Can the Prenatal Gentle Yoga and Dhikr Combination Improve the Pregnant Women's Sleep Quality?

Authors

  • Nurhidayah Nurhidayah UIN Alauddin Makassar, Indonesia
  • Nurul Fadhilah Gani UIN Alauddin Makassar, Indonesia
  • Hasnah Hasnah UIN Alauddin Makassar, Indonesia
  • Kusrini.S. Kadar Ajman University, United Arab Emirates

DOI:

https://doi.org/10.31101/jkk.3630

Keywords:

dhikr, prenatal gentle yoga, pregnant women, sleep quality

Abstract

Poor sleep quality is a common complaint among pregnant women, yet it is often underestimated as a factor that may contribute to the morbidity of both the mother and the fetus. Non-pharmacological interventions to improve sleep quality in pregnant women could serve as a therapeutic option with minimal side effects. Unfortunately, research on non-pharmacological interventions combining prenatal gentle yoga with dhikr is still rare. This study aims to investigate the effect of the prenatal gentle yoga and dhikr combination on the pregnant women’s sleep quality. This is a quasi-experimental study with pre-and post-design. The study was conducted at the Bajeng Health Center, Gowa Regency, from April to May 2022. The sample was selected using purposive sampling, resulting in 15 samples. Pregnant women were given the prenatal gentle yoga and dhikr combination intervention three times within one month, with a duration of 10-15 minutes per session. Sleep quality was measured before and after the intervention using the Pittsburgh Sleep Quality Index (PSQI). Univariate analysis and bivariate analysis were conducted using descriptive analysis and the Wilcoxon test, respectively. The results showed that there was an effect of the prenatal gentle yoga and dhikr combination on the pregnant women’s sleep quality (p-value 0.00). This intervention was effective in improving the pregnant women’s sleep quality. The findings of this study highlight the need for healthcare providers to recommend this minimal side-effect intervention as a complementary therapy. Further research with a bigger sample size is needed to explore the broader benefits of this combined intervention.

References

ACOG. (2020). Physical Activity and Exercise During Pregnancy and the Postpartum Period. Obstetrics & Gynecology, 135(4). https://www.acog.org/-/media/project/acog/acogorg/clinical/files/committee-opinion/articles/2020/04/physical-activity-and-exercise-during-pregnancy-and-the-postpartum-period.

Aflahiyah, S., Tamtono, D. G., & Prasetya, H. (2020). Effectiveness of Prenatal Yoga on Sleep Quality and Reduction of Anxiety During Pregnancy: A Meta-Analysis. Journal of Maternal and Child Health, 5(6), 629–640. https://doi.org/10.26911/thejmch.2020.05.06.03

Aisyatin Kamila. (2022). Psikoterapi Dzikir Dalam Menangani Kecemasan. Happiness, Journal of Psychology and Islamic Science, 4(1), 40–49. https://doi.org/10.30762/happiness.v4i1.363

Anjastya, H. A., & Yuniartika, W. (2022). Spiritual Spiritual Therapy (Dhikr) can Decrease Blood Sugar Levels in Diabetes Mellitus Patients in the Intensive Care Unit (ICU): A Study Literature. KLASICS, 2(01), Article 01. https://doi.org/10.46233/klasics.v2i01.545

Aprilia;, Y. (2020). Prenatal Gentle Yoga: Kunci Melahirkan dengan Lancar, Aman, Nyaman dan Minim Trauma (Jakarta). Gramedia Pustaka Utama.

Bazalakova, M. (2017). Sleep Disorders in Pregnancy. Seminars in Neurology, 37(6), 661–668. https://doi.org/10.1055/s-0037-1608843

Boopalan, D., Vijayakumar, V., Ravi, P., shanmugam, P., Kunjumon, B., & Kuppusamy, M. (2023). Effectiveness of antenatal yoga in reducing intensity of labour pain: A systematic review and meta-analysis. European Journal of Obstetrics & Gynecology and Reproductive Biology: X, 19, 100214. https://doi.org/10.1016/j.eurox.2023.100214

Cai, S., Tan, S., Gluckman, P. D., Godfrey, K. M., Saw, S. M., Teoh, O. H., Chong, Y. S., Meaney, M. J., Kramer, M. S., & Gooley, J. J. (2017). Sleep quality and nocturnal sleep duration in pregnancy and risk of gestational diabetes mellitus. Sleep, 40(2), 5–12. https://doi.org/10.1093/sleep/zsw058

