Adequate cardiorespiratory fitness during pregnancy for a better quality of childbirth

Submitted: 13 October 2023
Accepted: 15 March 2024
Published: 16 April 2024
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Inadequate Cardiorespiratory Fitness (CRF) during childbirth can lead to potential problems, including preterm birth, hypertensive disorders of pregnancy, pain and discomfort during pregnancy, cesarean birth, and postpartum weight gain. This study aimed to assess the relationship between cardiorespiratory fitness during pregnancy and the quality of childbirth. An observational analytic study with a prospective cohort design was conducted among 52 pregnant women in their third trimester of gestation. Respondents were selected based on the purposive sampling technique. The variables - cardiorespiratory fitness, indicated by VO2max value, and the quality of childbirth - were respectively measured using the six-minute walk test and the Quality Childbirth Questionnaire, modified from the Pregnancy and Childbirth Outcome Set (PCB), the Childbirth Experience Questionnaire (CEQ), and the Birth Satisfaction Scale (BSS), which were declared valid and reliable. Data analysis used descriptive and bivariate analysis with the Chi-Square test with a Risk Ratio (RR). The results showed a p-value of less than 0.001, confirming the hypothesis. There is a meaningful link between high VO2 max scores and improved childbirth experiences, with a RR of 6.882 at a 95% confidence interval. This suggests that pregnant women with better cardiorespiratory fitness are 6.882 times less likely to have an adverse labor and delivery outcome. Improving cardiorespiratory fitness through strategic antenatal physical activity with aerobic exercises is recommended to gain a positive childbirth experience.

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Efendi F, Aji RS, Kurnia ID, et al. Determinants of maternal healthcare service utilization among Indonesian mothers: A population-based study. F1000Res 2022;10. DOI: https://doi.org/10.12688/f1000research.73847.2
World Health Organization (WHO). Intrapartum care for a positive childbirth experience. 2018. Available from: http://apps.who.int/iris/bitstream/10665/260178/1/9789241550215-eng.pdf?ua=1%0Ahttp://www.who.int/reproductivehealth/publications/intrapartum-care-guidelines/en/
WHO. WHO recommendations on antenatal care for a positive pregnancy experience. 2016. Available from: https://www.who.int/publications/i/item/9789241549912
WHO. Maternal Health. 2023. Available from: https://www.who.int/health-topics/maternal-health#tab=tab_1
Hosseini Tabaghdehi M, Keramat A, Kolahdozan S, et al. Positive childbirth experience: a qualitative study. Nurs Open 2020;7:1233-8. DOI: https://doi.org/10.1002/nop2.499
Krnenburg L, Lambregtse-van den Berg M, Stramrood C. Traumatic childbirth experience and childbirth-related Post-Traumatic Stress Disorder (PTSD): a contemporary overview. Int J Environ Res Public Health 2023;20. DOI: https://doi.org/10.3390/ijerph20042775
Sagala R, Febriana N, Dewanti L. The experience of midwives who experienced the traumatic childbirth. Indonesian Midwifery Health Sci J 2020;4:306-18. DOI: https://doi.org/10.20473/imhsj.v4i4.2020.306-318
Ertan D, Hingray C, Burlacu E, et al. Post-traumatic stress disorder following childbirth. BMC Psychiatry 2021;21:1-9. DOI: https://doi.org/10.1186/s12888-021-03158-6
Irawati D, Yuliani F. Pengaruh Faktor Psikososial Terhadap Terjadinya Post Partum Blues Pada Ibu Nifas. In: Prosiding Seminar Nasional 2013 Menuju Masyarakat Madani dan Lestari Postpartum. 2013. Available from: http://dppm.uii.ac.id/dokumen/seminar/2013/F.Dian Irawati.pdf
