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IRCT201008193706N5 IRCT 2010-11-20 Research deputy of Tabriz university of medical sciences Effect of exercise on postpartum depression and postpartum fatigue Effect of exercise on postnatal depression and fatigue in clients of health centers: A randomized controlled clinical trial 2010-07-23 anticipated 126 Complete https://irct.ir/trial/3798 interventional Randomization: Randomized, Blinding: Not blinded, Placebo: Not used, Assignment: Parallel, Purpose: Prevention. N/A postpartum depression. Intervention 1: C (prenatal and postpartum exercise): women in this group in addition to getting education and doing prenatal exercise will do postpartum exercise in 4 first weeks if they can and then 3 times a week according to the postpartum exercise CD. Intervention 2: B (prenatal exercise): in this group women after getting one session of theoretical and practical education about prenatal exercise (30-40 min) will exercise 3 times a week according to the CD (the materials of this CD was approved by ministry of health and medical education). Intervention 3: A (control): in this group women will get prenatal and postpartum ordinary educations in 3 sessions (each session takes 15-20 minutes). http://www.ncbi.nlm.nih.gov/pubmed/24620734 The effect of a home-based exercise intervention on postnatal depression and fatigue: A randomized controlled trial <br /> Mohammadi F, Malakooti J, Babapoor J, Mohammad-Alizadeh-Charandabi S.<br /> This study aims to determine the effectiveness of home-based low-intensity stretching and breathing exercises on the reduction of 1 and 2 month post-partum depression (primary outcome) and fatigue (secondary outcome) scores. In this randomized controlled trial, 127 women at 26–32 weeks’ gestation with Edinburgh score less than 15, who attended 14 selected health centres in Tabriz, Iran, were randomly allocated into one of the following three groups: no intervention group, group receiving training for exercise during pregnancy, and group receiving training for exercise during pregnancy and post-partum period until 2 months after delivery. Depression and fatigue scores were measured using the Edinburgh Postnatal Depression Scale and Fatigue Identification Form, respectively, at baseline, 1 month and 2 months after delivery.<br /> The data were analysed with SPSS-ver. 13.0 (SPSS Inc, Chicago, IL, USA) using chi-square, Fisher’s exact and Kruskal–Wallis tests. Mean rank of the difference scores of depression and fatigue were not significantly different among the groups, both at 1 and 2 months post-partum (P > 0.05). Therefore, this study did not provide evidence to show that training women to do the home-based exercises during pregnancy or during pregnancy and post-partum period have a<br /> preventive effect on post-partum depression and fatigue. However, more studies are needed for making precise judgment.<br /> Key words: exercise, postnatal depression, postnatal fatigue.
public Mohammadi Fatemeh
Golgasht St.
Tabriz Iran (Islamic Republic of) +98 41 1332 2127 f.mohammadi87@gmail.com Tabriz university of medical sciences scientific Sakineh Mohammad-Alizadeh Charandabi
Faculty of Nursing and Midwifery, South Shariati
Tabriz Iran (Islamic Republic of) +98 41 1477 2699 alizades@tbzmed.ac.ir smoalch@yahoo.com Faculty of Nursing and Midwifery, Tabriz University of Medical Sciences Iran (Islamic Republic of) Iran (Islamic Republic of) Iran (Islamic Republic of) Iran (Islamic Republic of) Iran (Islamic Republic of) Iran (Islamic Republic of) Iran (Islamic Republic of) Iran (Islamic Republic of) Iran (Islamic Republic of) Iran (Islamic Republic of) Iran (Islamic Republic of) Iran (Islamic Republic of) Iran (Islamic Republic of) Inclusion criteria: Pregnant women with 26-32 weeks of gestational age and with an alive fetus; 6 years or over education; not currently suffering from disease that would limit exercise (cardiopulmonary, musculoskeletal,...); not currently taking medication that interferes with heart rate response to exercise - no history of threaded to abortion in present pregnancy - no signs of preterm labor in present pregnancy; not having the placenta previa in present pregnancy; nonexistence of fetal malformations; score of less than 15 on the Edinburgh scale; no history of medication and hospitalization for a psychiatric disorder in the past 6 months; not currently participating in regular high tensity exercise (60 min or more in a week); having the CD-player set or computer and knowing how to use it. Exclusion criteria: obstetric or concomitant disease which would have preclude participation in an exercise program; any condition that would make exercise unsafe or unwise (vaginal bleeding, rupture of membrane, palpitation, dyspnea,....); occurring the fetal or infant death during the study; confirmed fetal malformations. 15 years 40 years Female F32 deppressive episode Other Other N/A C (prenatal and postpartum exercise): women in this group in addition to getting education and doing prenatal exercise will do postpartum exercise in 4 first weeks if they can and then 3 times a week according to the postpartum exercise CD. B (prenatal exercise): in this group women after getting one session of theoretical and practical education about prenatal exercise (30-40 min) will exercise 3 times a week according to the CD (the materials of this CD was approved by ministry of health and medical education). A (control): in this group women will get prenatal and postpartum ordinary educations in 3 sessions (each session takes 15-20 minutes). Postpartum depression. Timepoint: 1) befor intervention, 2) 4 and 8 weeks after birth. Method of measurement: Edinburgh scale. Potpartum fatigue. Timepoint: 1)before intervention, 2) 4 and 8 weeks after birth. Method of measurement: fatigue identification form. Research deputy of Tabriz university of medical sciences Approved 2010-10-14 Research deputy, Tabriz University of Medical Sciences Golgasht street Tabriz Iran (Islamic Republic of)