Chang, C.-Y., Gau, M.-L., Huang, C.-J., & Cheng, H.-M. (2022). Effects of non-pharmacological coping strategies for reducing labor pain: A systematic review and network meta-analysis. PloS One, 17(1), e0261493. https://doi.org/10.1371/journal.pone.0261493

Chaudhry, S. K., & Susser, L. C. (2018). Considerations in Treating Insomnia During Pregnancy: A Literature Review. Psychosomatics, 59(4), 341–348. https://doi.org/10.1016/j.psym.2018.03.009

Chen, X., Liu, Y., Liu, M., Min, F., Tong, J., Wei, W., Sun, L., Zhang, T., & Meng, Q. (2023). Prevalence and associated factors of insomnia symptoms among pregnant women in the third trimester in a moderately developing region of China. BMC Public Health, 23(1), 2319. https://doi.org/10.1186/s12889-023-17269-0

Effati-Daryani, F., Mohammad‐Alizadeh‐Charandabi, S., Mohammadi, A., Zarei, S., & Mirghafourvand, M. (2019). Evaluation of Sleep Quality and Its Socio-demographic Predictors in Three Trimesters of Pregnancy among Women Referring to Health Centers in Tabriz, Iran: A Cross-sectional Study. Evidence Based Care, 9(1), 69–76. https://doi.org/10.22038/ebcj.2019.33756.1862

Hashmi, A. M., Bhatia, S. K., Bhatia, S. K., & Khawaja, I. S. (2016). Insomnia during pregnancy: Diagnosis and Rational Interventions. Pakistan Journal of Medical Sciences, 32(4). https://doi.org/10.12669/pjms.324.10421

Ismiyati, A., & Faruq, Z. H. (2020). Pengaruh prenatal yoga terhadap kualitas tidur pada ibu hamil trimester III. Puinovakesmas, 1(2), 70–77. https://doi.org/10.29238/puinova.v1i2.890

Jemere, T., Getahun, B., Tadele, F., Kefale, B., & Walle, G. (2021). Poor sleep quality and its associated factors among pregnant women in Northern Ethiopia, 2020: A cross sectional study. PLOS ONE, 16(5), e0250985. https://doi.org/10.1371/journal.pone.0250985

Khadka, R., Hong, S. A., & Chang, Y.-S. (2020). Prevalence and determinants of poor sleep quality and depression among postpartum women: A community-based study in Ramechhap district, Nepal. International Health, 12(2), 125–131. https://doi.org/10.1093/inthealth/ihz032

Lu, Q., Zhang, X., Wang, Y., Li, J., Xu, Y., Song, X., Su, S., Zhu, X., Vitiello, M. V., Shi, J., Bao, Y., & Lu, L. (2021). Sleep disturbances during pregnancy and adverse maternal and fetal outcomes: A systematic review and meta-analysis. Sleep Medicine Reviews, 58, 101436. https://doi.org/10.1016/j.smrv.2021.101436

Marwiyah, N., & Sufi, F. (2018). Pengaruh Senam Hamil Terhadap Kualitas Tidur Ibu Hamil Trimester II dan III di Kelurahan Margaluyu Wilayah Kerja Puskesmas Kasemen. Faletehan Health Journal, 5(3), 123–128. https://doi.org/10.33746/fhj.v5i3.34

Miller, M. A., Mehta, N., Clark-Bilodeau, C., & Bourjeily, G. (2020). Sleep Pharmacotherapy for Common Sleep Disorders in Pregnancy and Lactation. Chest, 157(1), 184–197. https://doi.org/10.1016/j.chest.2019.09.026

Okun, M. L., Ebert, R., & Saini, B. (2015). A review of sleep-promoting medications used in pregnancy. American Journal of Obstetrics and Gynecology, 212(4), 428–441. https://doi.org/10.1016/j.ajog.2014.10.1106

Peiris, M. S. K., & Sundarapperuma, T. D. (2024). Determinants of sleep quality among pregnant women in a selected institution in the Southern province, Sri Lanka. PLOS ONE, 19(7), e0305388. https://doi.org/10.1371/journal.pone.0305388

