The Effectiveness of Prenatal Yoga on Improving Sleep Quality of Pregnant Women in The Third Trimester: A Quasi Experimental Study at Bah Kapul and Simarimbun Health Centres, Pematangsiantar City
Abstract
Disturbances in sleep are common among pregnant women, especially in the third trimester, and can negatively impact the health of both the mother and fetus. Non-pharmacological approaches, such as prenatal yoga, offer a safe and effective way to improve sleep quality. This study aims to evaluate the effectiveness of prenatal yoga in enhancing sleep quality, blood pressure, and breathing among pregnant women in the third trimester in the Bah Kapul and Simarimbun Health Centre areas, Pematangsiantar City. A quasi-experimental design was employed, with an intervention group (n = 30) and a control group (n = 30). The intervention group participated in prenatal yoga sessions lasting 60 minutes, three times a week, for eight weeks (minimum 12 sessions). Sleep quality and disturbance were measured using a dedicated assessment tool, and data analysis was conducted with SPSS. Results showed that prior to the intervention, most participants in both groups reported poor sleep quality. After the intervention, significant improvements were observed in the intervention group (p < 0.001), including a reduction in severe sleep disturbances from 6.7% to 0%. The median sleep quality score increased by 1 point in the intervention group, compared to no change in the control group (p = 0.010), while the sleep disturbance score decreased by a median of 4 points in the intervention group (p = 0.019). No significant changes were found in blood pressure or breathing (p > 0.05). The study received ethical approval from the Health Research Ethics Committee of Politeknik Kesehatan Kemenkes Medan (Reference No: 01.26.696 /KEPK/POLTEKKES KEMENKES MEDAN 2024), and written informed consent was obtained from all participants. In conclusion, prenatal yoga significantly improved sleep quality and reduced sleep disturbances in pregnant women in the third trimester and is recommended as part of the antenatal care program at health centers.
Keyword: Prenatal Yoga, Pregnant Women, Sleep Disorders, Sleep Quality, Third Trimester.
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Anwar, D. K., Moneim, E. F. A., Mohamady, S. H., & Saied, D. S. (2022). Study of traditional methods utilized to relieve minor discomfort during the third trimester of pregnancy. https://doi.org/10.52589/ajhnmvxjsjxph.
Azward, H., Ramadhany, S., Pelupessy, N., Usman, A. N., & Bara, F. T. (2021). Prenatal yoga exercise improves sleep quality in the third trimester of pregnant women. Gaceta Sanitaria, 35, S258–S262. https://doi.org/10.1016/j.gaceta.2021.10.030
Bakri, D. U., Adenin, S. S., & Wahid, I. (2019). Faktor-Faktor Yang Berhubungan Dengan Kejadian Perdarahan Postpartum Pada Ibu Bersalin di Wilayah Kerja Dinas Kesehatan Kabupaten Merangin. Dinamika Kesehatan: Jurnal Kebidanan Dan Keperawatan, 10(2), 546–560. https://doi.org/10.33859/dksm.v10i2.512
Buysse, D. J., Reynolds III, C. F., Monk, T. H., Berman, S. R., & Kupfer, D. J. (1989). The Pittsburgh Sleep Quality Index: a new instrument for psychiatric practice and research. Psychiatry Research, 28(2), 193–213.
Corrigan, L., Eustace-Cook, J., Moran, P., & Daly, D. (2020). The effectiveness and characteristics of pregnancy yoga interventions: a systematic review protocol. HRB Open Research, 2, 33. https://doi.org/10.12688/hrbopenres.12967.2
Elviyanti, D., Sulastri, M., & Saputri, M. T. (2024). Hubungan Kecemasan Dan Aktivitas Fisik Dengan Gangguan Tidur Ibu Hamil TM III Di Rs. Ummi Bengkulu Tahun 2024. Jurnal Kesehatan Mitra Sekawan, 1(1), 7–14. https://doi.org/10.70963/jkmp.v1i1.30
Fransiska Amelya, A., & Herlinda, H. (2024). Asuhan Kebidanan Komprehensif Pada Ibu Hamil G4P3A0 Trimester III Dengan Resiko Tinggi Usia> 35 Tahun Di PMB “E” Betungan Kota Bengkulu Tahun 2024. Sekolah Tinggi Ilmu Kesehatan Sapta Bakti.
