population. Improving understanding of exercise training in this population may minimize musculoskeletal symptoms and encourage additional research to improve the standard of care for this group of patients. Level 4.

The impact of early-life exercise on CREB-signaling pathway and hippocampus neuroplasticity in diabetic adult male rats; the study of developmental model

ABSTRACT Background Childhood exercise enhances brain structure, while diabetes detrimentally affects it. This study examines early-life exercise’s influence on adult diabetic rats’ memory and neuroplasticity. Methods Male Wistar pups were divided into Control, Diabetes, Exercise Training, and Diabetes exercise groups. Diabetes was induced on day 23 with Alloxan (200 mg/kg). A 3-week regimen included aerobic and resistance training thrice weekly. The aerobic intensity was 70%, and resistance varied from 50% to 100% of the maximal carrying capacity (MCC). Following the last training sessions, spatial memory and retrieval tests were performed in infancy, childhood, and emerging adulthood using the Morris Water Maze test (MWM). The hippocampus was excised to measure protein and gene expression of brain-derived neurotrophic factor (BDNF), calmodulin-dependent protein kinase (CAMKII), N-methyl-D-aspartate receptors (NMDAR), and cAMP-response element-binding protein (CREB) by western blotting and reverse transcription–polymerase-chain reaction (RT-PCR) methods. Blood samples were collected during each developmental stage to measure glucose levels, at the study’s conclusion, to assess Interleukin-1β levels using the ELISA method. The Nissel staining assessed dead hippocampal cells in CA1. Results Post-natal exercise improved spatial memory (p < 0.05) and glucose levels (p < 0.05) in diabetic rats during adolescence and emerging adulthood. Despite reduced mRNA expression (NMDAR 40%, BDNF 62%, CREB 43%, CAMKII 66%), diabetic rats, by study end, showed increased BDNF, NMDARR, CAMKII, CREB protein/gene expression (p < 0.05) in emerging adulthood for both training groups. Conclusion Early-life exercise influenced hippocampal BDNF/NMDAR-CAMKII/CREB pathways in a diabetic rat model, highlighting post-natal exercise’s role in neuroplasticity memory enhancement and improved glucose level.

Optimising Rehabilitation Strategies for Postpartum Elderly Gravida with In Vitro Fertilisation Conception

Optimising Rehabilitation Strategies for Postpartum Elderly Gravida with In Vitro Fertilisation Conception

Effectiveness of Video Assisted Structured Teaching Programme on Postnatal Exercises in Terms of Knowledge Attitude and Practices among Postnatal Mothers at KIMS Hospital, Amalapuram

Effectiveness of Video Assisted Structured Teaching Programme on Postnatal Exercises in Terms of Knowledge Attitude and Practices among Postnatal Mothers at KIMS Hospital, Amalapuram

Effectiveness of Video-Assisted Demonstration of Postnatal Exercises on Postnatal Well-being among Postnatal Women

Effectiveness of Video-Assisted Demonstration of Postnatal Exercises on Postnatal Well-being among Postnatal Women

Effect of Postnatal Exercises on Pulmonary Function and Quality of Life in Immediate Postpartum Mothers

Effect of Postnatal Exercises on Pulmonary Function and Quality of Life in Immediate Postpartum Mothers

Assessing the Effect of Post-Natal Exercise on Involution of Uterus after Normal Vaginal Delivery among Post-Natal Mothers

Assessing the Effect of Post-Natal Exercise on Involution of Uterus after Normal Vaginal Delivery among Post-Natal Mothers

Knowledge, Attitude and Practice among Women Regarding Postnatal Exercises; A Cross-Sectional Study Across Lahore in Private Sector

Objective: This study is aimed to assess knowledge, attitude and practice among women regarding post-natal exercises. Methodology: A cross sectional study was conducted across private sector in the gynecological and obstetrical department of Punjab Social Security Hospital, Ittefaq Hospital, Hameed Latif Hospital and Khair-un-Nisa Hospital. Through non-probability convenient sampling, 120 postpartum mothers were chosen. A structured questionnaire was used to collect socio-demographic and gynecological data, as well as to assess knowledge, attitude, and practice regarding PNE. Married females of ages 18-40 were included and females with postpartum hemorrhage and active infection/sepsis were excluded from the study. An informed consent was taken from the study participants. SPSS 25 was used for data analysis. Results: 53.3% had lower segment caesarian section. Breathing exercises were the most common type of exercise among participants (51.7%).74.2% believed that uterine prolapse can be prevented through PNE.99.2% of the study population agreed that PNE is necessary while 81.7% felt guilty on omitting PNE. For 50% of participants, Household work was the most common barrier in performing PNE. Conclusion: There was significant correlation between knowledge, attitude and practice. More than half of the participants had knowledge (mean score=4.116) about PNE but they were not fully aware of its potential benefits and lack adherence. It is important to create awareness and educate people about the postnatal exercises so that postpartum dysfunctions can be prevented and women health can be improved. Keywords: Puerperal period, pelvic floor muscles, pelvic floor dysfunction, postnatal exercises.

