PRENATAL GENTLE YOGA HELPS PREGNANT WOMEN IN REDUCING FEAR OF CHILDBIRTH

Yuni Astuti, H. Chou, Chieh-Yu Liu, C. Kao
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Abstract

Background: Expectant mothers will experience physiological and psychological changes during pregnancy, including feeling fear of childbirth.  Fear is a psychological condition that can raise catecholamine levels and decrease uterine contractions, slowing down the labor process. Prenatal exercise such as Prenatal Gentle Yoga is developed to increase healthy pregnancy that may reduce fear of childbirth. This study aimed to evaluate the effect of Prenatal Gentle Yoga on fear of childbirth in pregnant women.

Methods: This research used a cross-sectional case-control study, conducted from July to August 2018 in Central Java Province. This study involved 130 first-time expectant mothers. A demographic questionnaire and the Wijma Delivery Expectancy/Experience Questionnaire version A were used for data collection. Cross-tabulation and chi-square was used to analyse the demographic information. Independent samples t-test and one-way ANOVA were used to determine the differences in W-DEQ scores between the two groups. This study also used hierarchical multiple linear regression to determine predictors of fear of childbirth.

Results:Three variables significantly impacted fear of childbirth were education level, number of ultrasound examinations, and participation in Prenatal Gentle Yoga classes. Prenatal Gentle Yoga reduced fear of childbirth among participants who attended eight hours or more of classes compared to those who did not (p<.001). Participation in Prenatal Gentle Yoga was the only factor that strongly predicted childbirth fear (R2=.26).

Conclusions: This study concluded that Prenatal Gentle Yoga can decrease childbirth fear. Thus, Prenatal Gentle Yoga is recommended for pregnant women in order to reduce fear of childbirth.

 
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产前轻柔瑜伽有助于孕妇减少对分娩的恐惧
背景:孕妇在怀孕期间会经历生理和心理上的变化,包括对分娩的恐惧。恐惧是一种心理状态,可以提高儿茶酚胺水平,减少子宫收缩,减缓分娩过程。产前运动,如产前温和瑜伽,是为了增加健康怀孕,减少对分娩的恐惧。本研究旨在评估产前轻柔瑜伽对孕妇分娩恐惧的影响。方法:本研究采用横断面病例对照研究,于2018年7月至8月在中爪哇省进行。这项研究涉及130名首次怀孕的母亲。人口调查问卷和Wijma交付预期/经验调查问卷A版用于数据收集。采用交叉表法和卡方法分析人口统计信息。采用独立样本t检验和单因素方差分析确定两组间W-DEQ评分的差异。本研究还采用层次多元线性回归来确定分娩恐惧的预测因子。结果:三个变量对分娩恐惧有显著影响:教育程度、超声检查次数和产前轻柔瑜伽课程的参与。产前轻柔瑜伽减少了参加8小时或更多课程的参与者对分娩的恐惧,与没有参加的参与者相比(pR2=.26)。结论:本研究得出结论,产前轻柔瑜伽可以减少分娩恐惧。因此,建议孕妇进行产前温柔瑜伽,以减少对分娩的恐惧。
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