Gustina, G., & Nurbaiti, N. (2020). Pengaruh Prenatal Care Yoga terhadap Pengurangan Keluhan Ketidaknyamanan Ibu Hamil Trimester III di Puskesmas Putri AyuKota Jambi. Jurnal Akademika Baiturrahim Jambi, 9(2), 240–245. https://doi.org/10.36565/jab.v9i2.229
Hanafie Das, S. W., Halik, A., Ahdar, & Iman, B. (2022). Prenatal education process based on local wisdom in Indonesia. Education Research International, 2022(1), 6500362. https://doi.org/10.1155/2022/6500362
Holden, S. C., Manor, B., Zhou, J., Zera, C., Davis, R. B., & Yeh, G. Y. (2019). Prenatal yoga for back pain, balance, and maternal wellness: a randomized, controlled pilot study. Global Advances in Health and Medicine, 8, 2164956119870984. https://doi.org/10.1177/216495611987098
Ibrahim, S. W. A., & Zulhijjah, S. (2025). Prenatal Gentle Yoga On The Anxiety Level Of Pregnant Women In The Third Trimester. JKM (Jurnal Kebidanan Malahayati), 11(2), 158–163.
Indrianingrum, I. (2020). Ketidaknyamanan Keluhan Pusing Pada Ibu Hamil Di Wilayah Kerja Puskesmas Gribig Kabupaten Kudus. Jurnal Ilmu Keperawatan Dan Kebidanan, 11(2), 265–271. https://doi.org/10.26751/jikk.v11i2.844
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
Ju, D., Zhang, K., Yuan, M., Li, B., & Zeng, T. (2024). Mediating role of childbirth readiness in the relationship between social support and psychological birth trauma in primiparous women: a nationwide cross-sectional study in China. BMJ Open, 14(9), e080481. https://doi.org/10.1136/bmjopen-2023-080481
Kluny, R., & Dillard, D. M. (2022). Prenatal bonding: the importance of connecting with body and baby. In Fertility, Pregnancy, and Wellness (pp. 439–448). Elsevier. https://doi.org/10.1016/B978-0-12-818309-0.00008-3
Knutson, K. L., Phelan, J., Paskow, M. J., Roach, A., Whiton, K., Langer, G., Hillygus, D. S., Mokrzycki, M., Broughton, W. A., & Chokroverty, S. (2017). The National Sleep Foundation’s sleep health index. Sleep Health, 3(4), 234–240. https://doi.org/10.1016/j.sleh.2017.05.011
Kundarti, F. I., Titisari, I., Sepdianto, T. R. I. C., Karnasih, I., & Sugijati, S. (2020). The Effect of prenatal yoga on anxiety, cortisol and sleep quality. International Journal of Pharmaceutical Research (09752366), 12(3).
Makhija, A., Khatik, N., & Raghunandan, C. (2021). A randomized control trial to study the effect of integrated yoga on pregnancy outcome in hypertensive disorder of pregnancy. Complementary Therapies in Clinical Practice, 43, 101366.
Mayoh, J. (2019). Perfect pregnancy? Pregnant bodies, digital leisure and the presentation of self. Leisure Studies, 38(2), 204–217.
Meilinda, V., & Ayani, L. A. (2020). Pengaruh Senam Yoga Terhadap Peningkatan Kualitas Tidur Pada Ibu Primigravida Trimester Iii. Maternal Child Health Care, 2(3), 381–388.
Muyunda, B., Makasa, M., Jacobs, C., Musonda, P., & Michelo, C. (2016). Higher educational attainment associated with optimal antenatal care visits among childbearing women in Zambia. Frontiers in Public Health, 4, 127. https://doi.org/10.3389/fpubh.2016.00127
Nadholta, P., Kumar, K., Saha, P. K., Suri, V., Singh, A., & Anand, A. (2023). Mind-body practice as a primer to maintain psychological health among pregnant women–YOGESTA–a randomized controlled trial. Frontiers in Public Health, 11, 1201371.
Nadholta, P., Saha, P. K., & Anand, A. (2024). A framework of workplace yoga for expectant mothers: A comprehensive review of benefits, safety considerations, and future perspectives. International Journal of Gynecology & Obstetrics, 167(3), 934–940. https://doi.org/10.1002/ijgo.15777
Nurhayati, F., Marlina, D., & Susanti, Y. (2024). Pengaruh Yoga Nifas Terhadap Kualitas Tidur Ibu Nifas Di Wilayah Kerja UPT Puskesmas Cibalong Garut Tahun 2024. Pin-Litamas, 4(1), 229–238.