Selenium Deficiency during Pregnancy in Mice Impairs Exercise Performance and Metabolic Function in Adult Offspring.

Selenium deficiency during the perinatal period programs metabolic dysfunction in offspring. Postnatal exercise may prevent the development of programmed metabolic disease. This study investigated the impact of selenium deficiency on offspring exercise behavior and whether this improved metabolic health. Female C57BL/6 mice were randomly allocated to control (NormalSe, >190 μg/Se/kg, n = 8) or low-selenium (LowSe, <50 μg/Se/kg, n = 8) diets from four weeks before mating. Male offspring were weaned at postnatal day (PN) twenty-four and placed on a normal chow diet. At PN60, mice were placed in cages with bi-directional running wheels and monitored until PN180. LowSe offspring had a reduced average weekly running speed and distance (p < 0.05). LowSe offspring exhibited glucose intolerance, with increased peak blood glucose (p < 0.05) and area under the curve following an intra-peritoneal injection of glucose (p < 0.05). Furthermore, mRNA expression of several selenoproteins within cardiac and skeletal muscle were increased in LowSe offspring (p < 0.05). The results indicated that selenium deficiency during development reduces exercise behavior. Furthermore, exercise does not prevent programmed glucose intolerance in low-selenium offspring. This highlights that exercise may not be the optimal intervention for metabolic disease in offspring impacted by selenium deficiency in early life.

A Study to Assess the Knowledge of Post-Natal Mothers Regarding Post-Natal Exercises

A Study to Assess the Knowledge of Post-Natal Mothers Regarding Post-Natal Exercises

Information and Husband’s Support on Implementation Postpartum Gymnastics during COVID 19 Pandemic in Indonesia

Background : The practice of postnatal gymnastics in Indonesia is still little done by postpartum mothers both before and during the covid pandemic 19. Some of the contributing factors include lack of knowledge about postnatal gymnastics, fatigue, and the mother's mindset about the importance of postnatal gymnastics for health which is still lacking. Post-delivery exercise can help mothers to get back to their normal health as they were before pregnancy.&#x0D; Objective : This study aims to analyze the effect of information and husband's support on the implementation postnatal gymnastics during the covid 19 pandemic.&#x0D; Methods : Non-experimental research design: cross sectional analytic, the independent variable is husband's information and support and the dependent variable is postpartum exercise. This research was conducted in April – August 2021. The population of postpartum mothers was 102, the sampling technique was incidental sampling in Wonokromo Village, Surabaya, East Java, Indonesia. Research instrument with a questionnaire. The data were analyzed using the Multiple Logistics Regression test.&#x0D; Results : The results showed that partially there was a significant effect of husband's support (p = 0.013) on postnatal exercise, but for information during the pandemic there was no effect (p = 0.998) on postpartum exercise. The results of the analysis showed that the OR value of the information was 1.615E9 (95%CI: 0.000 – 0.000) and the OR of husband's support was 3.385 (95%CI: 1.289 – 8.886).&#x0D; Conclusion : Husband's support during the covid 19 pandemic affects mothers in doing postnatal exercise. Obtaining information about postnatal exercise during the COVID-19 pandemic does not affect the mother in its implementation.

Protocol on the Effects of Postnatal Exercises on Musculoskeletal Pain among Postpartum Women

Background: Pregnancy brings a slew of morphological and physiological changes to the body. The gravida must not only nourish the foetus, but also adjust to a new body habit and hormonal changes. These alterations, unsurprisingly, have an impact on the musculoskeletal system, which can lead to a number of issues, such as generalized arthralgias, back pain, separation of the pelvic bones, transient osteoporosis, and tendonitis.&#x0D; Objectives: 1. To assess the pretest and posttest musculoskeletal pain among postpartum women in experimental and control group. 2. To assess the effectiveness of postnatal exercises related to musculoskeletal pain among postpartum women in experimental group. 3. To find association between posttest musculoskeletal pain score among postpartum women with selected demographic variables in experimental and control group.&#x0D; Materials and Methods: Quasi-experimental pretest posttest design is used to assess the effectiveness of postnatal exercises, among postpartum women in selected hospitals of Wardha. 80 sample size taken who fulfils the inclusion criteria, 40 postpartum women for control and 40 for experimental group with non-probability convenience sampling.&#x0D; Expected Results: This study is planned to assess the effectiveness of postnatal exercises to the postpartum women experiencing musculoskeletal pain syndrome. Hence, it is expected to identify the level of pain and may reduce their level of pain.&#x0D; The conclusion will be drawn from the results and will be published in per review journal.

