1  688 184 EFFECT OF ANTENATAL EXERCISES, INCLUDING YOGA, ON THE COURSE OF LABOR, DELIVERY AND PREGNANCY: A RETROSPECTIVE STUDY. BACKGROUND: DELIVERING A CHILD IS A VERY STRESSFUL EXPERIENCE FOR WOMEN. PREGNANCY AND LABOR ENTAIL COMPLEX EVENTS THAT ARE UNIQUE TO EACH INDIVIDUAL FEMALE. THE MANAGEMENT OF LABOR PAIN IS OFTEN DONE USING ANALGESICS AND ANESTHESIA, WHICH HAVE BEEN SHOWN TO HAVE SOME SIDE EFFECTS. MORE COMPREHENSIVE DATA ARE NEEDED TO PROVIDE CLINICALLY SIGNIFICANT EVIDENCE FOR CLINICIANS TO CONFIDENTLY PRESCRIBE EXERCISES TO PATIENTS. THIS STUDY WAS DONE TO EVALUATE THE EFFECT OF ANTENATAL EXERCISES, INCLUDING YOGA, ON THE COURSE OF LABOR, DELIVERY, AND PREGNANCY OUTCOMES. METHODS: A RETROSPECTIVE STUDY WAS CONDUCTED AMONG 200 PRIMIPAROUS SUBJECTS (AGED 20-40). A QUESTIONNAIRE WAS PROVIDED TO THE SUBJECTS TO OBTAIN THEIR DEMOGRAPHIC AND OBSTETRICAL INFORMATION 6 WEEKS AFTER DELIVERY, AND THEIR HOSPITAL RECORDS WERE ALSO ASSESSED FOR FURTHER DETAILS. BASED ON THE NATURE AND DETAILS OBTAINED FOR THE ANTENATAL EXERCISES, SUBJECTS WERE DIVIDED INTO TWO GROUPS: CONTROL AND EXERCISE. OUTCOME MEASURES INCLUDED THE NEED FOR LABOR INDUCTION, SELF-PERCEIVED PAIN AND PERCEIVED EXERTION DURING LABOR, DURATION AND NATURE OF THE DELIVERY, NEWBORN INFANT WEIGHT, MATERNAL WEIGHT GAIN, HISTORY OF BACK PAIN, AND POST-PARTUM RECOVERY. THE TOTAL MATERNAL WEIGHT GAIN (IN KILOGRAMS) WAS CALCULATED FROM WEIGHT AT 6 WEEKS AFTER DELIVERY MINUS THE WEIGHT AT 12-14 WEEKS OF GESTATION. BACK PAIN DURING PREGNANCY AND SELF-PERCEIVED LABOR PAIN WERE MEASURED USING A VISUAL ANALOG SCALE (VAS). THE OVERALL PERCEIVED EXERTION DURING LABOR WAS MEASURED USING AN ADAPTED BORG SCALE FOR PERCEIVED EFFORT. RESULTS: THE SUBJECTS WHO FOLLOWED REGULAR ANTENATAL EXERCISES, INCLUDING YOGA, HAD SIGNIFICANTLY LOWER RATES OF CESAREAN SECTION, LOWER WEIGHT GAIN, HIGHER NEWBORN INFANT WEIGHT, LOWER PAIN AND OVERALL DISCOMFORT DURING LABOR, LOWER BACK PAIN THROUGHOUT PREGNANCY, AND EARLIER POST-PARTUM RECOVERY COMPARED TO THOSE WHO DID NO SPECIFIC EXERCISES OR ONLY WALKED DURING PREGNANCY. CONCLUSIONS: THIS RETROSPECTIVE STUDY SHOWED THAT REGULAR ANTENATAL EXERCISES, INCLUDING YOGA, RESULT IN BETTER OUTCOMES RELATED TO THE COURSE OF LABOR, DELIVERY, AND PREGNANCY. THESE RESULTS NOTABLY INDICATED THAT PREGNANT WOMEN SHOULD BE ACTIVE THROUGHOUT PREGNANCY AND FOLLOW A SUPERVISED EXERCISE PROGRAM THAT INCLUDES YOGA UNLESS CONTRAINDICATED. WE REQUIRE FURTHER LARGE-SCALE PROSPECTIVE STUDIES AND QUASI-EXPERIMENTAL TRIALS TO CONFIRM THE OBSERVED FINDINGS.	2020	
                                                                                                                                                                                                                                                                                 
2 2525  57 YOGA DURING PREGNANCY: THE EFFECTS ON LABOR PAIN AND DELIVERY OUTCOMES (A RANDOMIZED CONTROLLED TRIAL). OBJECTIVE: TO INVESTIGATE THE EFFECTS OF AN ANTENATAL YOGA PROGRAM ON PERCEIVED MATERNAL LABOR PAIN AND DELIVERY OUTCOMES. MATERIAL & METHODS: THIS RANDOMIZED CONTROL TRIAL WAS CONDUCTED WITH SIXTY PRIMIPAROUS WOMEN, AGED 18-35 YEARS OLD, WHO WERE RANDOMLY ASSIGNED TO EITHER AN ANTENATAL YOGA PROGRAM OR CONTROL GROUPS. LABOR PAIN AND DISCOMFORT LEVEL OF THE PARTICIPANTS WERE MEASURED USING A VISUAL ANALOGUE SCALE AT CERVICAL DILATATION OF 3-4 C AND AT 2 AND 4 H AFTER THE INITIAL MEASUREMENT. DEMOGRAPHIC AND OBSTETRICAL INFORMATION WERE COLLECTED. THE ANTENATAL YOGA PROGRAM CONSISTED OF A 1-H SUPERVISED YOGA CLASS, THREE TIMES A WEEKLY, STARTING AT 26 WEEKS GESTATION. . RESULTS: PARTICIPANTS IN CONTROL GROUP REPORTED HIGHER PAIN INTENSITY COMPARED TO EXPERIMENTAL GROUP AT 3-4 CM OF DILATATION (P = 0.01) AND AT 2 H AFTER THE FIRST AND THE SECOND MEASUREMENTS (P = 0.000). MOTHERS IN THE ANTENATAL INTERVENTION GROUP THAT COMPLETED THE YOGA CLASS REQUIRED A DECREASED FREQUENCY OF LABOR INDUCTION IN COMPARISON WITH CONTROL GROUP (P = 0.008). IN ADDITION, MODE OF DELIVERY OF THE INTERVENTION GROUP RESULTED IN A LOWER PERCENTAGE OF CESAREAN SECTION THAN CONTROL GROUP (P = 0.002). LASTLY, THE INTERVENTION GROUP EXPERIENCED A SHORTER DURATION OF THE SECOND AND THIRD STAGES OF LABOR. INTERVAL LEVEL DATA WAS ANALYZED BY USING AN INDEPENDENT T-TEST AND CHI-SQUARE. CONCLUSION: YOGA DURING PREGNANCY MAY CONTRIBUTE TO A REDUCTION PAIN OF LABOR AND IMPROVED ADEQUACY OF CHILDBIRTH.	2017	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
