Effectiveness of antenatal yoga in reducing intensity of labour pain: A systematic review and meta-analysis

Background: Yoga during pregnancy was found to be beneficial in various aspects of pregnancy including pain management during the time of labour. The current systematic review and meta-analysis aims to assess the effectiveness of antenatal yoga practices in reducing pain during the time of labour. M...

Full description

Bibliographic Details
Main Authors: Deenadayalan Boopalan, Venugopal Vijayakumar, Poornima Ravi, Poonguzhali shanmugam, Bincy Kunjumon, Maheshkumar Kuppusamy
Format: Article
Language:English
Published: Elsevier 2023-09-01
Series:European Journal of Obstetrics & Gynecology and Reproductive Biology: X
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S259016132300039X
_version_ 1797683014733398016
author Deenadayalan Boopalan
Venugopal Vijayakumar
Poornima Ravi
Poonguzhali shanmugam
Bincy Kunjumon
Maheshkumar Kuppusamy
author_facet Deenadayalan Boopalan
Venugopal Vijayakumar
Poornima Ravi
Poonguzhali shanmugam
Bincy Kunjumon
Maheshkumar Kuppusamy
author_sort Deenadayalan Boopalan
collection DOAJ
description Background: Yoga during pregnancy was found to be beneficial in various aspects of pregnancy including pain management during the time of labour. The current systematic review and meta-analysis aims to assess the effectiveness of antenatal yoga practices in reducing pain during the time of labour. Methods: We searched electronic databases such as PubMed, Embase, Cochrane Library, and Web of Science, till January 2023. Randomized controlled trials (RCTs) which measured the effects of antenatal yoga practices on pain management during labour were included. The main outcome was the pain intensity measured with any validated questionnaire. The methodological quality of included studies was evaluated by using a risk-of-bias assessment tool developed by the Cochrane Collaboration. For the effect size, standardized mean differences (SMDs) with a 95% confidence interval (CI) were generated with a random effect model using R software (version 4.2.2). Results: Eight studies including 576 antenatal women between the age of 14 and 40 years were included. Results of this meta-analysis showed that yoga is effective in reducing labour pain (SMD: −1.34 95% of CI: −1.86, −0.81) with significant heterogeneity among the studies (I2 73%, p < 0.0008). Conclusion: Antenatal yoga can be a promising intervention in the field of obstetrics to reduce the intensity of labour pain. However, we are still in need of RCT with a large sample size to confirm the reliability of the present meta-analysis.
first_indexed 2024-03-12T00:08:16Z
format Article
id doaj.art-85721f6b56734e399ee2f07969073b97
institution Directory Open Access Journal
issn 2590-1613
language English
last_indexed 2024-03-12T00:08:16Z
publishDate 2023-09-01
publisher Elsevier
record_format Article
series European Journal of Obstetrics & Gynecology and Reproductive Biology: X
spelling doaj.art-85721f6b56734e399ee2f07969073b972023-09-16T05:31:41ZengElsevierEuropean Journal of Obstetrics & Gynecology and Reproductive Biology: X2590-16132023-09-0119100214Effectiveness of antenatal yoga in reducing intensity of labour pain: A systematic review and meta-analysisDeenadayalan Boopalan0Venugopal Vijayakumar1Poornima Ravi2Poonguzhali shanmugam3Bincy Kunjumon4Maheshkumar Kuppusamy5Senior Research Fellow, National Institute of Mental Health and Neurosciences, Bengaluru, Karnataka, IndiaDepartment of Yoga, Govt. Yoga &amp; Naturopathy Medical College &amp; Hospital, The Tamilnadu Dr. MGR Medical University, Chennai, IndiaSenior Research Fellow, Sri Ramachandra Institute of Higher Education and Research. Chennai, IndiaDepartment of Community medicine, Govt. Yoga &amp; Naturopathy Medical College &amp; Hospital, The Tamilnadu Dr. MGR Medical University, Chennai, IndiaDepartment of