Polo‐Kantola, P., Aukia, L., Karlsson, H., Karlsson, L., & Paavonen, E. J. (2017). Sleep quality during pregnancy: Associations with depressive and anxiety symptoms. Acta Obstetricia et Gynecologica Scandinavica, 96(2), 198–206. https://doi.org/10.1111/aogs.13056

Reichner, C. A. (2015). Insomnia and sleep deficiency in pregnancy. Obstetric Medicine, 8(4), 168–171. https://doi.org/10.1177/1753495X15600572

Resmaniasih, K., & Herlinadyaningsih. (2021). Pengaruh Prenatal Yoga Terhadap Kulitas Tidur Ibu Hamil Trimester III. Jurnal Kesehatan Madani Medika, 12(02), 252–258.

Reutrakul, S., Anothaisintawee, T., Herring, S. J., Balserak, B. I., Marc, I., & Thakkinstian, A. (2018). Short sleep duration and hyperglycemia in pregnancy: Aggregate and individual patient data meta-analysis. Sleep Medicine Reviews, 40, 31–42. https://doi.org/10.1016/j.smrv.2017.09.003

Rhomadona, S. W., & Primihastuti, D. (2021). Combination of Prenatal Gentle Yoga Exercises and Lavender Aromaterapy Inhalation To Improving Sleep Quality in Trimester Iii Pregnant Women. Journal of Midwifery, 5(1), 42. https://doi.org/10.25077/jom.5.1.42-49.2020

Román-Gálvez, R. M., Amezcua-Prieto, C., Salcedo-Bellido, I., Martínez-Galiano, J. M., Khan, K. S., & Bueno-Cavanillas, A. (2018). Factors associated with insomnia in pregnancy: A prospective Cohort Study. European Journal of Obstetrics, Gynecology, and Reproductive Biology, 221, 70–75. https://doi.org/10.1016/j.ejogrb.2017.12.007

Salari, N., Darvishi, N., Khaledi-Paveh, B., Vaisi-Raygani, A., Jalali, R., Daneshkhah, A., Bartina, Y., & Mohammadi, M. (2021). A systematic review and meta-analysis of prevalence of insomnia in the third trimester of pregnancy. BMC Pregnancy and Childbirth, 21(1), 284. https://doi.org/10.1186/s12884-021-03755-z

Sedov, I. D., Anderson, N. J., Dhillon, A. K., & Tomfohr-Madsen, L. M. (2021). Insomnia symptoms during pregnancy: A meta-analysis. Journal of Sleep Research, 30(1), e13207. https://doi.org/10.1111/jsr.13207

Setyaningsih, A., Sofia, N. A., & Probosuseno. (2020). The Combination Effects of Physical Exercise and Dzikr for Anxiety Symptoms Improvement in the Elderly Hajj Pilgrim Candidates in Sragen. Acta Interna The Journal of Internal Medicine, 10(2).

Setyowati, A., & Chung, M.-H. (2021). Validity and reliability of the Indonesian version of the Pittsburgh Sleep Quality Index in adolescents. International Journal of Nursing Practice, 27(5), e12856. https://doi.org/10.1111/ijn.12856

Sharma, S. K., Nehra, A., Sinha, S., Soneja, M., Sunesh, K., Sreenivas, V., & Vedita, D. (2016). Sleep disorders in pregnancy and their association with pregnancy outcomes: A prospective observational study. Sleep & Breathing = Schlaf & Atmung, 20(1), 87–93. https://doi.org/10.1007/s11325-015-1188-9

Shidiq, Y. M., & Soleman, S. R. (2023). Penerapan Terapi Dzikir untuk Meningkatkan Kualitas Tidur Pada Lansia di Panti Usia Lanjut ‘Aisyiyah Sumber Surakarta.

Silvestri, R., & Aricò, I. (2019). Sleep disorders in pregnancy. Sleep Science, 12(3), 232–239. https://doi.org/10.5935/1984-0063.20190098

Sufirmansyah. (2021). Edukasi Mindfulness dan Dzikir Bagi Buruh Tani. Jurnal Pkm, 04(05), 545–557.