3 1022  57 EFFECTS OF YOGA AND MEDITATION ON THE BIRTH PROCESS. CONTEXT: DURING LABOR, CONSCIOUS MATERNAL EXPULSIVE EFFORTS ARE CRUCIAL, ESPECIALLY IN THE SECOND STAGE. CONTEMPORARILY, MEDICAL PROFESSIONAL'S BEDSIDE OBSERVATIONS INDICATE AN INADEQUACY IN THE MATERNAL CONTRIBUTION TO THE PROCESS OF DELIVERY THAT HAS LED TO INCREASED RATES OF CAESAREAN SECTIONS AND INTERVENTIONAL DELIVERIES. FOR THAT REASON, THE IMPORTANCE OF YOGA, MEDITATION, AND BREATH-AWARENESS PRACTICES INCREASES DURING PREGNANCY AND BIRTH. OBJECTIVE: THE STUDY INTENDED TO EXAMINE THE IMPACT ON THE DELIVERY PROCESS OF THE PRACTICE OF YOGA AND MEDITATION DURING PREGNANCY AND LABOR. DESIGN: THE RESEARCH TEAM DESIGNED A RANDOMIZED CONTROLLED TRIAL. SETTING: THE RESEARCH WAS CONDUCTED BETWEEN OCTOBER 2016 AND MAY 2018 AT AN EDUCATIONAL AND RESEARCH HOSPITAL IN ISTANBUL, TURKEY, ON THE ANATOLIAN SIDE OF THE ISTANBUL PROVINCE. PARTICIPANTS: PARTICIPANTS WERE 90 PRIMIPAROUS PREGNANT WOMEN WHO APPLIED TO THE PREGNANCY SCHOOL AT THE HOSPITAL AND WHO MET THE CRITERIA FOR ACCEPTANCE INTO THE STUDY. INTERVENTION: THE PARTICIPANTS WAS RANDOMLY DIVIDED INTO TWO GROUPS, 30 IN AN INTERVENTION GROUP AND 60 IN A CONTROL GROUP. THE INTERVENTION GROUP PERFORMED YOGA AND MEDITATION FOR 60 MINUTES TWO TIMES A WEEK FOR 10 WEEKS. YOGA AND MEDITATION PRACTICES ALSO OCCURRED DURING THE COURSE OF LABOR FOR THE INTERVENTION GROUP. ROUTINE MIDWIFERY CARE WAS GIVEN TO BOTH GROUPS DURING LABOR. OUTCOME MEASURES: THE DATA WERE COLLECTED USING: (1) THE STATE TRAIT ANXIETY INVENTORY (STAI), (2) THE WIJMA DELIVERY EXPECTANCY/EXPERIENCE QUESTIONNAIRE A, (3) THE CHILDBIRTH SELF-EFFICACY SCALE (CBSEI) SHORT FORM, (4) THE WIJMA DELIVERY EXPECTANCY/EXPERIENCE QUESTIONNAIRE VERSION B, AND (5) A VISUAL ANALOGUE SCALE (VAS) FOR PAIN. RESULTS: WHEN THE LABOR DATA WERE EVALUATED, THE INTERVENTION GROUP HAD STATISTICALLY HIGHER VAGINAL DELIVERY RATES, LOWER LABOR INTERVENTION RATES AND EPISIOTOMY OPENING FREQUENCIES, LOWER PAIN MEASUREMENT SCORES AND WIJMA B SCORES, AND HIGHER CBSEI SCORES THAN THE CONTROL GROUP. HOWEVER, THE INTERVENTION GROUP'S STAI SCORES HAD INCREASED SIGNIFICANTLY AFTER THE PRACTICE POST INTERVENTION. CONCLUSIONS: YOGA AND MEDITATION ARE EFFECTIVE METHODS FOR REDUCING PAIN AND FEAR PERCEPTION AND INCREASING SELF-EFFICACY AND VAGINAL DELIVERY RATES DURING THE LABOR PROCESS.	2022	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
4 2135  48 THE EFFECTS OF A YOGA EXERCISE AND NUTRITIONAL GUIDANCE PROGRAM ON PREGNANCY OUTCOMES AMONG HEALTHY PREGNANT JAPANESE WOMEN: A STUDY PROTOCOL FOR A RANDOMIZED CONTROLLED TRIAL. OBJECTIVES: THIS REPORT PROVIDES AN EXPERIMENTAL PROTOCOL FOR A STUDY DESIGNED TO VERIFY THE EFFECTS OF YOGA EXERCISE AND A NUTRITIONAL GUIDANCE PROGRAM DURING PREGNANCY ON SEVERAL KEY PREGNANCY AND BIRTH OUTCOMES AMONG JAPANESE WOMEN. DESIGN: THIS IS A STUDY PROTOCOL OF A RANDOMIZED CONTROLLED TRIAL. SETTING/LOCATION: THIS INTERVENTION WILL BE CARRIED OUT IN A UNIVERSITY HOSPITAL IN TOKYO. SUBJECTS: HEALTHY PRIMIPAROUS WOMEN WILL BE RECRUITED AT 18-23 GESTATIONAL WEEKS IN THE HOSPITAL. A TOTAL OF 400 PARTICIPANTS WILL BE RANDOMLY ASSIGNED TO ONE OF FOUR GROUPS IN THIS TRIAL, WITH 100 PARTICIPANTS IN EACH GROUP-GROUP WITH YOGA EXERCISE, WITH NUTRITIONAL GUIDANCE, WITH BOTH YOGA AND NUTRITIONAL GUIDANCE, AND WITH STANDARD CARE ALONE, AS THE CONTROL GROUP. YOGA EXERCISE CONSISTS OF YOGA CLASSES HELD AT THE HOSPITAL 3 OR 5 DAYS A MONTH, DURATION 60 MIN, AND HOME PRACTICE USING A DIGITAL VIDEO DISK, DURATION 30 OR 60 MIN PER SESSION. WE RECOMMEND PARTICIPANTS DO YOGA AT LEAST 3 DAYS A WEEK FOR A TOTAL OF 60 MIN PER DAY. NUTRITIONAL GUIDANCE IS BASED ON INDIVIDUAL DIETARY INTAKE ASSESSED USING A BRIEF-TYPE DIET HISTORY QUESTIONNAIRE. RESULTS: THE PRIMARY OUTCOME IS RATE OF PREGNANT WOMEN WITH ADEQUATE GESTATIONAL WEIGHT GAIN. SECONDARY OUTCOMES INCLUDE PHYSIOLOGIC AND PSYCHOLOGIC STATUS ASSESSED VIA BIOMARKERS AND HEALTH-RELATED SCALES, DIETARY NUTRITION INTAKE, AND BIRTH OUTCOMES. CONCLUSIONS: THIS STUDY SHOWS THE EFFECTS OF A YOGA EXERCISE AND NUTRITIONAL INTERVENTION. IF THE INTERVENTION IS FOUND TO BE EFFECTIVE, OUR RESULTS WILL BE USEFUL FOR HEALTHCARE PROVIDERS AND PREGNANT WOMEN.	2018	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
