The Efficacy of Yoga Practice during Pregnancy on Postnatal Depression & Quality of Life

Satyapriya Maharana
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Abstract

Background:The postpartum period is a very special phase in the life of a woman and her newborn.There was high prevalence of depression during postnatal phase. Previous studies proposed that yoga practice has found health benefited effects in pregnancy & postnatal phase. Aim:To study the effect of yoga practice during pregnancy on postnatal depression & quality of life. Methodology: A cross-section study on sixty-eight pregnant women with mean age ranging from 20 to 35 years with mean age of (29.66 ± 3.57) were enrolled in this study. They were divided into groups (yoga n=37) & control (31). Subjects with known case of Pregnancy complications, labor complications, psychiatric illness & medical illness were excluded from the study. The subjects of yoga group were attended four month of yoga practice consist of asana, pranayama, & relaxation techniques thrice in week for one hour per session per day during their pregnancy. And the subjects of control group followed their daily routine with walking for one hour. Quality of life & EPDS were assessed. The assessments were carried out after 10th week of postnatal period. Mann-Whitney test was used to assess between group differences. Result: Quality of life measured by QOL more in yoga group: Physical Health (P<0.001), Psychological health (P<0.003), Social relationship (P<0.001), Environmental health (P<0.016) than control group. Postnatal depression as measured by EPDS less in yoga than control (P<0.001) with significant difference between groups. In yoga group, Out of 37 participants ten pregnant women (27 %) have score 10 & above (EPDS) score suggesting clinically depression, where as in control group, out of 31 participants fifteen pregnant (48%) women have score more than ten & above (EPDS). Conclusion: Practice of yoga during pregnancy may help in reducing postnatal depression & improves quality of life in postnatal period.
孕期瑜伽练习对产后抑郁及生活质量的影响
背景:产后是妇女及其新生儿生命中一个非常特殊的阶段。产后抑郁症的患病率较高。先前的研究表明,瑜伽练习在怀孕和产后阶段对健康有益。目的:探讨孕期瑜伽练习对产后抑郁及生活质量的影响。方法:对68例平均年龄20 ~ 35岁,平均年龄(29.66±3.57)岁的孕妇进行横断面研究。他们被分为瑜伽组(37人)和对照组(31人)。已知有妊娠并发症、分娩并发症、精神疾病和内科疾病的受试者被排除在研究之外。瑜伽组的研究对象在怀孕期间参加了为期四个月的瑜伽练习,包括体式,调息和放松技术,每周三次,每次一小时。对照组的受试者按照他们的日常习惯步行一小时。对生活质量和EPDS进行评估。评估于产后10周后进行。采用Mann-Whitney检验评估组间差异。结果:瑜伽组生活质量在生理健康(P<0.001)、心理健康(P<0.003)、社会关系(P<0.001)、环境健康(P<0.016)方面均高于对照组。通过EPDS测量,瑜伽组产后抑郁程度低于对照组(P<0.001),组间差异有统计学意义。在瑜伽组中,37名参与者中有10名孕妇(27%)的EPDS得分为10分及以上,表明临床抑郁症,而在对照组中,31名参与者中有15名孕妇(48%)的EPDS得分超过10分及以上。结论:孕期练习瑜伽有助于减少产后抑郁,提高产后生活质量。
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