Community Medicine, SRM Medical College Hospital and Research Centre, SRMIST, Chennai, IndiaDepartment of Physiology, Govt. Yoga &amp; Naturopathy Medical College &amp; Hospital, The Tamilnadu Dr. MGR Medical University, Chennai, India; Correspondence to: Department of Physiology, Government Yoga and Naturopathy Medical College and Hospital, Chennai 600106, India.Background: Yoga during pregnancy was found to be beneficial in various aspects of pregnancy including pain management during the time of labour. The current systematic review and meta-analysis aims to assess the effectiveness of antenatal yoga practices in reducing pain during the time of labour. Methods: We searched electronic databases such as PubMed, Embase, Cochrane Library, and Web of Science, till January 2023. Randomized controlled trials (RCTs) which measured the effects of antenatal yoga practices on pain management during labour were included. The main outcome was the pain intensity measured with any validated questionnaire. The methodological quality of included studies was evaluated by using a risk-of-bias assessment tool developed by the Cochrane Collaboration. For the effect size, standardized mean differences (SMDs) with a 95% confidence interval (CI) were generated with a random effect model using R software (version 4.2.2). Results: Eight studies including 576 antenatal women between the age of 14 and 40 years were included. Results of this meta-analysis showed that yoga is effective in reducing labour pain (SMD: −1.34 95% of CI: −1.86, −0.81) with significant heterogeneity among the studies (I2 73%, p < 0.0008). Conclusion: Antenatal yoga can be a promising intervention in the field of obstetrics to reduce the intensity of labour pain. However, we are still in need of RCT with a large sample size to confirm the reliability of the present meta-analysis.http://www.sciencedirect.com/science/article/pii/S259016132300039XYogaAntenatal yogaDelivery outcomePainMeta-analysis
spellingShingle Deenadayalan Boopalan
Venugopal Vijayakumar
Poornima Ravi
Poonguzhali shanmugam
Bincy Kunjumon
Maheshkumar Kuppusamy
Effectiveness of antenatal yoga in reducing intensity of labour pain: A systematic review and meta-analysis
European Journal of Obstetrics & Gynecology and Reproductive Biology: X
Yoga
Antenatal yoga
Delivery outcome
Pain
Meta-analysis
title Effectiveness of antenatal yoga in reducing intensity of labour pain: A systematic review and meta-analysis
title_full Effectiveness of antenatal yoga in reducing intensity of labour pain: A systematic review and meta-analysis
title_fullStr Effectiveness of antenatal yoga in reducing intensity of labour pain: A systematic review and meta-analysis
title_full_unstemmed Effectiveness of antenatal yoga in reducing intensity of labour pain: A systematic review and meta-analysis
title_short Effectiveness of antenatal yoga in reducing intensity of labour pain: A systematic review and meta-analysis
title_sort effectiveness of antenatal yoga in reducing intensity of labour pain a systematic review and meta analysis
topic Yoga
Antenatal yoga
Delivery outcome
Pain
Meta-analysis
url http://www.sciencedirect.com/science/article/pii/S259016132300039X
work_keys_str_mv AT deenadayalanboopalan effectivenessofantenatalyogainreducingintensityoflabourpainasystematicreviewandmetaanalysis
AT venugopalvijayakumar effectivenessofantenatalyogainreducingintensityoflabourpainasystematicreviewandmetaanalysis
AT poornimaravi effectivenessofantenatalyogainreducingintensityoflabourpainasystematicreviewandmetaanalysis
AT poonguzhalishanmugam effectivenessofantenatalyogainreducingintensityoflabourpainasystematicreviewandmetaanalysis
AT bincykunjumon effectivenessofantenatalyogainreducingintensityoflabourpainasystematicreviewandmetaanalysis
AT maheshkumarkuppusamy effectivenessofantenatalyogainreducingintensityoflabourpainasystematicreviewandmetaanalysis