Document Type : Original Article
Authors
General Course Department, School Management and Medical Informatics, Isfahan University of Medical Sciences Isfahan, Iran
Abstract
INTRODUCTION: Stress in pregnancy can have a negative effect on mother and fetus and at last
on childhood. The use of stress reduction techniques in pregnant women has an effective role in
the reduction of the mother and child’s mental problems. This study aimed at determining the effect
of static immersion and relaxing the pregnant women in water on stress, participating in preparation
classes for childbirth in Isfahan, Iran, 2017.
METHODS: The present study was a semi‑experimental and had pre‑ and post‑test
one on 55 pregnant women aged 20–30 weeks (20 test group and 35 control group)
participating in the preparation classes for delivery by available sampling method selected in
2017 and their stress level was assessed by depression, anxiety, and stress scale questionnaire.
Then, they were divided into test and control groups. In the control group, no intervention was
performed, and in the test group, static immersion and calming in water was done in Isfahan
University’s 9‑Dey Pool. To analyze the data, paired t‑test, Chi‑square t‑test, and independent
t‑test were used.
RESULTS: In this study, stress in the test group decreased after the intervention, so that the mean
stress score decreased from 20.20 to 16.67 (P < 0.05). Of course, the stress level declined in the
control group, but in the control group, it decreased significantly.
CONCLUSION: Based on the findings of the present study, static immersion and calming in water
are considered as reducing women’s stress intervention in improving pregnancy period and are
therefore recommended to be included in the sanitary system.
Keywords
Alizadeh‑Charandabi S. The effect of Holly Quran voice with
and without translation on stress, anxiety and depression during
pregnancy: A randomized controlled trial. JRelig Health 2017; 1‑11 2. Jabbari Z, Hashemi H, Haghayegh A. Effectiveness of stress
management in cognitive‑behavioral style on stress and anxiety,
depression in pregnant women. Shahid Rajaie Health Center,
1968. Shahrzad Health Res Center 2012;8:1962‑8.
3. Junge C, Garthus‑Niegel S, Slinning K, Polte C, Simonsen TB,
Eberhard‑Gran M, et al. The impact of perinatal depression on
children’s social‑emotional development: A longitudinal study.
Matern Child Health J 2017;21:607‑15.
4. Ahmadzadeh GH, Sadeghizadeh A, Amanat S, Omrani Fard V,
Afshar H. Prevalence of depression in pregnant women and its
association with some socioeconomic factors. Isfahan University
of Medical Sciences. Hormozgan Med J 2006;10:329‑34.
5. Montazeri A, Mousavi Seyyed J, Omidvari S, Tavousi M,
Hashemi A, Rostami T. Depression in Iran: A systematic
review of the research texts of the Mental Health Group. Health
Research Center, Health Research Institute. Tehran Univ Med Sci
2013;6:567‑94.
6. Gurber B, Blattmann D, Lemola S, Yaussic von W, Surbek D,
Grob A, et al. Maternal mental health in the first 3‑week
postpartum the impact of caregiver support and the subjective
experience of childbirth – A longitudinal path analysis. Eur Obstet
Gynecol Reprod Biol 2017;215:68‑74.
7. Darehshouri MohammadiZ, Salek Nejad S, Sarvaghd S. The
effectiveness of stress management training on cognitive
behavioral group therapy on state/trait anxiety, pregnancy
anxiety, and mental health in nulliparous women. Islamic Azad
University, Fars Science and Research Branch, Shiraz, Iran.
Jannatashapir Sci Res J 2012;3:495‑504.
8. Sadock B J, Sadock V A, Ruiz P.. Kaplan and Sadock Behavioral
Sciences and Clinical Psychology2015. Arjmand publisher. 11
edition. p. 43, 421, 110, 122, 496, 439.
9. Grigoriadis S. Antenatal Depression: Pregnancy and Neonatal
Outcomes. Literature Review Current Through; 2017.
10. Rezaeian S, Abedian Z, Rahbarodsari L, Seyyed RM, Dadgar M.
Relationship between stress, anxiety, and depression in women
at risk for preterm delivery. IJOGI.2017 20 (3) 68‑76.
11. Andersson L, Sundstrom‑poromaa I, Wulff M, Astrom M, Bixo M..
Depression and anxiety during pregnancy and six months
postpartum a follow‑up study. Acta Obstet Gynecol Scand 2006;
85:937‑44.
12. Hasanjanzadeh P, Faramarzi M. Relationship between
maternal general and specific‑pregnancy stress, anxiety, and
depression symptoms and pregnancy outcome. J Clin Diagn Res
2017;11:VC04‑7.
13. Rafiee B, Akbarzadeh M, Asadi N, Zare N. Comparison of
attachment and relaxation training effects on anxiety in third
trimester and postpartum depression among primipara women.
Journal of hayat. 2013. 19 (1): 76‑88.
14. Astarabaady M. The effectiveness of yoga exercises on reducing
the anxiety of labor and improving the mental health of pregnant
women. National Conference on Jurisprudence, Jurisprudence
and Jurisprudence. The Seal Institute of Bandar Abbas City; 2011.
p. 8.
15. Juhl M, Kogevinas M, Andersen PK, Andersen AM, Olsen J.
Is swimming during pregnancy a safe exercise? Epidemiology
2010;21:253‑8.
16. Schitter A M, Nedeljkovic M, Baur H, Fleckenstein J, Raio L.,.
Effects of Passive Hydrotherapy WATSU (water shiatsu) in the
Third Trimester of Pregnancy: Results of a Controlled Pilot.
Evidence‑Based Complementary and Alternative Medicine. 2015.
17. Kresowaty L. Exercise: Pregnancy workouts in the water Make
a splash with these fun and safe water workouts for expectant
moms. Rogers Digital Media Community: 2015.
18. Asmite SH, Yvonne M. A pilot study on the effects of
aquatic exercise on discomforts of pregnancy. J Obstet Gynecol
Neonatal Nurs Coll Nurs Med Univ South Carolina 2006;
35:3p315‑23.
19. BarakatR, PeralesM, CorderoY, BacchiM, MottolaMF. Influence of
land or water exercise in pregnancy on outcomes: Across‑sectional
study. Med Sci Sports Exerc 2017;49:1397‑403.
20. Ayyoubi SH, Bostan N. The effectiveness of physiological
delivery education on stress, anxiety, depression in pregnant
women. International Conference on Innovation in Science and
Technology. Islamic Azad University, Kermanshah Branch,
Faculty of Literature and Humanity; 28 November, 2018.
21. Vallim V, Yosim S, Yose G, Cecatti J G, Baciuk E, Silveira C, et al.
Water exercises and quality of life during pregnancy. Am Coll
Obstet Gynecol 2011;11:VC04‑7.
22. Navas A, Artigues C, Leiva A, Portells E, Soler A, Cladera A,
et al. Effectiveness and safety of moderate‑intensity aerobic
water exercise during pregnancy for reducing use of epidural
analgesia during labor: Protocol for a randomized clinical trial.
BMC Pregnancy Childbirth 2018;18:94.
23. Sayed Ahmadinejad F, Golmakani N, Asghari Pour N, Shakeri N.
The effect of progressive muscle relaxation on depression, anxiety
and stress in primal pregnant women. Q J Evid Based Care
Mashhad 2014;5:67‑75.
24. Rahimi F, Ahmadi M, Rosta F, Village M, Alawi Majid H,
Valiani M. The effect of tone training on the anxiety of pregnant
women in high risk group. Shahid Beheshti University of Tehran,
Improvement of Safety and Propagation of Injuries. 2014.
2 (3):180‑8.