5 1769  42 POTENTIAL FOR PRENATAL YOGA TO SERVE AS AN INTERVENTION TO TREAT DEPRESSION DURING PREGNANCY. BACKGROUND: WHEN LEFT UNTREATED, ANTENATAL DEPRESSION CAN HAVE A SERIOUS NEGATIVE IMPACT ON MATERNAL, AND INFANT OUTCOMES. MANY AFFECTED WOMEN DO NOT OBTAIN TREATMENT FOR DEPRESSION OWING TO DIFFICULTIES ACCESSING CARE OR BECAUSE THEY DO NOT FIND STANDARD ANTIDEPRESSANT TREATMENTS TO BE ACCEPTABLE DURING PREGNANCY. THIS STUDY EXAMINED THE ACCEPTABILITY AND FEASIBILITY OF A GENTLE PRENATAL YOGA INTERVENTION, AS A STRATEGY FOR TREATING DEPRESSION DURING PREGNANCY. METHODS: WE DEVELOPED A 10-WEEK PRENATAL YOGA PROGRAM FOR ANTENATAL DEPRESSION AND AN ACCOMPANYING YOGA INSTRUCTORS' MANUAL, AND ENROLLED 34 DEPRESSED PREGNANT WOMEN FROM THE COMMUNITY INTO AN OPEN PILOT TRIAL. WE MEASURED CHANGE IN MATERNAL DEPRESSION SEVERITY FROM BEFORE TO AFTER THE INTERVENTION. RESULTS: RESULTS SUGGESTED THAT THE PRENATAL YOGA INTERVENTION WAS FEASIBLE TO ADMINISTER AND ACCEPTABLE TO THE WOMEN ENROLLED. NO STUDY-RELATED INJURIES OR OTHER SAFETY ISSUES WERE OBSERVED DURING THE TRIAL. ON AVERAGE, PARTICIPANTS' DEPRESSION SEVERITY DECREASED SIGNIFICANTLY BY THE END OF THE INTERVENTION BASED ON BOTH OBSERVED-RATED AND SELF-REPORT DEPRESSION ASSESSMENT MEASURES. CONCLUSION: THE CURRENT STUDY SUGGESTS THAT PRENATAL YOGA MAY BE A VIABLE APPROACH TO ADDRESSING ANTENATAL DEPRESSION, ONE THAT MAY HAVE ADVANTAGES IN TERMS OF GREATER ACCEPTABILITY THAN STANDARD DEPRESSION TREATMENTS. RESEARCH AND POLICY IMPLICATIONS ARE DISCUSSED.	2015	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
6 2899  59 [EFFECTS OF PRENATAL YOGA: A SYSTEMATIC REVIEW OF RANDOMIZED CONTROLLED TRIALS]. OBJECTIVES: WHILE SEVERAL STUDIES ON THE PREVENTIVE AND THERAPEUTIC EFFECTS OF PRENATAL YOGA (MATERNITY YOGA) HAVE BEEN REPORTED IN RECENT YEARS, THERE HAS BEEN NO SYSTEMATIC REVIEW ON THE EFFECTS OF PRENATAL YOGA BASED ON RANDOMIZED CONTROLLED TRIALS (RCT). THE PURPOSE OF THIS STUDY, THEREFORE, WAS TO SYSTEMATICALLY REVIEW THE LITERATURE TO CLARIFY THE EFFECTS OF PRENATAL YOGA IN RCT FOCUSING ON THE CONTENTS OF THE INTERVENTION, THE INTERVENTION MEANS, AND THE FREQUENCY OF PRACTICE. METHODS: THE LITERATURE SEARCH WAS PERFORMED USING THE ELECTRONIC DATABASE, PUBMED. THE INCLUSION CRITERIA WERE RCT, PREGNANT WOMEN, AND YOGA INTERVENTION. RESULTS: IN TOTAL, 54 CITATIONS WERE FOUND; OF THESE, EIGHT STUDIES (10 REPORTS) WERE INCLUDED IN THE FINAL ANALYSIS. IN FOUR STUDIES ON HEALTHY PREGNANT WOMEN, SIGNIFICANT IMPROVEMENT IN PAIN AND PLEASURE AT DELIVERY, DURATION OF DELIVERY, PERCEIVED STRESS LEVELS DURING PREGNANCY, ANXIETY LEVELS, DEPRESSION, PREGNANCY-RELATED EXPERIENCES, QUALITY OF LIFE, AND INTERPERSONAL RELATIONSHIPS WERE COMPARED TO THOSE IN THE CONTROL GROUP. IN TWO STUDIES ON DEPRESSED PREGNANT WOMEN, ONE REPORTED THAT DEPRESSION, ANXIETY LEVELS, ANGER LEVELS, LEG PAIN, AND BACK PAIN SIGNIFICANTLY IMPROVED WITH YOGA, WHILE THE OTHER FOUND NO DIFFERENCES FROM THE CONTROL GROUP. IN ONE STUDY OF HIGH-RISK PREGNANT WOMEN WITH MORBIDITY FACTORS SUCH AS OBESITY OR ADVANCED AGE, YOGA RESULTED IN SIGNIFICANTLY FEWER CASES OF PREGNANCY-INDUCED HYPERTENSION, GESTATIONAL DIABETES, AND INTRAUTERINE GROWTH RESTRICTION, AS WELL AS A DECREASE IN PERCEIVED STRESS LEVELS. IN ONE STUDY ON PREGNANT WOMEN WITH PELVIC PAIN, THE MEDIAN PAIN SCORE WAS LOWER IN THE YOGA GROUP. REGARDING THE CONTENTS OF THE INTERVENTION, WHILE THE TWO STUDIES FOR DEPRESSED PREGNANT WOMEN ONLY INCLUDED PHYSICAL POSTURES, THE REMAINING SIX STUDIES ALSO INCLUDED BREATHING TECHNIQUE AND MEDITATION. INTERVENTIONS WERE PERFORMED USING LECTURES BY INSTRUCTORS ALONE OR TOGETHER WITH SELF-TEACHING. THE FREQUENCY OF THE INTERVENTION VARIED WITHIN EACH STUDY. CONCLUSION: THE FINDINGS SUGGEST THAT PRENATAL YOGA MAY HELP REDUCE PELVIC PAIN. IT MAY ALSO IMPROVE MENTAL CONDITION (STRESS, DEPRESSION, ANXIETY, ETC.), PHYSICAL CONDITION (PAIN AND PLEASURE AT THE DELIVERY, ETC.), AND PERINATAL OUTCOMES (OBSTETRICAL COMPLICATIONS, DELIVERY TIME, ETC.). HOWEVER, FURTHER STUDIES ARE NEEDED. THE CONTENTS OF THE INTERVENTION, THE INTERVENTION MEANS, AND THE FREQUENCY VARIED WITH EACH STUDY. THUS, IT IS NECESSARY TO FURTHER EXAMINE THE CONTENT OF EFFECTIVE INTERVENTIONS, INTERVENTION MEANS, AND FREQUENCY THAT SUIT PARTICIPANT'S CHARACTERISTICS AND EACH OUTCOME. FURTHER RESEARCH IN THIS FIELD, PARTICULARLY RANDOMIZED CONTROLLED TRIALS, IS MERITED.	2015	

