EFFECT OF PRENATAL YOGA ON STRESS LEVELS AND WEIGHT CHANGES AMONG PREGNANT WOMEN: A QUASI-EXPERIMENTAL STUDY

Rahajeng Putriningrum; Tresia Umarianti; Agnes Sri Harti; Megayana Yessy Maretta; Erinda Nur Pratiwi

doi:10.34035/jk.v17i2.2108

Authors

Rahajeng Putriningrum Midwivery Bachelor Study Program, Faculty of Health Science, Universitas Kusuma Husada Surakarta, Surakarta, Indonesia
Tresia Umarianti Midwife Profession Education, Faculty of Health Science, Universitas Kusuma Husada Surakarta, Surakarta, Indonesia
Agnes Sri Harti Diploma III Nursing Study Program, Faculty of Health Science, Universitas Kusuma Husada Surakarta, Surakarta, Indonesia
Megayana Yessy Maretta Midwife Profession Education, Faculty of Health Science, Universitas Kusuma Husada Surakarta, Surakarta, Indonesia
Erinda Nur Pratiwi Midwife Profession Education, Faculty of Health Science, Universitas Kusuma Husada Surakarta, Surakarta, Indonesia

DOI:

https://doi.org/10.34035/jk.v17i2.2108

Keywords:

body weight, pregnancy, prenatal yoga, stress

Abstract

Background: Maternal stress and inappropriate gestational weight gain are common issues during pregnancy that can raise the risk of negative outcomes for both mother and baby, such as preterm birth, hypertensive disorders, and fetal growth problems. Prenatal yoga is considered a safe, drug-free approach that integrates exercise, breathing, relaxation, and mindfulness to boost mental and physical health. This study aimed to assess how prenatal yoga affects stress levels and weight changes during pregnancy.
Methods: A quasi-experimental study was conducted with a single-group design involving 30 pregnant women in Grogol Village, Sukoharjo, Indonesia. Participants were selected through purposive sampling and attended weekly 45-minute prenatal yoga sessions for a month. Stress was measured using the DASS-21, and gestational weight was assessed according to the Indonesian Integrated Antenatal Care Guidelines. Data analysis involved paired-samples t-tests with a significance level of 0.05.
Results: Prenatal yoga markedly lowered maternal stress, with stress scores dropping after the program (p = 0.006). Post-intervention, all participants (100%) showed normal stress levels, up from 83.3% beforehand. Additionally, gestational weight outcomes improved notably (p < 0.001), with the percentage of women gaining appropriate weight rising from 43.4% before to 93.3% after the intervention.
Conclusion: Prenatal yoga is a beneficial complementary approach to reduce maternal stress and support optimal gestational weight gain. Incorporating prenatal yoga into routine antenatal care could improve the mother's physical and mental health, leading to better pregnancy outcomes.

References

Article, R., Delivery, P., Herzberger, V., Kunze, M., & Markfelder, F. (2023). Exercise During Pregnancy. November 2021. https://doi.org/10.3238/arztebl.m2022.0305

Chen, P., Yang, L., Chou, C., Li, C., Chang, Y., & Liaw, J. (2017). Complementary Therapies in Medicine Effects of prenatal yoga on women ’ s stress and immune function across pregnancy : A randomized controlled trial. Complementary Therapies in Medicine, 31, 109–117. https://doi.org/10.1016/j.ctim.2017.03.003

Corrigan, L., Moran, P., Mcgrath, N., Cook, J. E., & Daly, D. (2022). The characteristics and effectiveness of pregnancy yoga interventions : a systematic review and meta-analysis. BMC Pregnancy and Childbirth, 9, 1–21. https://doi.org/10.1186/s12884-022-04474-9

Evidence, N., Innovations, E., September, C., & Forstag, E. H. (2025). Prepregnancy BMI and Gestational Weight Gain.

Field, T. (2012). Infant Behavior and Development Prenatal exercise research. Infant Behavior and Development, 35(3), 397–407. https://doi.org/10.1016/j.infbeh.2011.10.001

Gallagher, A., Kring, D., & Whitley, T. (2020). Complementary Therapies in Clinical Practice Effects of yoga on anxiety and depression for high risk mothers on hospital bedrest. Complementary Therapies in Clinical Practice, 38(April 2019), 101079. https://doi.org/10.1016/j.ctcp.2019.101079

Goldstein, R. F., Abell, S. K., Ranasinha, S., Misso, M., Boyle, J. A., Black, M. H., Li, N., Hu, G., Corrado, F., Rode, L., Kim, Y. J., Haugen, M., Song, W. O., & Kim, M. H. (2017). Association of Gestational Weight Gain With Maternal and Infant Outcomes A Systematic Review and Meta-analysis. 317(21), 2207–2225. https://doi.org/10.1001/jama.2017.3635

Green, J., Larkey, L., Leiferman, J. A., Buman, M., Oh, C., & Huberty, J. (2022). Complementary Therapies in Clinical Practice Prenatal yoga and excessive gestational weight gain : A review of evidence and potential mechanisms. Complementary Therapies in Clinical Practice, 46(January), 101551. https://doi.org/10.1016/j.ctcp.2022.101551

Hutchesson, M. J., De Jonge Mulock Houwer, M., Brown, H. M., Lim, S., Moran, L. J., Vincze, L., Rollo, M. E., & Hollis, J. L. (2020). Supporting women of childbearing age in the prevention and treatment of overweight and obesity: A scoping review of randomized control trials of behavioral interventions. BMC Women’s Health, 20(1), 1–15. https://doi.org/10.1186/s12905-020-0882-3

Kusaka, M., Matsuzaki, M., Shiraishi, M., & Haruna, M. (2016). Immediate stress reduction effects of yoga during pregnancy : One group pre – post test. Women and Birth. https://doi.org/10.1016/j.wombi.2016.04.003

Kwon, R., Kasper, K., London, S., & Haas, D. M. (2020). European Journal of Obstetrics & Gynecology and Reproductive Biology Review article A systematic review : The effects of yoga on pregnancy. European Journal of Obstetrics and Gynecology, 250, 171–177. https://doi.org/10.1016/j.ejogrb.2020.03.044

Mascio, D. Di, Magro-malosso, E. R., & Saccone, G. (2016). Exercise during pregnancy in normal-weight women and risk of preterm birth: a systematic review and meta-analysis of randomized controlled trials. American Journal of Obstetrics and Gynecology. https://doi.org/10.1016/j.ajog.2016.06.014

Meredith L. Birsner, MD; and Cynthia Gyamfi-Bannerman, MD, Ms., & Physical. (2020). Physical Activity and Exercise During Pregnancy and. 135(804), 178–188.

Mohyadin, E., Ghorashi, Z., & Molamomanaei, