{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T11:41:51Z","timestamp":1791891711576,"version":"4.3.4"},"reference-count":46,"publisher":"Georg Thieme Verlag KG","issue":"05","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Z Geburtshilfe Neonatol"],"published-print":{"date-parts":[[2023,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n          Objective The mental, physical and sexual health of women as well as\n                    maternal and fetal health should be considered during the prenatal and postnatal\n                    periods. Investigating the effect of clinical Pilates exercises and prenatal\n                    education (CPE &amp; PE) on obstetric and neonatal outcomes as well as the\n                    mental, physical, and sexual health of women was intended.<\/jats:p><jats:p>\n          Methods In the second trimester, mothers with singleton pregnancies who\n                    attended (n=79, study group) or did not attend (n=80, control\n                    group) CPE &amp; PR were recruited to this prospective cohort study, and\n                    were evaluated in the prenatal and postnatal periods. Depression was assessed\n                    with Beck Depression Inventory (BDI), sexual functions with Female Sexual\n                    Function Index (FSFI), muscle strength with Gross Muscle Scales (GMS), and labor\n                    pain with Visual Analogue Scale (VAS). In addition, the presence of low back\n                    pain (LBP) was questioned.<\/jats:p><jats:p>\n          Results No significant association of CPE &amp; PE with obstetric\n                    outcomes such as cesarean rates, preterm birth, and neonatal outcomes such as\n                    birth weight and Apgar scores were identified. Changes in VAS scores, the\n                    incidence of perineal trauma, and episiotomy were not associated with CPE\n                    &amp; PE. However, CPE &amp; PE was associated with lower BDI scores, a\n                    gradual increase in the total scores of FSFI, increased GMS, and reduced\n                    LBP.<\/jats:p><jats:p>\n          Conclusion CPE &amp; PE had no adverse effects on obstetric and\n                    neonatal outcomes and was associated with improved mental, physical, sexual\n                    health scores during pregnancy and postpartum.<\/jats:p>","DOI":"10.1055\/a-2096-6454","type":"journal-article","created":{"date-parts":[[2023,7,20]],"date-time":"2023-07-20T22:50:00Z","timestamp":1689893400000},"page":"354-363","source":"Crossref","is-referenced-by-count":9,"title":["The Effect of Clinical Pilates Exercises and Prenatal Education on\n                    Maternal and Fetal Health"],"prefix":"10.1055","volume":"227","author":[{"given":"Y\u0131ld\u0131z Akda\u015f","family":"Reis","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Ankara Etlik Z\u00fcbeyde\n                    Han\u0131m Kad\u0131n Hastal\u0131klar\u0131 E\u011fitim ve\n                    Ara\u015ft\u0131rma Hastanesi, Ankara, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9640-2714","authenticated-orcid":false,"given":"Arife","family":"Akay","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Ankara Etlik Z\u00fcbeyde\n                    Han\u0131m Kad\u0131n Hastal\u0131klar\u0131 E\u011fitim ve\n                    Ara\u015ft\u0131rma Hastanesi, Ankara, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Berrin","family":"Aktan","sequence":"additional","affiliation":[{"name":"Physiotherapist, Ankara Etlik Z\u00fcbeyde Han\u0131m\n                    Kad\u0131n Hastal\u0131klar\u0131 E\u011fitim ve\n                    Ara\u015ft\u0131rma Hastanesi, Ankara, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0535-4313","authenticated-orcid":false,"given":"Sinan","family":"Tetik","sequence":"additional","affiliation":[{"name":"Psychologist, Ankara