Sujono, & Sari, N. R. (2020). Peningkatan Kualitas Tidur Lansia dengan Terapi Dzikir: Literatur Review. Jurnal Kesehatan Madani Medika (JKMM), 11(2), Article 2. https://doi.org/10.36569/jmm.v11i2.125

Sumarni, Hatta, S. S., & Kumorojati, R. (2023). Pengaruh Prenatal Yoga terhadap Peningakatan Kualitas Tidur Ibu Hamil Trimester III. Indonesian Scintific Journal Midwifery, 1, 76–84.

Sutcliffe, S., Zhao, P., Pilz, L. K., Oakes, M., Frolova, A. I., Herzog, E. D., & England, S. K. (2023). Risk of pre-term birth as a function of sleep quality and obesity: Prospective analysis in a large Prematurity Research Cohort. SLEEP Advances, 4(1), 1–9. https://doi.org/10.1093/sleepadvances/zpad043

Sweet, L., Arjyal, S., Kuller, J. A., & Dotters-Katz, S. (2020). A Review of Sleep Architecture and Sleep Changes During Pregnancy. Obstetrical & Gynecological Survey, 75(4), 253. https://doi.org/10.1097/OGX.0000000000000770

Takelle, G. M., Muluneh, N. Y., & Biresaw, M. S. (2022). Sleep quality and associated factors among pregnant women attending antenatal care unit at Gondar, Ethiopia: A cross-sectional study. BMJ Open, 12(9), e056564. https://doi.org/10.1136/bmjopen-2021-056564

Tasisa, J. T., Bisetegn, T. A., Hussen, H. U., Abate Moges, A., & Tadesse, M. G. (2022). Poor sleep quality and associated factors among pregnant women on antenatal care follow up at Nekemte Referral Hospital and Wollega University Hospital, Nekemte, Ethiopia, 2019: A cross-sectional study. Sleep Science and Practice, 6(1), 7. https://doi.org/10.1186/s41606-022-00076-8

Tomfohr, L. M., Buliga, E., Letourneau, N. L., Campbell, T. S., & Giesbrecht, G. F. (2015). Trajectories of Sleep Quality and Associations with Mood during the Perinatal Period. SLEEP, 38(8), 1237–1245. https://doi.org/10.5665/sleep.4900

Venugopal, L., Rajendran, P., & V., P. (2018). A study on assessment of sleep quality in south Indian pregnant women. International Journal of Research in Medical Sciences, 6(10), 3197. https://doi.org/10.18203/2320-6012.ijrms20183825

Vézina-Im, L.-A., Moreno, J. P., Thompson, D., Nicklas, T. A., & Baranowski, T. (2017). Individual, social and environmental determinants of sleep among women: Protocol for a systematic review and meta-analysis. BMJ Open, 7(6), e016592. https://doi.org/10.1136/bmjopen-2017-016592

Warland, J., Dorrian, J., Morrison, J. L., & O’Brien, L. M. (2018). Maternal sleep during pregnancy and poor fetal outcomes: A scoping review of the literature with meta-analysis. Sleep Medicine Reviews, 41, 197–219. https://doi.org/10.1016/j.smrv.2018.03.004

Wu, M., Li, X., Feng, B., Wu, H., Qiu, C., & Zhang, W. (2014). Poor Sleep Quality of Third-Trimester Pregnancy is a Risk Factor for Postpartum Depression. Medical Science Monitor : International Medical Journal of Experimental and Clinical Research, 20, 2740–2745. https://doi.org/10.12659/MSM.891222

Xu, T., Feng, Y., Peng, H., Guo, D., & Li, T. (2014). Obstructive sleep apnea and the risk of perinatal outcomes: A meta-analysis of cohort studies. Scientific Reports, 4, 6982. https://doi.org/10.1038/srep06982

Yang, Y., Mao, J., Ye, Z., Zeng, X., Zhao, H., Liu, Y., & Li, J. (2018). Determinants of sleep quality among pregnant women in China: A cross-sectional survey. The Journal of Maternal-Fetal & Neonatal Medicine, 31(22), 2980–2985. https://doi.org/10.1080/14767058.2017.1359831

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Published

2024-12-22

How to Cite

Nurhidayah, N., Gani, N. F., Hasnah, H., & Kadar, K. (2024). Can the Prenatal Gentle Yoga and Dhikr Combination Improve the Pregnant Women’s Sleep Quality?. Jurnal Kebidanan Dan Keperawatan Aisyiyah, 20(2), 101–108. https://doi.org/10.31101/jkk.3630

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