Clinical trial NCT05828615: Breathing Exercise in Pregnancy-induced Hypertension
Official title: Effects of Breathing Control vs Alternate Nostril Breathing on Maternal Cardiovascular Parameters in Pregnancy Induced Hypertension
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Pregnancy Induced Hypertension
Keywords: Breathing control
Alternate nostril breathing
Maternal cardiovascular parameters
Fetal Heart rate
Lead sponsor: Riphah International University
Sponsor class: OTHER
First posted: 2023-04-25
Enrollment: 46
Sex: FEMALE
Minimum age (years): 20
Maximum age (years): 35
Standard ages: ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: PREVENTION

Brief summary: To determine the effects of Breathing control vs Alternate nostril breathing on maternal cardiovascular parameters in pregnancy and to determine the effect of breathing control vs Alternate nostril breathing on Fetal Heart rate. Many evidence-based studies show breathing exercises have beneficial and useful effects on the hypertensive population and also have positive effects on pregnancy-induced hypertension.

Detailed description: Many breathing interventions are used for pregnancy-induced hypertension but the comparison is limited between two breathing techniques. In this study, a comparison will be carried out between evidence-based breathing techniques including breathing control and alternate nostril breathing to see which of these two exercises gives the best effects on females with pregnancy-induced hypertension.

Eligibility criteria: Inclusion Criteria:

* Females with 3rd-trimester pregnancies included
* BMI\<3
* Diagnosed pregnancy-induced HTN

Exclusion Criteria:

* An exaggerated response to exercise on BP ( 160/110 mmHg )
* Uncontrolled Diabetics or asthma
* Cardiac diseases
* Orthopedic complications
* Using anti-epileptic drugs and
* Hyperthyroidism or hypothyroidism

Primary outcomes:
measure: Blood Pressure
timeFrame: 12 weeks
measure: Oxygen Saturation
timeFrame: 12 weeks
measure: Functional capacity
timeFrame: 12 weeks
measure: Quality of life(QOL) (postpartum)
timeFrame: 12 weeks
Secondary outcomes:
measure: Fetal Heart rate
timeFrame: 8 weeks
Other outcomes:
Locations:
city: Gujrāt
country: Pakistan
facility: Punjab medical center Gujarat.
state: Punjab
Study officials:
affiliation: Riphah International University
name: Mehwish Waseem, MSPT(CPPT)
role: PRINCIPAL_INVESTIGATOR
References:
citation: 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 May-Jun;21(3):331-6. doi: 10.4103/1735-9066.180382.
citation: Felton M, Hundley VA, Grigsby S, McConnell AK. Effects of slow and deep breathing on reducing obstetric intervention in women with pregnancy-induced hypertension: a feasibility study protocol. Hypertens Pregnancy. 2021 Feb;40(1):81-87. doi: 10.1080/10641955.2020.1869250. Epub 2021 Jan 19.
citation: Tsakiridis I, Bakaloudi DR, Oikonomidou AC, Dagklis T, Chourdakis M. Exercise during pregnancy: a comparative review of guidelines. J Perinat Med. 2020 Jul 28;48(6):519-525. doi: 10.1515/jpm-2019-0419.