Progressive Muscular Relaxation Versus Breathing Excercise Techniques to Control Blood Pressure among Mild Preeclamptic Pregnant Women

Asmaa Abobakr Ibrahim, Samia Gaballah, Noha M. Abu Bakr Elsaid, Heba Alkotb Mohamed

Abstract


Background: Hypertensive disturbances during pregnancy are the leading cause of maternal and fetal death; unfortunately, no effective treatment exists. Therefore, interventions that reduce the likelihood of developing preeclampsia during pregnancy are required. This study aimed to see how Progressive Muscle Relaxation (PMR) compared to breathing exercise techniques affected Blood Pressure (BP) levels among mildly preeclamptic pregnant women.

Materials and Methods: A convenience sample was used in a quasi‑experimental study of 75 mild preeclamptic pregnant women in the Obstetrical Outpatient Clinics at the Suez Canal University Hospital in Ismailia, Egypt. They were divided into three groups: study group [I]: the deep breathing exercise group; study group [II]: the PMR group; and study group [III]: the control group. Data were collected using two methods: an interviewing information collection tool and a physiological measurement tool.

Results: There was a statistical significant difference in systolic and diastolic blood pressure after six weeks of training among intervention groups (PMR and breathing excercise technique with p value 0.001 for both groups) compered to contol group. However, there was no statistical difference in BP (systolic or diastolic) after two weeks of intervention among the three groups.

Conclusions: PMR and breathing techniques could effectively control BP in pregnancy complicated by mild preeclampsia. Both techniques could be introduced in routine antenatal care for women diagnosed with mild preeclampsia. Health and fitness professionals should focus more on preparing and delivering various sports programs incorporating various muscle relaxations and breathing techniques.



Keywords


Preeclampsia, progressive muscle relaxation, respiratory muscle training

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References


Ukah UV, De Silva DA, Payne B, Magee LA, Hutcheon JA, Brown H, et al. Prediction of adverse maternal outcomes from preeclampsia and other hypertensive disorders of pregnancy: A systematic review. Pregnancy Hypertens 2018;11:115 23.

Da Silva SG, Hallal PC, Domingues MR, Bertoldi AD, da Silveira MF, Bassani D, et al. A randomized controlled trial of exercise during pregnancy on maternal and neonatal outcomes: Results from the PAMELA study. International Journal of Bahavioral Nutrition and Physical Activity, 2017;14:1-11.

Tlaye KG, Endalfer ML, Kassaw MW, Gebremedhin MM, Aynalem YA. Preeclampsia management modalities and perinatal death: A retrospective study in Woldia general hospital. BMC Pregnancy Childbirth 2020;20:205.

Parmar MR, Vaja P. Effect of pregnancy induced hypertension on maternal and perinatal outcome at tertiary care center in Ahmedabad, Gujarat, India. Int J Reprod Contracept Obstet Gynecol 2017;6:4661 6.

Mrema D, Lie RT, Ostbye T, Mahande MJ, Daltveit AK. The association between pre pregnancy body mass index and risk of preeclampsia: A registry based study from Tanzania. BMC Pregnancy Childbirth 2018;18:56.

Li X, Milosavljevic A, Elsea SH, Wang CC, Scaglia F, Syngelaki A, et al. Effective aspirin treatment of women at risk for preeclampsia delays the metabolic clock of gestation. Hypertension 2021;78:1398 410.

Toussaint L, Nguyen QA, Roettger C, Dixon K, Offenbacher M, Kohls N, et al. Effectiveness of progressive muscle relaxation, deep breathing, and guided imagery in promoting psychological and physiological states of relaxation. Evid Based Complement Alternat Med 2021;2021:5924040.

Hopper SI, Murray SL, Ferrara LR, Singleton JK. Effectiveness of diaphragmatic breathing for reducing physiological and psychological stress in adults: A quantitative systematic review. JBI Database System Rev Implement Rep 2019;17:1855 76.

Gerritsen RJS, Band GPH. Breath of life: The respiratory vagal stimulation model of contemplative activity. Front Hum Neurosci 2018;12:397.