Postnatal exercise protects offspring from high-fat diet-induced reductions in subcutaneous adipocyte beiging in C57Bl6/J mice

Maternal low-protein and postnatal high-fat (HF) diets program offspring obesity and type 2 diabetes mellitus (T2DM) risk by epigenetically reducing beige adipocytes (BAs) via increased G9a protein expression (Histone3 Lysine9 dimethyl transferase), an inhibitor of the BA marker fibroblast growth factor 21 (FGF21). Conversely, offspring exercise reduces fat mass and white adipocytes, but the mechanisms are not yet understood. This work investigated whether exercise reduces offspring obesity and T2DM risk caused by a maternal HF diet via regulation of G9a and FGF21 expression that would convert white to BA. Two-month-old female C57Bl/6J mice (F0) were fed a 16% (normal fat; NF) or a 45% HF diet for 3 months prior to breeding, and subsequent gestation and lactation. Male offspring (F1) were fed the same NF and HF diets and further divided into either sedentary (S) or voluntary wheel running (Ex) groups for an additional 3 months yielding eight groups: NF (maternal treatment condition)-NF-S (postweaning treatment conditions), NF-HF-S, NF-NF-Ex, NF-HF-Ex, HF-NF-S, HF-HF-S, HF-NF-Ex, and HF-HF-Ex. Subcutaneous adipose tissue was collected for protein and mRNA analysis of FGF21, peroxisome proliferator-activated receptor-gamma coactivator (PGC-1 alpha, inducer of FGF21), G9a, E4BP4 (G9a coactivator), and protein expression of H3K9 demethylases (KDM4C). Postnatal HF diet decreased FGF21 positive BA numbers regardless of maternal diets and postnatal exercise. Under sedentary conditions, postnatal HF diet increased protein expression of FGF21 transcription inhibitors G9a and E4BP4 compared to NF diet resulting in decreased FGF21 expression. In contrast, postnatal HF diet and exercise decreased G9a and E4BP4 protein expression while decreasing FGF21 expression compared to NF diet. Under exercised condition, postnatal HF diet-induced KDM4C protein expression while no changes in KDM4C protein expression were induced by postnatal HF diet under sedentary conditions. These findings suggest that the postnatal diet exerts a greater impact on offspring adiposity and BA numbers than maternal diets. These data also suggest that offspring exercise induces KDM4C to counter the increase in G9a that was triggered by maternal and postnatal HF diets. Future studies need to determine whether KDM4C induces methylation status of G9a to alter thermogenic function of BA.

Postnatal exercise interventions: a systematic review of adherence and effect

ObjectiveTo evaluate adherence to and effect of postnatal physical activity (PA) interventions.DesignSystematic review of PA intervention randomised controlled trials in postnatal women. The initial search was carried out in September...

Why Pregnancy and Postnatal Exercise Matter

British Journal of MidwiferyVol. 29, No. 1 Book ReviewWhy Pregnancy and Postnatal Exercise MatterSydney KeroloSydney KeroloFreelance journalistSearch for more papers by this authorSydney KeroloPublished Online:29 Dec 2020https://doi.org/10.12968/bjom.2021.29.1.58AboutSectionsView articleView Full TextPDF/EPUB ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareShare onFacebookTwitterLinked InEmail View article FiguresReferencesRelatedDetails 2 January 2021Volume 29Issue 1ISSN (print): 0969-4900ISSN (online): 2052-4307 Metrics History Published online 29 December 2020 Published in print 2 January 2021 Information© MA Healthcare LimitedPDF download

Postnatal Exercise Partners Study (PEEPS): a pilot randomized trial of a dyadic physical activity intervention for postpartum mothers and a significant other

ABSTRACT Background: Research suggests dyadic interventions can increase physical activity; such interventions are untested within postpartum parent couples. Methods: A three-armed pilot randomized trial addressed this gap and tested which type of dyadic intervention is most effective. Inactive postpartum mothers and a significant other were recruited in Australia (n = 143 assessed for eligibility) and randomised in a single-blinded fashion (i.e. participants were blinded) to 1 of 3 dyadic conditions involving a single face-to-face session with access to web-based group support: a minimal treatment control (n = 34), collaborative planning group (n = 38), or collaborative planning + need supportive communication group (n = 30). Participants were asked to wear their accelerometers for 8 days and completed self-report measures at baseline, end of intervention (week 4), and follow-up (week 12). We expected dyads in the collaborative planning + need supportive communication group would have the greatest increases in Physical Activity (PA), autonomous motivation, and partners’ need supportive behaviours; and decreases in controlled motivation and controlling partner behaviours. Results: Results from 51 dyads using Bayesian actor-partner interdependence models provided some evidence for a small positive effect on total PA at follow-up for postpartum mothers in the collaborative planning group and for partners in the collaborative planning + need supportive communication group. Furthermore, partners in the collaborative planning + need supportive communication group were more likely to engage in some vigorous PA. At follow-up, postpartum mothers in the collaborative planning + need supportive communication group scored lower on personal autonomous reasons. Conclusions: The impact of prior specification mean intervention effects need to be interpreted with caution. Progression to a full trial is warranted.

