Pilates Exercises on Postpartum Fatigue, Maternal Functioning and Quality of Life

Study Overview
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Brief Summary
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The aim of the study is to determine the effect of Pilates exercises on postpartum fatigue, maternal functioning and quality of life.

Detailed Description
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the effect of Pilates exercises in reducing postpartum fatigue is not well known however in recent study Pilates exercises alone was quantified which was based on home exercises and had a positive effect, it was conducted in primiparas women, there was also possibility of recall bias due to self report nature of data

Official Title
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Effect of Pilates Exercises on Postpartum Fatigue, Maternal Functioning and Quality of Life

Conditions
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Maternal Fatigue

Intervention / Treatment
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* Other: Pilates excercises, streching and breathing
* Other: stretching and breathing


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Multiparous females Age 18 to 45 years Females with vaginal delivery Two weeks after Spontaneous Vaginal Delivery Fatigue score of >11 on Fatigue Assessment scale Exclusion Criteria: Postpartum depression score greater or equal to 10 , based on the Edinburgh Postnatal Depression scale (EPDS) Postpartum anemia Generalized Anxiety Disorders Chronic illnesses (Diabetes /hypothyroidism)

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 45 Years

Sexes Eligible for Study
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Female

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Double


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Pilates exercises, streching and breathing<br>the intervention Pilates exercises, streching and breathing exercises is administered under supervision | Other: Pilates excercises, streching and breathing<br>* international group receive Pilates exercises, stretching and breathing two times a week (30 min per session) perform 3 to 5 reps of Pilates exercises under supervision<br>Other: stretching and breathing<br>* control group guided with stretching and breathing home based program both group till 8 week both groups<br>|
| Experimental: streching and breathing<br>home based exercise program which is streching and breathing. | Other: stretching and breathing<br>* control group guided with stretching and breathing home based program both group till 8 week both groups<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| postnatal maternal fatigue | The Postnatal Accumulated Fatigue Scale (PAFS) (Tsuchiya et al., 2016) was once used to investigate maternal fatigue and included questions masking the three areas of physical, emotional and cognitive fatigue. The PAFS involves thirteen objects with every coded on a three-point response ranking the place zero = rarely, 1 = sometimes and three = often. Total rankings vary from zero to 39 with greater ratings indicating a greater stage of fatigue. The PAFS consists of questions overlaying three areas of physical, emotional, and cognitive fatigue and has top validity and interior consistency. | 8 Week | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| barkin indexmaternal functioning | The BIMF used to be developed as a multidimensional instrument for measuring maternal functioning in each medical and research settings. It used to be designed in 2010 by way of Barkin et al. This instrument consists of 20 gadgets that cover all factors of maternal functioning, such as self-care, child care, mother-child interaction, household management, psychological well-being, adjustment, and social help. | 8 Week | 
| postnatal quality of life | The Maternal Postpartum Quality of Life (MAPP-QOL) instrument consisted of 41 items. The instrument was intended to be completed by mothers during the early postpartum period following hospital discharge. The development of the instrument had two parts (satisfaction and importance) Part 1 queried the participant about her satisfaction with each item (1-6), with 1 = very dissatisfied and 6 =very satisfied. Part 2 queried about her level of importance with each item, 1 = very dissatisfied and 6 = very satisfied. Scores reflect individual values as well as satisfaction, producing a more accurate reflection of QOL. | 8 Week | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Pilates, maternal fatigue, maternal functioning