Etlik Z\u00fcbeyde Han\u0131m Kad\u0131n\n                    Hastal\u0131klar\u0131 E\u011fitim ve Ara\u015ft\u0131rma\n                    Hastanesi, Ankara, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fahri Bur\u00e7in","family":"F\u0131ratl\u0131gil","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Ankara Etlik Z\u00fcbeyde\n                    Han\u0131m Kad\u0131n Hastal\u0131klar\u0131 E\u011fitim ve\n                    Ara\u015ft\u0131rma Hastanesi, Ankara, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fulya","family":"Kay\u0131k\u00e7\u0131o\u011flu","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Ankara Etlik Z\u00fcbeyde\n                    Han\u0131m Kad\u0131n Hastal\u0131klar\u0131 E\u011fitim ve\n                    Ara\u015ft\u0131rma Hastanesi, Ankara, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2023,7,20]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"97","DOI":"10.1016\/j.jad.2005.12.051","article-title":"Cross-cultural and social diversity of prevalence of postpartum depression and\n                    depressive symptoms","volume":"91","author":"U Halbreich","year":"2006","journal-title":"J Affect Disord"},{"key":"ref2","doi-asserted-by":"publisher","first-page":"698","DOI":"10.1097\/01.AOG.0000116689.75396.5f","article-title":"Prevalence of depression during pregnancy: systematic review","volume":"103","author":"H A Bennett","year":"2004","journal-title":"Obstet Gynecol"},{"key":"ref3","doi-asserted-by":"publisher","first-page":"235","DOI":"10.1016\/j.jpsychires.2018.08.001","article-title":"Prevalence and incidence of postpartum depression among healthy mothers: A\n                    systematic review and meta-analysis","volume":"104","author":"S Shorey","year":"2018","journal-title":"J Psychiatr Res"},{"key":"ref4","doi-asserted-by":"publisher","first-page":"537","DOI":"10.1001\/jama.281.6.537","article-title":"Sexual dysfunction in the United States: prevalence and predictors","volume":"281","author":"E O Laumann","year":"1999","journal-title":"JAMA"},{"key":"ref5","doi-asserted-by":"publisher","first-page":"888","DOI":"10.1067\/mob.2001.113855","article-title":"Postpartum sexual functioning and its relationship to perineal trauma: a\n                    retrospective cohort study of primiparous women","volume":"184","author":"L B Signorello","year":"2001","journal-title":"Am J Obstet Gynecol"},{"key":"ref6","doi-asserted-by":"publisher","first-page":"1279","DOI":"10.1007\/s00404-019-05273-y","article-title":"Prevalence of sexual dysfunction in pregnancy","volume":"300","author":"S Daud","year":"2019","journal-title":"Arch Gynecol Obstet"},{"key":"ref7","doi-asserted-by":"publisher","first-page":"923","DOI":"10.1007\/s00192-016-3200-8","article-title":"Sexual function changes during pregnancy","volume":"28","author":"C Ninivaggio","year":"2017","journal-title":"Int Urogynecol J"},{"key":"ref8","doi-asserted-by":"publisher","first-page":"387","DOI":"10.1016\/j.jsxm.2016.12.239","article-title":"Sexual distress and sexual problems during pregnancy: Associations with sexual\n                    and relationship satisfaction","volume":"14","author":"S A Vannier","year":"2017","journal-title":"J Sex Med"},{"key":"ref9","doi-asserted-by":"publisher","first-page":"237","DOI":"10.2174\/1573404816999200925151549","article-title":"Prevalence of sexual dysfunction and related factors in Iranian pregnant women\n                    during the COVID-19 pandemic","volume":"17","author":"A Mohammadi","year":"2021","journal-title":"Curr Womens Health Rev"},{"key":"ref10","doi-asserted-by":"publisher","first-page":"186","DOI":"10.1111\/j.1471-0528.2000.tb11689.x","article-title":"Women's sexual health after childbirth","volume":"107","author":"G Barrett","year":"2000","journal-title":"BJOG"},{"key":"ref11","doi-asserted-by":"publisher","first-page":"700","DOI":"10.1037\/hea0000861","article-title":"Biopsychosocial predictors of trajectories of postpartum sexual function in\n                    first-time mothers","volume":"39","author":"S J Dawson","year":"2020","journal-title":"Health Psychol"},{"key":"ref12","doi-asserted-by":"publisher","first-page":"55","DOI":"10.1007\/s11930-021-00313-8","article-title":"Perinatal sexual dysfunction: the importance of the interpersonal context","volume":"13","author":"E T Fitzpatrick","year":"2021","journal-title":"Curr Sex Health Rep"},{"key":"ref13","doi-asserted-by":"publisher","first-page":"e178","DOI":"10.1097\/AOG.0000000000003772","article-title":"Physical Activity and Exercise During Pregnancy and the Postpartum Period: ACOG\n                    Committee Opinion, Number 804","volume":"135","year":"2020","journal-title":"Obstet Gynecol"},{"key":"ref14","volume-title":"The Pilates Pregnancy: Maintaining Strength, Flexibility, And Your Figure","author":"M Winsor","year":"2001"},{"key":"ref15","doi-asserted-by":"publisher","first-page":"41","DOI":"10.1046\/j.0004-8666.2003.00016.x","article-title":"Changes in body image satisfaction during pregnancy: a comparison of high\n                    exercising and low exercising women","volume":"43","author":"N Boscaglia","year":"2003","journal-title":"Aust N Z J Obstet Gynaecol"},{"key":"ref16","doi-asserted-by":"publisher","first-page":"1318","DOI":"10.1016\/j.obstetgynecol.2003.08.020","article-title":"Postnatal depression and sexual health after childbirth","volume":"102","author":"D Morof","year":"2003","journal-title":"Obstet Gynecol"},{"key":"ref17","doi-asserted-by":"publisher","first-page":"CD002869","DOI":"10.1002\/14651858.CD002869.pub2","article-title":"Individual or group antenatal education for childbirth or parenthood, or\n                    both","volume":"2007","author":"A J Gagnon","year":"2007","journal-title":"Cochrane Database Syst Rev"},{"key":"ref18","first-page":"393","article-title":"The Turkish adaptation of the Female Sexual Function Index","volume":"25","author":"D Aygin","year":"2005","journal-title":"J Med Sci"},{"key":"ref19","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1080\/00926230590475206","article-title":"The female sexual function index (FSFI): cross-validation and development of\n                    clinical cutoff scores","volume":"31","author":"M Wiegel","year":"2005","journal-title":"J Sex Marital Ther"},{"key":"ref20","volume-title":"Manual for the Beck Depression Inventory-II","author":"A T Beck","year":"1996"},{"key":"ref21","doi-asserted-by":"publisher","first-page":"4137","DOI":"10.47423\/TurkishStudies.46722","article-title":"Examination of the Reliability and Validity of the Beck Depression Inventory II\n                    on Pre-service Teachers. Turkish Studies \u2013 Educational","volume":"15","author":"M. Dikmen","year":"2020","journal-title":"Sciences"},{"key":"ref22","doi-asserted-by":"publisher","first-page":"752","DOI":"10.1016\/j.jad.2021.08.152","article-title":"Depressive subfactors and cognitive function in midlife","volume":"295","author":"Y J Lee","year":"2021","journal-title":"J Affect Disord"},{"key":"ref23","doi-asserted-by":"publisher","first-page":"49","DOI":"10.1027\/1015-5759.20.1.49","article-title":"A Comparison of multi-item Likert and Visual Analogue Scales for the assessment\n                    of transactionally defined coping function","volume":"20","author":"D Flynn","year":"2004","journal-title":"Eur J Psychol Assess"},{"key":"ref24","doi-asserted-by":"crossref","first-page":"7","DOI":"10.1249\/01.FIT.0000288535.31493.cc","article-title":"PILATES: A Corrective System of Exercise","volume":"11","author":"M Shedden","year":"2007","journal-title":"ACSM's Health & Fitness Journal"},{"key":"ref26","doi-asserted-by":"publisher","first-page":"389","DOI":"10.1111\/j.1365-2648.2007.04395.x","article-title":"Randomized controlled evaluation of a theory-based postpartum sexual health\n                    education programme","volume":"60","author":"J T Lee","year":"2007","journal-title":"J Adv Nurs"},{"key":"ref27","doi-asserted-by":"publisher","first-page":"226","DOI":"10.1016\/j.midw.2004.01.003","article-title":"Characteristics of Swedish women who do not attend childbirth and parenthood\n                    education classes during pregnancy","volume":"20","author":"H M Fabian","year":"2004","journal-title":"Midwifery"},{"key":"ref28","doi-asserted-by":"publisher","first-page":"20180768","DOI":"10.1098\/rsif.2018.0768","article-title":"Steady hydrodynamic interaction between human swimmers","volume":"16","author":"Z M Yuan","year":"2019","journal-title":"J R Soc Interface"},{"key":"ref29","doi-asserted-by":"publisher","first-page":"22","DOI":"10.1186\/1471-2393-14-22","article-title":"Antenatal psychosomatic programming to reduce postpartum depression risk and\n                    improve childbirth outcomes: a randomized controlled trial in Spain and\n                    France","volume":"14","author":"M A Ortiz Collado","year":"2014","journal-title":"BMC Pregnancy Childbirth"},{"key":"ref30","doi-asserted-by":"publisher","first-page":"108","DOI":"10.1186\/s12905-018-0602-4","article-title":"Predictors of female sexual dysfunction: a systematic review and qualitative\n                    analysis through gender inequality paradigms","volume":"18","author":"M McCool-Myers","year":"2018","journal-title":"BMC Womens Health"},{"key":"ref31","doi-asserted-by":"publisher","first-page":"1343","DOI":"10.1111\/jsm.12092","article-title":"The relationship between depressive\/anxiety symptoms during\n                    pregnancy\/postpartum and sexual life decline after delivery","volume":"10","author":"A Faisal-Cury","year":"2013","journal-title":"J Sex Med"},{"key":"ref32","doi-asserted-by":"publisher","first-page":"CD000180","DOI":"10.1002\/14651858.CD000180.pub2","article-title":"Aerobic exercise for women during pregnancy","volume":"2006","author":"M S Kramer","year":"2006","journal-title":"Cochrane Database Syst Rev"},{"key":"ref33","doi-asserted-by":"publisher","first-page":"295","DOI":"10.1007\/s40279-016-0565-2","article-title":"Leisure-time physical activity in pregnancy and maternal-child health: a\n                    systematic review and meta-analysis of randomized controlled trials and cohort\n                    studies","volume":"47","author":"S G da Silva","year":"2017","journal-title":"Sports Med"},{"key":"ref34","doi-asserted-by":"publisher","first-page":"280","DOI":"10.1016\/s0002-9378(98)80013-6","article-title":"Training in pregnant women: effects on fetal development and birth","volume":"178","author":"K R Kardel","year":"1998","journal-title":"Am J Obstet Gynecol"},{"key":"ref35","doi-asserted-by":"crossref","first-page":"170","DOI":"10.1249\/00005768-199502000-00004","article-title":"Effect of recreational exercise on pregnancy weight gain and subcutaneous fat\n                    deposition","volume":"27","author":"J F Clapp","year":"1995","journal-title":"Med Sci Sports Exerc"},{"key":"ref36","first-page":"S21","article-title":"Lifestyle modifications to prevent and control hypertension. 4. Recommendations\n                    on physical exercise training. Canadian Hypertension Society, Canadian Coalition\n                    for High Blood Pressure Prevention and Control, Laboratory Centre for Disease\n                    Control at Health Canada, Heart and Stroke Foundation of Canada","volume":"160","author":"J Cl\u00e9roux","year":"1999","journal-title":"CMAJ"},{"key":"ref37","doi-asserted-by":"crossref","first-page":"634","DOI":"10.1249\/00005768-199505000-00004","article-title":"Exercise during pregnancy and pregnancy outcome","volume":"27","author":"B Sternfeld","year":"1995","journal-title":"Med Sci Sports Exerc"},{"key":"ref38","doi-asserted-by":"publisher","first-page":"2263","DOI":"10.1249\/MSS.0b013e318267ad67","article-title":"Exercise in pregnancy: effect on fitness and obstetric outcomes-a randomized\n                    trial","volume":"44","author":"B B Price","year":"2012","journal-title":"Med Sci Sports Exerc"},{"key":"ref39","doi-asserted-by":"publisher","first-page":"1410","DOI":"10.1111\/1471-0528.13331","article-title":"The effects of mode delivery on postpartum sexual function: a prospective\n                    study","volume":"122","author":"A De Souza","year":"2015","journal-title":"BJOG"},{"key":"ref40","doi-asserted-by":"publisher","first-page":"12","DOI":"10.1186\/2046-4053-3-12","article-title":"The effect of antenatal education in small classes on obstetric and\n                    psycho-social outcomes: a systematic review and meta-analysis protocol","volume":"3","author":"C S Brixval","year":"2014","journal-title":"Syst Rev"},{"key":"ref41","doi-asserted-by":"publisher","first-page":"271","DOI":"10.1016\/j.ijgo.2004.12.001","article-title":"The effect of exercise on the intensity of low back pain in pregnant women","volume":"88","author":"A Garshasbi","year":"2005","journal-title":"Int J Gynaecol Obstet"},{"key":"ref42","doi-asserted-by":"publisher","first-page":"304","DOI":"10.2340\/16501977-0170","article-title":"Association between muscle function and low back pain in relation to\n                    pregnancy","volume":"40","author":"A Gutke","year":"2008","journal-title":"J Rehabil Med"},{"key":"ref43","doi-asserted-by":"publisher","first-page":"CD004366","DOI":"10.1002\/14651858.CD004366.pub4.","article-title":"Exercise for depression","author":"G E Mead","year":"2009","journal-title":"Cochrane Database Syst Rev"},{"key":"ref44","doi-asserted-by":"publisher","first-page":"217","DOI":"10.1016\/j.amepre.2013.04.004","article-title":"Physical activity, sedentary behavior, and postnatal depressive symptoms: a\n                    review","volume":"45","author":"M Teychenne","year":"2013","journal-title":"Am J Prev Med"},{"key":"ref45","doi-asserted-by":"publisher","first-page":"62","DOI":"10.1111\/j.1600-0412.2011.01262.x","article-title":"Does exercise during pregnancy prevent postnatal depression? A randomized\n                    controlled trial","volume":"91","author":"K M Song\u00f8ygard","year":"2012","journal-title":"Acta Obstet Gynecol Scand"},{"key":"ref46","doi-asserted-by":"publisher","first-page":"13","DOI":"10.1016\/j.sxmr.2018.08.002","article-title":"The effect of pelvic floor muscle exercise on female sexual function during\n                    pregnancy and postpartum: A systematic review","volume":"7","author":"S S Sobhgol","year":"2019","journal-title":"Sex Med Rev"},{"key":"ref47","doi-asserted-by":"publisher","first-page":"27","DOI":"10.1016\/s0022-3999(98)00106-8","article-title":"Sexuality during pregnancy and after childbirth: a metacontent analysis of 59\n                    studies","volume":"47","author":"K. von Sydow","journal-title":"J Psychosom Res"}],"container-title":["Zeitschrift f\u00fcr Geburtshilfe und Neonatologie"],"original-title":[],"language":"de","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/a-2096-6454.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,13]],"date-time":"2023-10-13T22:45:44Z","timestamp":1697237144000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/a-2096-6454"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,7,20]]},"references-count":46,"journal-issue":{"issue":"05","published-online":{"date-parts":[[2023,10,13]]},"published-print":{"date-parts":[[2023,10]]}},"URL":"https:\/\/doi.org\/10.1055\/a-2096-6454","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["0948-2393","1439-1651"],"issn-type":[{"value":"0948-2393","type":"print"},{"value":"1439-1651","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,7,20]]}}}