Postnatal exercises: perceived barriers and self-efficacy among women at maternal and children hospital at Najran, kingdom of Saudi Arabia.

Sedentary lifestyle is very high in the Saudi population in general and significantly high among females. Furthermore, some postpartum tradition imposes limited activities during postpartum periods. For women to be active during the postpartum period, they should have enough self-efficacy (SE) to overcome perceived barriers (BP). This study aimed to evaluate postnatal exercises' PB and SE among postpartum women. A descriptive cross-sectional research design was followed in this study. This study was conducted at the outpatient department/ Maternal and Child hospital in Najran city, KSA. The study comprised a convenience sample of 368 postnatal women. Data collection was done using a questionnaire composed of three parts; socio-demographic data and obstetric history, exercise benefits/barriers scale and exercise self-efficacy scale. Data were analyzed using SPSS 23.0. The relationships between variables were assessed using the Chi-square or Fisher's exact test. The correlations were assessed using Pearson correlation. The study results illustrated that 52.4% of the postpartum women had moderate SE to exercise, and 71.5% had moderate PB. Also, there were statistically significant relationships between the study participants' SE and PB and their educational level and nationality (p <0.05). In addition, significant negative correlations existed between the participants' SE and their Body Mass Index (BMI), age, gravidity, parity, number of children, and PB (p <0.05). On the other hand, significant positive correlations were observed between the participants' PB and their BMI, age, gravidity, parity, and number of children. This study concluded that about two-thirds of the postpartum women in Najran had low or moderate SE to practice postnatal exercises, and the majority of them had moderate or high BP. Efforts to enhance postnatal exercises should be directed to increase SE to overcome BP concerning postnatal exercises.

Effect of Postnatal Exercises and Education on Lowback Pain in Early Postnatal Mothers

Background: Back pain is one of the most common problems during postpartum period. The physical and mental changes and demands in postpartum period challenge the quality of life of postnatal mothers. Approximately 70% of women report back pain at some point in their postnatal period. This study aimed to analyze the effect of postnatal exercises and education on functional outcomes of low back pain in early postnatal mothers. Methodology: Experimental group was treated with core stabilization exercises along with education on postural care and back care while control group were on conventional postnatal exercises and education. Follow up sessions were conducted once in two weeks for experimental group and both the groups were followed up by phone calls. Results: There is a significant reduction in disability from baseline (p&lt;0.05*) in the study group and both the group had shown significant reduction in VAS from baseline (p&lt;0.05*). Conclusion: Core stability exercises along with postural care and education will increase the strength of lumbo-pelvic muscles, improve posture, physical activity level, decrease the pain intensity, and improve the functional disability in postpartum period.

Knowledge, Attitude and Practice among Postnatal Mothers Regarding Postnatal Exercise in Selected Villages at Pooncheri, Kanchipuram District,Tamil Nadu, India

A descriptive study to assess the knowledge, attitude and practice among postnatal mothers regardingpostnatal exercise in selected village adopted by rural health centrepooncheri, Kanchipuram District, TamilNadu, India. The objectives are to assess the knowledge, practice and attitude among postnatal mothersregarding postnatal exercise in selected villages adopted by rural health centrepooncheri, KanchipuramDistrict, Tamil Nadu, India . To find out the association between level of knowledge, practice and attitudewith demographic variables. The purposive sampling technique was used and the samples were 73. The datacollection tools were validated and reability was established. The data were collected by self-administeredquestionnaire. The collected data tabulated and analyzed. Descriptive and inferential statistics were used.The study shows, In knowledge, 12.3% of the mothers had adequate knowledge, 52% of mothers hadmoderate knowledge and 35.6% of mothers had inadequate knowledge. In practice, 1.3% of mothers hadadequate practice, 38.3% of mothers had moderate practice and 60.2% of mothers had inadequate practice,In attitude, 60.2% of mothers had negative attitude, 39.7% of mothers had undecided attitude and none ofmothers had positive attitude among postnatal exercise.