Da Cunha BR, Ramalhete L, Fonseca LP, Calado CR. Fourier transform mid infrared spectroscopy in biomedicine. In: Essential Techniques for Medical and Life Scientists: A Guide to Contemporary Methods and Current Applications with the Protocols Part II. Bentham Science Publishers; 2020. p. 1 39.

Zendehdel M, Elyasi F, Jahanfar S, Emami Sahebi A. Effectiveness of progressive muscle relaxation technique on anxiety caused by Covid19 in pregnant women: A randomized clinical trial. Neuropsychopharmacol Rep 2022;42:158 65.

Abd Elgwad FM, Mourad MY, Mahmoud NM. Effect of Benson’s relaxation therapy on stress and physiological parameters among women with preeclampsia. Alexandria Sci Nurs J 2021;23:63 74.

Aalami M, Jafarnejad F, ModarresGharavi M. The effects of progressive muscular relaxation and breathing control technique on blood pressure during pregnancy. Iran J Nurs Midwifery Res 2016;21:331 6.

Charan J, Biswas T. How to calculate sample size for different study designs in medical research? Indian J Psychol Med 2013;35:121 6.

Faul F, Erdfelder E, Lang A G, Buchner A. G* Power 3: A flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behav Res Methods 2017;39:175 91.

Norelli SK, Long A, Krepps JM. Relaxation techniques. Treasure Island (FL): StatPearls Publishing; 2023:1-14.

Fiskin G, Sahin NH. Effect of diaphragmatic breathing exercise on psychological parameters in gestational diabetes: A randomised controlled trial. Eur J Integr Med 2018;23:50 6.

Soliman GH, Elalem SMA, Elhomosy SM. The Effect of relaxation techniques on blood pressure and stress among pregnant women with mild pregnancy induced hypertension. Asian J Nurs Educ Res 2017;7:321.

Purwanto S, Ahmed M, Said Z, Angathis N, Zulackah. Effect of mindfulness Dhikr breathing therapy for insomniacs on quality of life; A randomized controlled trials. Islamic Guid Counsel J 2023:6.

Herawati I, Mat Ludin AF, M M, Ishak I, Farah NMF. Breathing exercise for hypertensive patients: A scoping review. Front Physiol 2023;14:1048338. Awad MA, Hasanin ME, Taha MM, Gabr AA. Effect of stretching exercises versus autogenic training on preeclampsia. J Exerc Rehabil 2019;15:109 13.

Yousif D, Bellos I, Penzlin AI, Hijazi MM, Illigens BM, Pinter A, et al. Autonomic dysfunction in preeclampsia: A systematic review. Front Neurol 2019;10:816.

Enkhmaa D, Wall D, Mehta PK, Stuart JJ, Rich Edwards JW, Merz CN, et al. Preeclampsia and vascular function: A window to future cardiovascular disease risk. J Womens Health (Larchmt) 2016;25:284 91.

Bauer I, Hartkopf J, Wikström AK, Schaal NK, Preissl H, Derntl B, et al. Acute relaxation during pregnancy leads to a reduction in maternal electrodermal activity and self reported stress levels. BMC Pregnancy Childbirth 2021;21:628.

Hayati SA, Sutoyo A, Awalya A. Effectiveness deep breathing and progressive muscle relaxation training (PMRT) techniques to reduce anxiety in pregnant woman pre birth. J Bimbingan Konsel 2018;7:48 54.

Nasiri S, Akbari H, Tagharrobi L, Tabatabaee AS. The effect of progressive muscle relaxation and guided imagery on stress, anxiety, and depression of pregnant women referred to health centers. J Educ Health Promot 2018;7:41.

Schulz KF, Grimes DA. Generation of allocation sequences in randomised trials: Chance, not choice. Lancet 2002;359:5159.

Ahamdi M, Rahimi F, Rosta F, AlaviMajd H, Valiani M. Effect of progressive Muscle relaxation training on postpartum blues in high risk pregnant women. J Holist Nurs Midwifery 2019:192-9.


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