7 2088  56 THE EFFECT OF PRACTICING YOGA DURING PREGNANCY ON LABOR STAGES LENGTH, ANXIETY AND PAIN: A RANDOMIZED CONTROLLED TRIAL. BACKGROUND: ANXIETY AND FEAR OF LABOR PAIN HAS LED TO ELEVATED CESAREAN SECTION RATE IN SOME COUNTRIES. THIS STUDY WAS CONDUCTED TO INVESTIGATE THE EFFECT OF YOGA IN PREGNANCY ON ANXIETY, LABOR PAIN AND LENGTH OF LABOR STAGES. METHODS: THIS CLINICAL TRIAL STUDY WAS PERFORMED ON 84 NULLIPAROUS WOMEN WHO WERE AT LEAST 18 YEARS OLD AND WERE RANDOMLY DIVIDED INTO TWO GROUPS OF YOGA AND CONTROL GROUPS. PREGNANCY YOGA PROGRAM CONSISTING OF 6 60-MIN TRAINING SESSIONS WAS STARTED EVERY 2 WEEKS FROM WEEK 26 OF PREGNANCY AND CONTINUED UNTIL 37 WEEKS OF GESTATION. ANXIETY SEVERITY AT MATERNAL ADMISSION TO LABOR WAS MEASURED BY THE SPIELBERGERS STATE-TRAIT ANXIETY INVENTORY, AND LABOR PAIN WAS MEASURED BY VISUAL ANALOGUE SCALE (VAS) AT DILATATION (4-5 CM) AND 2 H AFTER THE FIRST MEASUREMENT. DATA WERE ANALYZED USING CHI-SQUARE AND T-TEST. RESULTS: INTERVENTION GROUP REPORTED LESS PAIN AT DILATATION (4-5 CM) (P=0.001) AND 2 H AFTER THE FIRST MEASUREMENT (P=0.001) THAN THE CONTROL GROUP. STAT ANXIETY WAS ALSO LOWER IN INTERVENTION GROUP THAN THE CONTROL GROUP (P=0.003) AT THE ENTRANCE TO LABOR ROOM. SUBJECTS IN THE CONTROL GROUP REQUIRED MORE INDUCTION COMPARED TO INTERVENTION GROUP (P=0.003). WOMEN IN INTERVENTION GROUP EXPERIENCED SHORTER DURATION OF THE FIRST PHASE OF THE LABOR THAN THE CONTROL GROUP (P=0.002). ALSO, THE TOTAL DURATION OF TWO STAGES OF LABOR WAS SHORTER IN INTERVENTION GROUP THAN THE CONTROL GROUP (P=0.003). CONCLUSIONS: PRACTICING YOGA DURING PREGNANCY MAY REDUCE WOMEN'S ANXIETY DURING LABOR; SHORTEN LABOR STAGES, AND LOWER LABOR PAIN.	2020	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
8 1040  48 EFFECTS OF YOGA INTERVENTION DURING PREGNANCY: A REVIEW FOR CURRENT STATUS. OBJECTIVES: THE PURPOSE OF THIS ARTICLE IS TO REVIEW ALL RANDOMIZED CONTROL TRIALS (RCTS) THAT HAVE LOOKED AT THE HEALTH EFFECTS OF YOGA ON PREGNANCY, AND TO PRESENT THEIR EVIDENCE ON THE SPECIFIC WAYS IN WHICH PREGNANT WOMEN, AND THEIR INFANTS CAN BENEFIT FROM YOGA INTERVENTION. THE PURPOSE IS ALSO TO DETERMINE WHETHER YOGA INTERVENTION DURING PREGNANCY IS MORE BENEFICIAL THAN OTHER PHYSICAL EXERCISES. METHODS: FOUR DATABASES WERE SEARCHED USING THE TERMS "YOGA AND (PREGNANCY OR PREGNANT OR PRENATAL OR POSTNATAL OR POSTPARTUM)." DATABASES WERE SEARCHED FROM JANUARY 2004 TO FEBRUARY 2014. RESULTS: TEN RANDOMIZED CONTROLLED TRIALS WERE EVALUATED. THE FINDINGS CONSISTENTLY INDICATE THAT YOGA INTERVENTION PRESENTED WITH LOWER INCIDENCES OF PRENATAL DISORDERS (P </= 0.05), AND SMALL GESTATIONAL AGE (P < 0.05), LOWER LEVELS OF PAIN AND STRESS (P < 0.05), AND HIGHER SCORE OF RELATIONSHIP (P < 0.05). IN ADDITION, YOGA CAN BE SAFELY USED FOR PREGNANT WOMEN WHO ARE DEPRESSED, AT HIGH-RISK, OR EXPERIENCE LUMBOPELVIC PAIN. MOREOVER, YOGA IS A MORE EFFECTIVE EXERCISE THAN WALKING OR STANDARD PRENATAL EXERCISES. CONCLUSIONS: THE FINDINGS SUGGEST THAT YOGA IS A SAFE AND MORE EFFECTIVE INTERVENTION DURING PREGNANCY. HOWEVER, FURTHER RCTS ARE NEEDED TO PROVIDE FIRMER EVIDENCE REGARDING THE UTILITY AND VALIDITY OF YOGA INTERVENTION.	2015	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
9  183  42 A RANDOMIZED CONTROLLED TRIAL ON THE EFFICACY OF INTEGRATED YOGA ON PREGNANCY OUTCOME. PHYSIOLOGICAL AND BIOCHEMICAL CHANGES OCCUR IN PREGNANCY TO NURTURE THE DEVELOPING FETUS. PREGNANCY-RELATED EXPERIENCE IS UNIQUE TO EVERY WOMAN. PREGNANCY SYMPTOMS AND COMPLICATIONS CAN RANGE FROM MILD TO SEVERE. MANY WOMEN CAN LOWER THEIR RISK BY PERFORMING DIFFERENT THERAPIES. IN THIS CONTEXT, THE PRESENT STUDY TARGETS TO EVALUATE THE EFFICACY OF INTEGRATED YOGA CONSISTING OF (ASANAS AND PRANAYAMA) ON PREGNANCY TO REDUCE THE RISK OF COMPLICATIONS. THIS STUDY IS A PROSPECTIVE RANDOMIZED CONTROLLED SINGLE-BLINDED TRIAL WITH PARALLEL ARMS: THE INTERVENTION ARM RECEIVED SPECIFIC INTEGRATED YOGA THERAPY; THE CONTROL ARM RECEIVED ROUTINE STANDARD CARE FROM 18 TO 22 WEEKS OF GESTATION UNTIL DELIVERY. THE INCIDENCE OF PREECLAMPSIA AND PRETERM DELIVERY WAS LOWER IN THE INTERVENTION ARM. WOMEN IN THE INTERVENTION ARM DELIVERED AT HIGHER GESTATIONAL AGE. APGAR SCORES AND BIRTH WEIGHTS OF NEONATES WERE SIGNIFICANTLY HIGHER IN THE INTERVENTION ARM. THE FINDINGS SUGGEST THAT YOGA IS A SAFE AND EFFECTIVE INTERVENTION DURING PREGNANCY TO REDUCE OR PREVENT PREGNANCY-RELATED COMPLICATIONS. HOWEVER, FURTHER RANDOMIZED CONTROLLED TRIALS ARE NEEDED TO PROVIDE FIRMER EVIDENCE REGARDING THE UTILITY AND VALIDITY OF YOGA INTERVENTION DURING PREGNANCY.	2021	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