Nurlelawati, E., Prihantiningsih, A., Salanti, P., Gusti, N. W., Nisa, Z. H., & Rodiyah, D. (2023). The Effect Of Prenatal Yoga Exercises On The Sleep Quality Of Pregnant Women In The 3rd Trimester At Pmb E, Depok City November 2022–February 2023 Period. Proceeding of International Conference on Innovations in Social Sciences Education and Engineering, 3, 129.
Patrick, A. (2023). Pregnancy & Childbirth. In Women’s Health in Britain and America: Texts and Contexts (pp. 15–193). Springer.
Pratama, R. N., & Damayanti, E. (2022). Peningkatan Kualitas Tidur Ibu Hamil Trimester III Dengan Penerapan Prenatal Yoga. Babul Ilmi Jurnal Ilmiah Multi Science Kesehatan, 14(2). https://doi.org/10.36729/bi.v14i2.941
Pratiwi, E. N., Astuti, H. P., & Umarianti, T. (2021). Peningkatan kesehatan ibu hamil melalu prenatal yoga dalam upaya mengurangi kecemasan dan keluhan fisik. Jurnal Pengabdian Harapan Ibu (JPHI), 3(1), 1–12. https://doi.org/10.30644/jphi.v3i1.486
Putri, M., & Nur, H. (2021). Pengaruh Prenatal Yoga Dengan Kualitas Tidur Ibu Hamil Trimester Iii Di Uptd Puskesmas Aek Loba Tahun 2021. JIDAN: Jurnal Ilmiah Kebidanan, 1(2), 61–71. https://doi.org/10.51771/jdn.v1i2.66
Rahayu, D. T., & Hastuti, N. H. (2018). Pengaruh Keteraturan Senam Hamil terhadap Kualitas Tidur pada Ibu Hamil Trimester III di Desa Gedangsewupare Kediri. Jurnal Kebidanan Midwiferia, 4(2), 34–45. https://doi.org/10.21070/mid.v4i2.2052
Sari, A. A., & Kumorojati, R. (2020). Pengaruh Yoga Hamil Terhadap Kualitas Tidur Pada Ibu Hamil Trimester Iii Di Klinik Pratama Asih Waluyo Jati Bantul Yogyakarta. Jurnal Kesehatan Masyarakat Dan Lingkungan Hidup, 5(1), 29–33.
Shamabadi, R., Eslamzadeh, M., Eskandarnia, E., & Asgharipour, N. (2023). The Effect of Mindfulness Interventions on the Sleep Quality of Pregnant Mothers in the Second and Third Trimesters of Pregnancy: Mindfulness and Sleep Quality in Pregnancy. Galen Medical Journal, 12, e2750–e2750.
Sheriff Hassan Abd Allatif, K., Mohammed Fahmy, N., Fatthy Mohamed Ahmed, A., & Ezzat Said, N. (2024). Pregnant Women’s Knowledge and Practice Regarding Minor Discomfort During Third Trimester. Egyptian Journal of Health Care, 15(4), 432–449. https://doi.org/10.21608/ejhc.2024.387455
Wulan, S. (2023). The Effect Of Maternity Position On The Length Of Labor Time During The Active Phase Of Primigravida. Jurnal Keperawatan Dan Fisioterapi (JKF), 5(2), 370–374.
Wulandari, P., Retnaningsih, D., & Aliyah, E. (2018). The effect of prenatal yoga on primigravida trimester II and III in studio qita yoga district south Semarang Indonesia. Jurnal Keperawatan, 9(1), 25–34. https://doi.org/10.22219/jk.v9i1.4910
Wulandari, S., & Wantini, N. A. (2021). Ketidaknyamanan Fisik Dan Psikologis Pada Ibu Hamil Trimester III Di Wilayah Puskesmas Berbah Sleman Daerah Istimewa Yogyakarta. Jurnal Kebidanan Indonesia, 12(1). https://doi.org/10.36419/jki.v12i1.438
Zachariah, S. K., Fenn, M., Jacob, K., Arthungal, S. A., & Zachariah, S. A. (2019). Management of acute abdomen in pregnancy: current perspectives. International Journal of Women’s Health, 119–134.
DOI: http://dx.doi.org/10.30829/contagion.v7i2.24640
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