Efficacy of Progressive Muscle Relaxation on Pregnancy Outcome among Anxious Indian Primi Mothers

Singaravelu Rajeswari, Nellepalli SanjeevaReddy

Abstract


Background: Progressive Muscle Relaxation (PMR) helps to improve the emotional state of antenatalmothers with stress and anxiety, which is necessary to keep the fetus healthy inside the womb. This study assesses the efficacy of progressive muscle repose on stress and anxiety among primigravidae.

Materials and Methods: Arandomized controlled study was conducted from May 2015 to June 2017 with 250 primigravidae. The women were assigned using a lottery method to interventionand control groups, 125 in each group. Information on background variables, pregnancy outcome,maternal complications, fetal complications, and postpartum depression was collected during the interval following delivery. PMR was the intervention (video) installed on one‑to‑one basis for two consecutive days. Pearson correlation, ANOVA, and regression analysis were used to evaluate the data to determine pregnancy outcome and performance of PMR.

Results: There was a significantreduction ((F3 = 24.81, p < 0.001) in all aspects of stress among the intervention and control groupsduring the posttest. The mean gestational age at birth was significantly different (F2 =6.08, p = 0.014)in the control group. There was significant increase in the occurrence of fetal complications such as birth asphyxia (F2 =5.67, p < 0.050), respiratory distress (F2 =8.68, p < 0.050), and jaundice (F2 =3.91,p < 0.050) in the control group. There was a negative correlation between PMR and stress (r= −0.22,p < 0.001), and PMR and state anxiety (r = −0.26, p < 0.001). There was an increased occurrenceof maternal complications among the control group in comparison with the intervention group.

Conclusions: The study suggests that PMR practice is useful during pregnancy to decrease stress,anxiety, and for reducing the occurrence of postpartum complications.

 


Keywords


Anxiety, India, pregnancy outcome, progressive muscle relaxation, stress

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References


Goodman P, Mackey MC, Tavakoli AS. Factors related to childbirth satisfaction. JAdvNurs 2004;46 2:212 9.

Alden KR, Lowdermilk DL, Cashion MC, Perry SE. Maternity and Women’s Health Care E Book. ElsevierHealthSciences; 2013.

Bergner A, Beyer R, Klapp BF, Rauchfuss M. Pregnancy after early pregnancy loss: A prospective study of anxiety, depressive symptomatology and coping. JPsychosomObstetGynecol 2008;29:105 13.

. Singh S, Sedgh G, Hussain R. Unintended pregnancy: Worldwide levels, trends, and outcomes. StudFamPlann 2010;41:241 50.

Christian LM. Physiological reactivity to psychological stress in human pregnancy: Current knowledge and future directions. ProgNeurobiol 2012;99 2:106 16.

Sheu S, Irvin BL, Lin HS, Mar CL. Effects of progressive muscle relaxation on blood pressure and psychosocial status for clients with essential hypertension in Taiwan. HolistNursPract 2003;17:41 7.

Gay MC. Effectiveness of hypnosis in reducing mild essential hypertension: A one year follow up. IntlJClinExpHypn 2007;55:67 83.

Dolbier CL, Rush TE. Efficacy of abbreviated progressive muscle relaxation in a high stress college sample. IntJStressManag 2012;19:48.

Lv X, Wang B, Chen J, Ye J. Clinical observation of depression after breast cancer operation treated with aurieular point sticking therapy. Zhongguo zhen jiu= Chinese Acupuncture & Moxibustion. 2015;35:447 50.

Roy Sr.C, Andrews HA. The Roys adapataion Model. 2nd ed. Stamford, CT: Appleton and Lange; 1999.

Tiran D, Chummun H. Complementary therapies to reduce physiological stress in pregnancy. Complement Ther Nurs Midwifery 2004;10:162 7.

Rondó PH, Ferreira RF, Nogueira F, Ribeiro MC, Lobert H, Artes R. Maternal psychological stress and distress as predictors of low birth weight, prematurity, and intrauterine growth retardation. EurJClinNutr 2003;57:266.

Hamilton Boyles S, Ness RB, Grisso JA, Markovic N, Bromberger J, Cifelli D. Life event stress and the association with spontaneous abortion in gravid women at an urban emergency department. HealthPsychol 2000;19:510 4.

Downs DS, Hausenblas HA. Women’s exercise beliefs and behaviors during their pregnancy and postpartum. JMidwiferyWomen’sHealth 2004;49:138 44.

Nasreen HE, Kabir ZN, Forsell Y, Edhborg M. Prevalence and associated factors of depressive and anxiety symptoms during pregnancy: A population based study in rural Bangladesh. BMCWomen’sHealth 2011;11:22.

Faisal Cury A, Menezes PR. Prevalence of anxiety and depression during pregnancy in a private setting sample. ArchWomen’sMentHealth 2007;10:25 32.

Lee EJ, Bhattacharya J, Sohn C, Verres R. Monochord sounds and progressive muscle relaxation reduce anxiety and improve relaxation during chemotherapy: A pilot EEG study. ComplementTherMed 2012; 20:409 16.

Vieten C, Astin J. Effects of a mindfulness based intervention during pregnancy on prenatal stress and mood: Results of a pilot study. ArchWomensMentHealth2008;11:67 74.

Glynn LM, Schetter CD, Hobel CJ, Sandman CA. Pattern of perceived stress and anxiety in pregnancy predicts preterm birth. HealthPsychol 2008;27:43 51.

Marc I, Toureche N, Ernst E, Hodnett ED, Blanchet C, Dodin S, et al. Mind body interventions during pregnancy for preventing or treating women’s anxiety. CochraneDatabaseSystRev 2011.CD007559. doi: 10.1002/14651858.CD007559.pub2.

Leeners B, Neumaier Wagner P, Kuse S, Stiller R, Rath W. Emotional stress and the risk to develop hypertensive diseases in pregnancy. HypertensPregnancy 2007;26:211 26.

Daniells S, Grenyer BF, Davis WS, Coleman KJ, Burgess JA, Moses RG. Gestational diabetes mellitus: Is a diagnosis associated with an increase in maternal anxiety and stress in the short and intermediate term? DiabetesCare 2003;26:385 9.

Oberlander TF, Weinberg J, Papsdorf M, Grunau R, Misri S, Devlin AM. Prenatal exposure to maternal depression,neonatal methylation of human glucocorticoid receptorgene (NR3C1) and infant cortisol stress responses. Epigenetics2008;3:97 106.

Roy C, Andrews HA. The Roy Adaptation Model. Stamford, CT: Appleton & Lange; 1999.


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