10 1471  42 INPATIENT PRENATAL YOGA SESSIONS FOR WOMEN WITH HIGH-RISK PREGNANCIES: A FEASIBILITY STUDY. BACKGROUND: ANTENATAL HOSPITALIZATION FOR PREGNANCY COMPLICATIONS CAN RESULT IN SIGNIFICANT STRESS FOR PREGNANT WOMEN AND THEIR FAMILIES. PRENATAL YOGA HAS BEEN INVESTIGATED IN THE OUTPATIENT SETTING AS A METHOD TO ALLEVIATE STRESS. THIS STUDY WAS DESIGNED TO INVESTIGATE THE FEASIBILITY OF INCORPORATING PRENATAL YOGA INTO THE INPATIENT ENVIRONMENT FOR WOMEN HOSPITALIZED WITH PREGNANCY COMPLICATIONS. STUDY DESIGN: HIGH-RISK WOMEN WERE RECRUITED FROM THE INPATIENT ANTEPARTUM SERVICE AT TUFTS MEDICAL CENTER (BOSTON, MA; MARCH 2016 TO FEBRUARY 2017) TO EVALUATE THE FEASIBILITY OF AN INPATIENT PRENATAL YOGA PROGRAM. THE THIRTY-MINUTE SESSION WAS LED BY A CERTIFIED INSTRUCTOR IN A ROOM ADJACENT TO LABOR AND DELIVERY. PARTICIPANTS AND ANTEPARTUM NURSES COMPLETED STUDY QUESTIONNAIRES ADDRESSING LOGISTICS SUCH AS CLASS DURATION AND FREQUENCY. PERCEIVED BENEFITS OF YOGA WERE ALSO EXPLORED. RESULTS: THIRTY-NINE WOMEN WERE FOUND ELIGIBLE FOR THIS STUDY AND WERE CONSENTED FOR PARTICIPATION. OF THESE, FIFTEEN (38%) PARTICIPATED IN AT LEAST ONE YOGA SESSION. RESPONSES TO THE TO THE POST-CLASS QUESTIONNAIRE BY STUDY PARTICIPANTS INDICATED THAT THE THIRTY MINUTES ALLOCATED FOR THE YOGA CLASS WAS APPROPRIATE. OF THE EIGHT PARTICIPANTS WHO RESPONDED TO THE DISCHARGE QUESTIONNAIRE, ALL INDICATED THAT THE CLASS WAS HELPFUL WITH REGARDS TO STRESS REDUCTION. COMPLETED QUESTIONNAIRES BY THE ANTEPARTUM NURSING STAFF (N = 14) UNANIMOUSLY INDICATED THAT THE YOGA SESSION WAS HELPFUL FOR THE PATIENTS AND WAS NOT DISRUPTIVE TO MEDICAL CARE. CONCLUSION(S): PRENATAL YOGA IS A TECHNIQUE THAT HAS BEEN CURRENTLY LIMITED TO THE OUTPATIENT SETTING. THIS STUDY PROVIDES A FOUNDATION FOR CONTINUED INVESTIGATION OF INPATIENT PRENATAL YOGA FOR WOMEN HOSPITALIZED WITH PREGNANCY COMPLICATIONS.	2020	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
11 1206  43 EXPERIENCES OF PREGNANT WOMEN PARTICIPATING IN ANTENATAL YOGA: A QUALITATIVE STUDY. CONTEXT: PREGNANCY YOGA IS A MODIFIED VERSION OF YOGA FOR PREGNANT WOMEN, AND IT AIMS TO REDUCE PREGNANCY-RELATED SYMPTOMS, SUCH AS INSOMNIA, LOW BACK PAIN, TIREDNESS, CONSTIPATION, LEG CRAMPS, AND SHORTNESS OF BREATH. OBJECTIVE: THE STUDY AIMED TO IDENTIFY THE EXPERIENCES AND EXPECTATIONS OF PREGNANT WOMEN RELATED TO THE PRACTICE OF YOGA. METHOD: THE RESEARCH TEAM CONDUCTED A QUALITATIVE STUDY. SETTING: THE STUDY TOOK PLACE AT THE ANTENATAL CLINIC OF A PUBLIC HOSPITAL IN THE CENTRAL ANATOLIA REGION OF TURKEY. PARTICIPANTS: THE PARTICIPANTS WERE 24 PREGNANT WOMEN AT THE CLINIC. INTERVENTION: THE STUDY INCLUDED AN INTERVENTION GROUP THAT PERFORMED YOGA AND RECEIVED ROUTINE ANTENATAL CARE; HOWEVER, NO CONTROL GROUPS WERE USED. EACH YOGA INTERVENTION WAS HELD FOR APPROXIMATELY 40-45 MINUTES, WITH YOGA ASANA PERIODS LASTING 30 MINUTES. THE PREGNANT WOMEN WERE EXPECTED TO PARTICIPATE IN YOGA PRACTICE TWICE A WEEK ON A REGULAR BASIS FOR 8 WEEKS. OUTCOME MEASURES: DATA WERE COLLECTED THROUGH SEMI-STRUCTURED INTERVIEWS. THE INTERVIEWS WERE RECORDED AND TRANSCRIBED VERBATIM AND THEMATIC ANALYSIS WAS PERFORMED. RESULTS: FOUR MAJOR THEMES EMERGED: (1) PERCEPTIONS ABOUT PREGNANCY, (2) MANAGEMENT OF PREGNANCY SYMPTOMS, (3) PRENATAL ATTACHMENT, AND (4) BIRTH PERCEPTIONS. ACCORDING TO PARTICIPANTS, THE BENEFITS OF YOGA PRACTICE WERE MANAGEMENT OF PREGNANCY SYMPTOMS, INCREASED PRENATAL ATTACHMENT, A POSITIVE PERCEPTION OF THE BIRTH, NATURAL-BIRTH BELIEFS, AND MANAGEMENT OF FEAR AND PAIN DURING BIRTH. CONCLUSIONS: THE PARTICIPANTS REPORTED BARRIERS TO PERFORMING YOGA; HOWEVER, THEY ALSO SAID THAT THEY WOULD TRY PREGNANCY YOGA IF THEY WERE ENCOURAGED BY HEALTHCARE PROFESSIONALS. ALSO, THE PARTICIPANTS STATED THAT PREGNANCY YOGA PRACTICE SHOULD BE MADE A PART OF ANTENATAL EDUCATION TO FACILITATE PARTICIPATION.	2021	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
12 1151  48 ENHANCING ACCESSIBILITY OF PHYSICAL ACTIVITY DURING PREGNANCY: A PILOT STUDY ON WOMEN'S EXPERIENCES WITH INTEGRATING YOGA INTO GROUP PRENATAL CARE. INTRODUCTION: HEALTH GUIDELINES SUGGEST THAT PREGNANT WOMEN SHOULD PARTICIPATE IN DAILY PHYSICAL ACTIVITY, YET RARELY DO THEY MEET THESE GUIDELINES. MEANS TO ENHANCE ACCESSIBILITY OF PHYSICAL ACTIVITY FOR PREGNANT WOMEN ARE REQUIRED, AND YOGA HAS BEEN SUGGESTED AS A POSSIBLE METHOD TO ENHANCE WOMEN'S SENSE OF CONFIDENCE AND COMPETENCE WITH PHYSICAL ACTIVITY. IN THIS PILOT STUDY, OUR PRIMARY AIM IS TO EVALUATE PREGNANT WOMEN'S PERCEPTIONS ABOUT THEIR LIVED EXPERIENCE OF AN INTERVENTION WHICH INTEGRATES A LOW-INTENSITY FORM OF PHYSICAL ACTIVITY, YOGA, INTO