Ashrafinia F, Mirmohammadali M, Rajabi H, Kazemnejad A, Sadeghniiat Haghighi K, Amelvalizadeh M
Department of Midwifery, School of Nursing and Midwifery, Kerman University of Medical Sciences, Haft Bagh Blvd, Keman 7616913555, Iran.
Singapore Med J. 2015 Mar;56(3):169-73. doi: 10.11622/smedj.2015042.
Postpartum fatigue is a pervasive phenomenon and often affects mothers immediately after delivery. The present study aimed to assess the effect Pilates home exercises had on postpartum maternal fatigue.
A total of 80 women participated in our clinical trial study. The women were randomly divided into two groups - the intervention group (n = 40) and the control group (n = 40). In the intervention group, the women performed Pilates exercises five times a week (30 min per session) for eight consecutive weeks. The first session was conducted 72 hours after delivery. The control group did not receive any intervention. Each woman's level of fatigue was evaluated at hospital discharge (as a baseline), and at four and eight weeks after delivery, using the standard Multidimensional Fatigue Inventory (MFI-20) questionnaire and repeated measures analysis.
During the eight weeks of follow-up, we found that the intervention group had lower mean MFI-20 scores than the control group with regard to general fatigue (7.80 ± 2.07 vs. 12.72 ± 1.79; p < 0.001), physical fatigue (7.12 ± 1.41 vs. 10.42 ± 2.02; p < 0.001), reduced activity (6.95 ± 1.35 vs. 11.27 ± 1.70; p < 0.001), reduced motivation (6.20 ± 1.01 vs. 9.80 ± 2.04; p < 0.001) and mental fatigue (6.85 ± 1.45 vs. 10.72 ± 1.98; p < 0.001).
The present study's findings show that physical exercise can significantly reduce postpartum maternal fatigue in all subscales.
产后疲劳是一种普遍现象,通常在分娩后立即影响母亲。本研究旨在评估普拉提家庭锻炼对产后母亲疲劳的影响。
共有80名女性参与了我们的临床试验研究。这些女性被随机分为两组——干预组(n = 40)和对照组(n = 40)。在干预组中,女性连续八周每周进行五次普拉提锻炼(每次30分钟)。第一次锻炼在分娩后72小时进行。对照组未接受任何干预。使用标准的多维疲劳量表(MFI - 20)问卷并通过重复测量分析,在出院时(作为基线)以及分娩后四周和八周对每位女性的疲劳程度进行评估。
在八周的随访期间,我们发现干预组在一般疲劳(7.80 ± 2.07 vs. 12.72 ± 1.79;p < 0.001)、身体疲劳(7.12 ± 1.41 vs. 10.42 ± 2.02;p < 0.001)、活动减少(6.95 ± 1.35 vs. 11.27 ± 1.70;p < 0.001)、动力下降(6.20 ± 1.01 vs. 9.80 ± 2.04;p < 0.001)和精神疲劳(6.85 ± 1.45 vs. 10.72 ± 1.98;p < 0.001)方面的平均MFI - 20得分低于对照组。
本研究结果表明,体育锻炼可显著降低产后母亲在所有子量表上的疲劳程度。