Online Mother and Baby Yoga for Preterm-Born Infants and Their Mothers in the Time of COVID-19 Pandemic
Kanij Fatema, MD Mizanur Rahman, Shaheen Akhter, MD Monir Hossain
Objective: To examine the effectiveness of online mother and baby yoga(O-MBY) on the motor development of preterm infants,and anxiety, postpartum bonding,and QOL of their mothers during the COVID-19 pandemic. Methods: Mother-infant pairs(MIPs) were enrolled in the prospective quasi-randomised controlled trial. Infants whose gestational ages were between 320/7-366/7 weeks,and completed corrected ages of 6 weeks with their mothers who have proper internet access were included. The infants with any neurological/genetic/metabolic/orthopedic diagnosis,and mothers who have any restriction for exercises were excluded. 37 MITPs(out of 75) matched the criteria, were divided into control(n=18) and yoga(n=19) groups. The yoga group received O-MBY for 6-weeks,once a week for 1-hour as a group session by the researcher physiotherapist. Control group was followed by standardized routine care. Assessments were conducted via a videoconference platform as before and after. Motor development of the infants was evaluated with Alberta Infant Motor Scale(AIMS),and recorded for reassessment.The mothers were assessed with State-Trait Anxiety Inventory(STAI),Postpartum Bonding Questionnaire(PPBQ),and World Health Organization Quality of Life Scale-Short Form(WHOQOL-BREF). Results: 29 MIPs(15 yoga,14 control) completed the study.Statistically significant differences were found between the groups in terms of AIMS total score,state anxiety,PPBQ,psychological and environmental subdomains of WHOQOL-BREF(p<0.05). In intragroup analyses, there was a significant improvement in AIMS total scores of both groups(p<0.001).AIMS percentile value, trait anxiety,PPBQ,and all subdomains of WHOQOL-BREF showed improvements only in the yoga group(p<0.05). Conclusions: The results indicate that O-MBY may support the motor development of preterm infants and maternal-infant health, especially during the pandemic.Randomized controlled trials to investigate long-term outcomes should be considered.
Keywords: yoga, preterm infant, motor development, postnatal anxiety
Dilara Bozgan
Halic University
Turkey
Elmas Zeynep İnce
İstanbul University
Gizem Tosun
İstanbul University
Meliha Mine Çalışkan
İstanbul University
Objective: To examine the effectiveness of online mother and baby yoga(O-MBY) on the motor development of preterm infants,and anxiety, postpartum bonding,and QOL of their mothers during the COVID-19 pandemic. Methods: Mother-infant pairs(MIPs) were enrolled in the prospective quasi-randomised controlled trial. Infants whose gestational ages were between 320/7-366/7 weeks,and completed corrected ages of 6 weeks with their mothers who have proper internet access were included. The infants with any neurological/genetic/metabolic/orthopedic diagnosis,and mothers who have any restriction for exercises were excluded. 37 MITPs(out of 75) matched the criteria, were divided into control(n=18) and yoga(n=19) groups. The yoga group received O-MBY for 6-weeks,once a week for 1-hour as a group session by the researcher physiotherapist. Control group was followed by standardized routine care. Assessments were conducted via a videoconference platform as before and after. Motor development of the infants was evaluated with Alberta Infant Motor Scale(AIMS),and recorded for reassessment.The mothers were assessed with State-Trait Anxiety Inventory(STAI),Postpartum Bonding Questionnaire(PPBQ),and World Health Organization Quality of Life Scale-Short Form(WHOQOL-BREF). Results: 29 MIPs(15 yoga,14 control) completed the study.Statistically significant differences were found between the groups in terms of AIMS total score,state anxiety,PPBQ,psychological and environmental subdomains of WHOQOL-BREF(p<0.05). In intragroup analyses, there was a significant improvement in AIMS total scores of both groups(p<0.001).AIMS percentile value, trait anxiety,PPBQ,and all subdomains of WHOQOL-BREF showed improvements only in the yoga group(p<0.05). Conclusions: The results indicate that O-MBY may support the motor development of preterm infants and maternal-infant health, especially during the pandemic.Randomized controlled trials to investigate long-term outcomes should be considered.
Keywords: yoga, preterm infant, motor development, postnatal anxiety
Dilara Bozgan
Halic University
Turkey
Elmas Zeynep İnce
İstanbul University
Gizem Tosun
İstanbul University
Meliha Mine Çalışkan
İstanbul University
Dilara Bozgan
Halic University Turkey
Halic University Turkey