PRENATAL CARE; OUR SECONDARY AIM IS TO EVALUATE CHANGES IN PARTICIPANTS' SELF-EFFICACY FOR PHYSICAL ACTIVITY AND TIME SPENT IN PHYSICAL ACTIVITY OVER TIME. METHODS: HELD IN AN OUTPATIENT OBSTETRICS DEPARTMENT OF AN URBAN HOSPITAL SYSTEM IN THE UNITED STATES, THIS PILOT STUDY ENROLLED 16 PREGNANT WOMEN TO PARTICIPATE IN THE INTERVENTION THROUGHOUT THEIR PREGNANCY. WE EXPLORED PARTICIPANTS' LIVED EXPERIENCE OF THE INTERVENTION USING QUALITATIVE METHODS (PHENOMENOLOGY). MEANS, VARIANCES, AND COVARIANCES WERE CALCULATED FOR THE 2 MEASURES (SELF-EFFICACY AND TIME SPENT IN PHYSICAL ACTIVITY) OVER THE INTERVENTION PERIOD. RESULTS: QUALITATIVE FINDINGS FROM FOCUS GROUPS SUGGEST THAT IT IS ACCEPTABLE FOR PRENATAL YOGA TO BE INTEGRATED INTO GROUP PRENATAL CARE CLASSES AND WOMEN REPORTED INCREASED CONFIDENCE WITH PHYSICAL ACTIVITY DURING PREGNANCY. PARTICIPANTS DID NOT CONSIDER THE INTERVENTION TO FIT WITHIN THE TRADITIONAL DEFINITION OF EXERCISE. WOMEN REPORTED INCREASED AMOUNTS OF TIME SPENT IN PHYSICAL ACTIVITY FROM BASELINE TO THE END OF PREGNANCY, BUT THERE WERE NO STATISTICALLY SIGNIFICANT CHANGES IN SELF-EFFICACY OVER TIME. DISCUSSION: THE INTEGRATION OF GENTLE PHYSICAL ACTIVITY INTO THE GROUP PRENATAL CARE MODEL WARRANTS FURTHER ATTENTION FOR POTENTIAL BENEFITS WITH REGARD TO MATERNAL PHYSICAL AND MENTAL WELLNESS.	2019	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
13 2147  36 THE EFFECTS OF MINDFULNESS-BASED YOGA DURING PREGNANCY ON MATERNAL PSYCHOLOGICAL AND PHYSICAL DISTRESS. OBJECTIVE: TO EXAMINE THE FEASIBILITY AND LEVEL OF ACCEPTABILITY OF A MINDFUL YOGA INTERVENTION PROVIDED DURING PREGNANCY AND TO GATHER PRELIMINARY DATA ON THE EFFICACY OF THE INTERVENTION IN REDUCING DISTRESS. DESIGN: BASELINE AND POST-TREATMENT MEASURES EXAMINED STATE AND TRAIT ANXIETY, PERCEIVED STRESS, PAIN, AND MORNING SALIVARY CORTISOL IN A SINGLE TREATMENT GROUP. POSTINTERVENTION DATA ALSO INCLUDED PARTICIPANT EVALUATION OF THE INTERVENTION. SETTING: THE 7 WEEKS MINDFULNESS-BASED YOGA GROUP INTERVENTION COMBINED ELEMENTS OF IYENGAR YOGA AND MINDFULNESS-BASED STRESS REDUCTION. PARTICIPANTS: SIXTEEN HEALTHY PREGNANT NULLIPAROUS WOMEN WITH SINGLETON PREGNANCIES BETWEEN 12 AND 32 WEEKS GESTATION AT THE TIME OF ENROLLMENT. METHODS: OUTCOMES WERE EVALUATED FROM PRE- TO POSTINTERVENTION AND BETWEEN SECOND AND THIRD TRIMESTERS WITH REPEATED MEASURES ANALYSIS OF VARIANCE AND POST HOC NONPARAMETRIC TESTS. RESULTS: WOMEN PRACTICING MINDFUL YOGA IN THEIR SECOND TRIMESTER REPORTED SIGNIFICANT REDUCTIONS IN PHYSICAL PAIN FROM BASELINE TO POSTINTERVENTION COMPARED WITH WOMEN IN THE THIRD TRIMESTER WHOSE PAIN INCREASED. WOMEN IN THEIR THIRD TRIMESTER SHOWED GREATER REDUCTIONS IN PERCEIVED STRESS AND TRAIT ANXIETY. CONCLUSIONS: PRELIMINARY EVIDENCE SUPPORTS YOGA'S POTENTIAL EFFICACY IN THESE AREAS, PARTICULARLY IF STARTED EARLY IN THE PREGNANCY.	2009	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
14  998  41 EFFECTS OF INTEGRATED YOGA ON QUALITY OF LIFE AND INTERPERSONAL RELATIONSHIP OF PREGNANT WOMEN. PURPOSE: THE OBJECTIVE OF THIS STUDY WAS TO INVESTIGATE THE EFFECTS OF INTEGRATED YOGA ON THE QUALITY OF LIFE AND INTERPERSONAL RELATIONSHIPS IN NORMAL PREGNANT WOMEN. METHODS: ONE HUNDRED AND TWO PREGNANT WOMEN BETWEEN 18 AND 20 WEEKS OF GESTATION WHO MET THE INCLUSION CRITERIA WERE RECRUITED FROM THE OBSTETRIC UNITS IN BANGALORE AND WERE RANDOMLY ASSIGNED TO TWO GROUPS OF YOGA (N = 51) AND CONTROL (N = 51). WOMEN WITH MEDICAL CONDITIONS THAT COULD POTENTIALLY LEAD TO PREGNANCY COMPLICATIONS AND THOSE WITH ABNORMAL FETAL PARAMETERS WERE EXCLUDED. THE YOGA GROUP RECEIVED INTEGRATED YOGA WHILE CONTROL GROUP RECEIVED STANDARD ANTENATAL EXERCISES, BOTH FOR 1-H THREE TIMES A WEEK FROM 20TH TO 36TH WEEK OF GESTATION. PRE AND POST ASSESSMENTS WERE DONE USING WHOQOL-100 AND FIRO-B QUESTIONNAIRES. RESULTS: OF THE SIX DOMAINS OF WHOQOL-100, BETWEEN GROUPS ANALYSIS SHOWED SIGNIFICANT IMPROVEMENTS IN THE YOGA GROUP COMPARED TO THE CONTROL IN THE PHYSICAL (P = 0.001), PSYCHOLOGICAL (P < 0.001), SOCIAL (P = 0.003), AND ENVIRONMENTAL DOMAINS (P = 0.001). IN FIRO-B, THE YOGA GROUP SHOWED SIGNIFICANT IMPROVEMENTS IN 'EXPRESSED INCLUSION' (P = 0.02) AND 'WANTED CONTROL' (P = 0.009) DOMAINS COMPARED TO THE CONTROL GROUP. CONCLUSION: THE INTEGRATED YOGA IS AN EFFICACIOUS MEANS OF IMPROVING THE QUALITY OF LIFE OF PREGNANT WOMEN AND ENHANCING CERTAIN ASPECTS OF THEIR INTERPERSONAL RELATIONSHIPS.	2010	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
15  106  25 A PILOT RANDOMIZED CONTROLLED TRIAL COMPARING PRENATAL YOGA TO PERINATAL HEALTH EDUCATION FOR ANTENATAL DEPRESSION. WE CONDUCTED A PILOT RANDOMIZED CONTROLLED TRIAL (RCT) COMPARING A PRENATAL YOGA INTERVENTION TO PERINATAL-FOCUSED HEALTH EDUCATION IN PREGNANT WOMEN WITH DEPRESSION. FINDINGS DOCUMENT ACCEPTABILITY AND FEASIBILITY OF THE YOGA INTERVENTION: NO YOGA-RELATED INJURIES WERE OBSERVED, INSTRUCTORS SHOWED FIDELITY TO THE YOGA MANUAL, AND WOMEN RATED INTERVENTIONS AS ACCEPTABLE. ALTHOUGH IMPROVEMENTS IN DEPRESSION WERE NOT STATISTICALLY DIFFERENT BETWEEN GROUPS, THEY FAVORED YOGA. THIS STUDY PROVIDES SUPPORT FOR A LARGER SCALE RCT EXAMINING PRENATAL YOGA TO IMPROVE MOOD DURING PREGNANCY.	2016	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
16 1124  44 EFFICACY OF PRENATAL YOGA IN THE TREATMENT OF DEPRESSION AND ANXIETY DURING PREGNANCY: A SYSTEMATIC REVIEW AND META-ANALYSIS. WOMEN COMMONLY SUFFER FROM DEPRESSION DURING PREGNANCY. FOR REDUCING DEPRESSION, YOGA SEEMS TO BE MORE SUITABLE FOR PREGNANT WOMEN THAN OTHER PHYSICAL ACTIVITIES BECAUSE OF ITS LOW EXERCISE INTENSITY. THE OBJECTIVE OF THIS STUDY WAS TO ASSESS THE EFFICACY OF PRENATAL YOGA ON THE TREATMENT OF DEPRESSION DURING PREGNANCY. THREE ELECTRONIC DATABASES WERE SEARCHED FOR RELEVANT ARTICLES FROM THEIR INCEPTION TO MAY 2021, INCLUDING PUBMED, COCHRANE LIBRARY, AND SCIENCEDIRECT. PRE- AND POST-TEST OUTCOMES WERE ADOPTED TO ESTIMATE STANDARDIZED MEAN DIFFERENCE WITH A 95% CONFIDENCE INTERVAL FOR ASSESSING THE EFFICACY OF YOGA. HETEROGENEITY AMONG ARTICLES WAS DETECTED USING I(2) VALUE. A TOTAL OF 13 ARTICLES THAT CONTAINED 379 SUBJECTS WERE INCLUDED FOR META-ANALYSIS. NO SIGNIFICANT IMPROVEMENT IN DEPRESSION SCORES AFTER PRACTICING YOGA WAS OBSERVED FOR WOMEN WITHOUT DEPRESSION (P = 0.09) BUT SIGNIFICANT IMPROVEMENT WAS OBSERVED FOR WOMEN WITH DEPRESSION (P = 0.001). ALTHOUGH SIGNIFICANT IMPROVEMENT IN ANXIETY SCORES AFTER YOGA WAS OBSERVED FOR WOMEN WITHOUT DEPRESSION (P = 0.02), THE RESULTS OF THE SENSITIVITY ANALYSIS WERE NOT CONSISTENT, WHILE SIGNIFICANT IMPROVEMENT IN ANXIETY SCORES AFTER YOGA WAS ALSO OBSERVED FOR WOMEN WITH DEPRESSION (P &LT; 0.00001). THE CURRENT EVIDENCE HAS SUGGESTED THAT YOGA HAD SIGNIFICANT IMPROVEMENT IN DEPRESSION AND ANXIETY SCORES IN PREGNANT WOMEN WITH DEPRESSION. HOWEVER, THE LEVEL OF EVIDENCE OF THIS STUDY WAS NOT HIGH. MORE ARTICLES WITH HIGH LEVELS OF EVIDENCE SHOULD BE CONDUCTED TO CONFIRM OUR CONCLUSION IN THE FUTURE.	2022	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
17 2222  57 THE IMPACT OF MODIFIED HATHA YOGA ON CHRONIC LOW BACK PAIN: A PILOT STUDY. PURPOSE: THE PURPOSE OF THIS RANDOMIZED PILOT STUDY WAS TO EVALUATE A POSSIBLE DESIGN FOR A 6-WEEK MODIFIED HATHA YOGA PROTOCOL TO STUDY THE EFFECTS ON PARTICIPANTS WITH CHRONIC LOW BACK PAIN. PARTICIPANTS: TWENTY-TWO PARTICIPANTS (M = 4; F = 17), BETWEEN THE AGES OF 30 AND 65, WITH CHRONIC LOW BACK PAIN (CLBP) WERE RANDOMIZED TO EITHER AN IMMEDIATE YOGA BASED INTERVENTION, OR TO A CONTROL GROUP WITH NO TREATMENT DURING THE OBSERVATION PERIOD BUT RECEIVED LATER YOGA TRAINING. METHODS: A SPECIFIC CLBP YOGA PROTOCOL DESIGNED AND MODIFIED FOR THIS POPULATION BY A CERTIFIED YOGA INSTRUCTOR WAS ADMINISTERED FOR ONE HOUR, TWICE A WEEK FOR 6 WEEKS. PRIMARY FUNCTIONAL OUTCOME MEASURES INCLUDED THE FORWARD REACH (FR) AND SIT AND REACH (SR) TESTS. ALL PARTICIPANTS COMPLETED OSWESTRY DISABILITY INDEX (ODI) AND BECK DEPRESSION INVENTORY (BDI) QUESTIONNAIRES. GUIDING QUESTIONS WERE USED FOR QUALITATIVE DATA ANALYSIS TO ASCERTAIN HOW YOGA PARTICIPANTS PERCEIVED THE INSTRUCTOR, GROUP DYNAMICS, AND THE IMPACT OF YOGA ON THEIR LIFE. ANALYSIS: TO ACCOUNT FOR DROP OUTS, THE DATA WERE DIVIDED INTO BETTER OR NOT CATEGORIES, AND ANALYZED USING CHI-SQUARE TO EXAMINE DIFFERENCES BETWEEN THE GROUPS. QUALITATIVE DATA WERE ANALYZED THROUGH FREQUENCY OF POSITIVE RESPONSES. RESULTS: POTENTIALLY IMPORTANT TRENDS IN THE FUNCTIONAL MEASUREMENT SCORES SHOWED IMPROVED BALANCE AND FLEXIBILITY AND DECREASED DISABILITY AND DEPRESSION FOR THE YOGA GROUP BUT THIS PILOT WAS NOT POWERED TO REACH STATISTICAL SIGNIFICANCE. SIGNIFICANT LIMITATIONS INCLUDED A HIGH DROPOUT RATE IN THE CONTROL GROUP AND LARGE BASELINE DIFFERENCES IN THE SECONDARY MEASURES. IN ADDITION, ANALYSIS OF THE QUALITATIVE DATA REVEALED THE FOLLOWING FREQUENCY OF RESPONSES (1) GROUP INTERVENTION MOTIVATED THE PARTICIPANTS AND (2) YOGA FOSTERED RELAXATION AND NEW AWARENESS/LEARNING. CONCLUSION: A MODIFIED YOGA-BASED INTERVENTION MAY BENEFIT INDIVIDUALS WITH CLB, BUT A LARGER STUDY IS NECESSARY TO PROVIDE DEFINITIVE EVIDENCE. ALSO, THE IMPACT ON DEPRESSION AND DISABILITY COULD BE CONSIDERED AS IMPORTANT OUTCOMES FOR FURTHER STUDY. ADDITIONAL FUNCTIONAL OUTCOME MEASURES SHOULD BE EXPLORED. THIS PILOT STUDY SUPPORTS THE NEED FOR MORE RESEARCH INVESTIGATING THE EFFECT OF YOGA FOR THIS POPULATION.	2004	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