Masruroh. Hubungan Antara Paritas Ibu Dengan Kejadian Postpartum Blues. Jurnal Eduhealth 2013;3:120-5. Available from: https://diastasisrehab.com/pdf/journal-womens-health-2012.pdf
Koster D, Romijn C, Sakko E, et al. Traumatic childbirth experiences: practice-based implications for maternity care professionals from the woman’s perspective. Scand J Caring Sci 2020;34:792-9. DOI: https://doi.org/10.1111/scs.12786
Khalife-Ghaderi F, Amiri-Farahani L, Haghani S, Hasanpoor-Azghady SB. Examining the experience of childbirth and its predictors among women who have recently given birth. Nurs Open 2021;8:63-71. DOI: https://doi.org/10.1002/nop2.603
Karlström A, Nystedt A, Hildingsson I. The meaning of a very positive birth experience: Focus groups discussions with women. BMC Pregnancy Childbirth 2015;15:1-8. DOI: https://doi.org/10.1186/s12884-015-0683-0
Cai C, Ruchat SM, Sivak A, Davenport MH. Prenatal exercise and cardiorespiratory health and fitness: a meta-analysis. Med Sci Sports Exerc 2020;52:1538-48. DOI: https://doi.org/10.1249/MSS.0000000000002279
Olza I, Leahy-Warren P, Benyamini Y, et al. Women’s psychological experiences of physiological childbirth: a meta-synthesis. BMJ Open 2018;8:20347. DOI: https://doi.org/10.1136/bmjopen-2017-020347
McDonald SM, Yeo SA, Liu J, et al. Associations between maternal physical activity and fitness during pregnancy and infant birthweight. Prev Med Rep 2018;11:1. DOI: https://doi.org/10.1016/j.pmedr.2018.04.019
Lane-Cordova A, Carnethon M, Catov J, et al. Cardiorespiratory fitness, exercise hemodynamics, and birth outcomes: the coronary artery risk development in young adults study. BJOG 2018;125:1127-34. DOI: https://doi.org/10.1111/1471-0528.15146
Fereira I, Gbatu PT, Boreham CA. Gestational age and cardiorespiratory fitness in individuals born at term: A life course study. J Am Heart Assoc 2017;6. DOI: https://doi.org/10.1161/JAHA.117.006467
Baena-García L, Coll-Risco I, Ocón-Hernández O, et al. Association of objectively measured physical fitness during pregnancy with maternal and neonatal outcomes. The GESTAFIT Project. Luo ZC, editor. PLoS One 2020;15:e0229079. DOI: https://doi.org/10.1371/journal.pone.0229079
Kaminsky LA, Arena R, Myers J. Reference standards for cardiorespiratory fitness measured with cardiopulmonary exercise testing: data from the fitness registry and the importance of exercise national database. Mayo Clin Proc 2015;90:1515. DOI: https://doi.org/10.1016/j.mayocp.2015.07.026
Halvorsen S, Haakstad LAH, Edvardsen E, Bø K. Effect of aerobic dance on cardiorespiratory fitness in pregnant women: a randomized controlled trial. Physiotherapy 2013;99:42-8. DOI: https://doi.org/10.1016/j.physio.2011.11.002
Ekstrom LD, Ahlqvist VH, Persson M, et al. The association between birth by cesarean section and adolescent cardiorespiratory fitness in a cohort of 339,451 Swedish males. Sci Rep 2020;10. DOI: https://doi.org/10.1038/s41598-020-75775-2
Romero-Gallardo L, Roldan-Reoyo O, Castro-Piñero J, et al. Assessing physical fitness during pregnancy: validity and reliability of fitness tests, and relationship with maternal and neonatal health-related outcomes. BMJ Open Sport Exerc Med 2022;8:e001318. DOI: https://doi.org/10.1136/bmjsem-2022-001318
Rodriguez-Ayllon M, Acosta-Manzano P, Coll-Risco I, et al. Associations of physical activity, sedentary time, and physical fitness with mental health during pregnancy: The GESTAFIT project. J Sport Health Sci 2021;10:379-86. DOI: https://doi.org/10.1016/j.jshs.2019.04.003
Birsner ML, Gyamfi-Bannerman C. Physical Activity and Exercise During Pregnancy and the Postpartum Period. ACOG COMMITTEE OPINION Number 2015;804.