18 2754  52 YOGA PRACTICE PREDICTS IMPROVEMENTS IN DAY-TO-DAY PAIN IN WOMEN WITH METASTATIC BREAST CANCER. CONTEXT: WOMEN WITH METASTATIC BREAST CANCER (MBC) EXPERIENCE A SIGNIFICANT SYMPTOM BURDEN, INCLUDING CANCER PAIN. YOGA IS A MIND-BODY DISCIPLINE THAT HAS SHOWN PROMISE FOR ALLEVIATING CANCER PAIN, BUT FEW STUDIES HAVE INCLUDED PATIENTS WITH METASTATIC DISEASE OR EXAMINED THE ACUTE EFFECTS OF YOGA PRACTICE. OBJECTIVES: TO DETERMINE WHETHER DAILY PAIN CHANGED SIGNIFICANTLY DURING A RANDOMIZED CONTROLLED TRIAL OF THE MINDFUL YOGA PROGRAM AMONG WOMEN WITH MBC AND WHETHER TIME SPENT IN YOGA PRACTICE WAS RELATED TO DAILY PAIN. METHODS: ON ALTERNATE WEEKS DURING THE INTERVENTION PERIOD, WE COLLECTED DAILY MEASURES OF PAIN FROM A SUBSET OF 48 WOMEN RANDOMIZED TO EITHER YOGA (N = 30) OR A SUPPORT GROUP CONDITION (N = 18). WE ALSO ASSESSED DAILY DURATION OF YOGA PRACTICE AMONG PATIENTS RANDOMIZED TO YOGA. RESULTS: PAIN LEVELS WERE LOW FOR WOMEN IN BOTH CONDITIONS, AND NO DIFFERENTIAL TREATMENT EFFECTS WERE FOUND ON DAILY PAIN. HOWEVER, AMONG WOMEN RANDOMIZED TO YOGA, A DOSE/RESPONSE RELATIONSHIP WAS FOUND BETWEEN YOGA PRACTICE DURATION AND DAILY PAIN. WHEN PATIENTS HAD SPENT RELATIVELY MORE TIME PRACTICING YOGA ACROSS TWO CONSECUTIVE DAYS, THEY WERE MORE LIKELY TO EXPERIENCE LOWER PAIN ON THE NEXT DAY. THIS FINDING IS CONSISTENT WITH AN EARLIER MBC STUDY. MEDITATION PRACTICE SHOWED THE STRONGEST ASSOCIATION WITH LOWER DAILY PAIN. CONCLUSION: FINDINGS SUGGEST THAT YOGA PRACTICE (MEDITATION PRACTICE IN PARTICULAR) IS ASSOCIATED WITH ACUTE IMPROVEMENTS IN CANCER PAIN, AND THAT YOGA INTERVENTIONS MAY BE MORE IMPACTFUL IF TESTED IN A SAMPLE OF PATIENTS WITH ADVANCED CANCER IN WHICH PAIN IS RELATIVELY ELEVATED.	2021	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
19 2524  42 YOGA DURING PREGNANCY: EFFECTS ON MATERNAL COMFORT, LABOR PAIN AND BIRTH OUTCOMES. THIS STUDY EXAMINED THE EFFECTS OF A YOGA PROGRAM DURING PREGNANCY, ON MATERNAL COMFORT, LABOR PAIN, AND BIRTH OUTCOMES. A RANDOMIZED TRIAL WAS CONDUCTED USING 74-PRIMIGRAVID THAI WOMEN WHO WERE EQUALLY DIVIDED INTO TWO GROUPS (EXPERIMENTAL AND CONTROL). THE YOGA PROGRAM INVOLVED SIX, 1-H SESSIONS AT PRESCRIBED WEEKS OF GESTATION. A VARIETY OF INSTRUMENTS WERE USED TO ASSESS MATERNAL COMFORT, LABOR PAIN AND BIRTH OUTCOMES. THE EXPERIMENTAL GROUP WAS FOUND TO HAVE HIGHER LEVELS OF MATERNAL COMFORT DURING LABOR AND 2H POST-LABOR, AND EXPERIENCED LESS SUBJECT EVALUATED LABOR PAIN THAN THE CONTROL GROUP. IN EACH GROUP, PAIN INCREASED AND MATERNAL COMFORT DECREASED AS LABOR PROGRESSED. NO DIFFERENCES WERE FOUND, BETWEEN THE GROUPS, REGARDING PETHIDINE USAGE, LABOR AUGMENTATION OR NEWBORN APGAR SCORES AT 1 AND 5 MIN. THE EXPERIMENTAL GROUP WAS FOUND TO HAVE A SHORTER DURATION OF THE FIRST STAGE OF LABOR, AS WELL AS THE TOTAL TIME OF LABOR.	2008	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
20 2523  39 YOGA DURING PREGNANCY: A REVIEW. THE PURPOSE OF THIS REVIEW ARTICLE IS TO EVALUATE THE PERIPARTUM OUTCOMES OF YOGA DURING PREGNANCY, INCLUDING THE POSTPARTUM PERIOD AND LACTATION. THE PUBMED DATABASE WAS ANALYZED FROM JANUARY 1970 TO JANUARY 2011. WE IDENTIFIED FIVE PROSPECTIVE OBSERVATIONAL STUDIES (N = 575) AND THREE RANDOMIZED CLINICAL TRIALS (RCTS; N = 298), WHICH WERE ANALYZED SEPARATELY. THE NONRANDOMIZED TRIALS INDICATED A SIGNIFICANT REDUCTION IN RATES OF PRETERM LABOR (P < 0.0006), INTRAUTERINE GROWTH RETARDATION (P <0.003), LOW BIRTH WEIGHT (P < 0.01), PREGNANCY DISCOMFORTS (P = 0.01), AND PERCEIVED SLEEP DISTURBANCES (P = 0.03) IN THOSE WHO PRACTICED YOGA DURING PREGNANCY. RESULTS OF THE RCTS INDICATED THAT DOING YOGA DURING PREGNANCY CAN SIGNIFICANTLY LOWER PAIN AND DISCOMFORT (P < 0.05) AND PERCEIVED STRESS (P = 0.001) AND IMPROVE QUALITY OF LIFE IN PHYSICAL DOMAINS (P = 0.001). ALL THREE RCTS WERE POORLY COMPLIANT WITH THE CONSOLIDATED STANDARD OF REPORTING TRIALS STATEMENT. WHILE AWAITING AN APPROPRIATELY DESIGNED RCT TO DETERMINE THE BENEFITS OF YOGA DURING PREGNANCY, IT REMAINS A VIABLE EXERCISE OPTION.	2012