Ross R, Blair SN, Arena R, et al. Importance of assessing cardiorespiratory fitness in clinical practice: a case for fitness as a clinical vital sign: a scientific statement from the American Heart Association. Circulation 2016;134:e653-99. DOI: https://doi.org/10.1161/CIR.0000000000000461
Walker KF, Wilson P, Bugg GJ, et al. Childbirth experience questionnaire: validating its use in the United Kingdom. BMC Pregnancy Childbirth 2015;15:1-8. DOI: https://doi.org/10.1186/s12884-015-0513-4
Dencker A, Taft C, Bergqvist L, et al. Childbirth Experience Questionnaire (CEQ): development and evaluation of a multidimensional instrument. BMC Pregnancy Childbirth 2010;10:81. DOI: https://doi.org/10.1186/1471-2393-10-81
Martin CR, Hollins Martin C, Redshaw M. The Birth Satisfaction Scale-Revised Indicator (BSS-RI). BMC Pregnancy Childbirth 2017;17:1-9. DOI: https://doi.org/10.1186/s12884-017-1459-5
Martin CH, Fleming V. The birth satisfaction scale. Int J Health Care Qual Assur 2011;24:124-35. DOI: https://doi.org/10.1108/09526861111105086
Vivilaki V, Zemperligkou E, Iliopoulou E, et al. The reversed Birth Satisfaction Scale: translation, adaptation and validation for a Greek sample. Eur J Midwifery 2017;1:1-10. DOI: https://doi.org/10.18332/ejm/76655
Casano HAM, Anjum F. Six-Minute Walk Test. Kinesitherapie 2023;7:68.
Tiksnadi BB, Ambari AM, Adriana M. Uji Jalan 6 Menit (UJ6M) pada Pasien Pasca Sindrom Koroner Akut. Indonesian J Cardiol 2019;40. DOI: https://doi.org/10.30701/ijc.v40i1.913
Shigeta TT, Leahy AA, Smith JJ, et al. Cardiorespiratory and muscular fitness associations with older adolescent cognitive control. J Sport Health Sci 2021;10:82. DOI: https://doi.org/10.1016/j.jshs.2020.05.004
Raghuveer G, Hartz J, Lubans DR, et al. Cardiorespiratory Fitness in youth: an important marker of health: a scientific statement from the American Heart Association. Circulation 2020;142:E101-18. DOI: https://doi.org/10.1161/CIR.0000000000000866
Appelqvist-Schmidlechner K, Vaara JP, Vasankari T, et al. Muscular and cardiorespiratory fitness are associated with health-related quality of life among young adult men. BMC Public Health 2020;20:1-8. DOI: https://doi.org/10.1186/s12889-020-08969-y
Franklin BA, Eijsvogels TMH, Pandey A, et al. Physical activity, cardiorespiratory fitness, and cardiovascular health: a clinical practice statement of the ASPC Part I: Bioenergetics, contemporary physical activity recommendations, benefits, risks, extreme exercise regimens, potential maladaptations. Am J Prev Cardiol 2022;12. DOI: https://doi.org/10.1016/j.ajpc.2022.100424
Marín-Jiménez N, Borges-Cosic M, Ocón-Hernández O, et al. Association of self-reported physical fitness with pregnancy related symptoms the gestafit project. Int J Environ Res Public Health 2021;18. DOI: https://doi.org/10.3390/ijerph18073345
World Health Organization (WHO) Regional Office for Europe. Essential antenatal, perinatal, dan postpartum care: promoting effective perinatal care. 2002. Available from: http://www.euro.who.int/__data/assets/pdf_file/0013/131521/E79235.pdf
Jannah R, Agustina D, Faradisa WP. Korelasi Persepsi terhadap Kebutuhan Fisioterapi Antenatal untuk Mengatasi Masalah Muskuloskeletal Ibu Hamil. Quality: Jurnal Kesehatan 2019;13:42-9. DOI: https://doi.org/10.36082/qjk.v13i1.55

How to Cite

Jannah, R., Utomo, B., Abida, L. L., Kholifah, B., Syafiq, A., Wahyuddin, W., & Sativani, Z. (2024). Adequate cardiorespiratory fitness during pregnancy for a better quality of childbirth. Healthcare in Low-Resource Settings, 12(3). https://doi.org/10.4081/hls.2024.11967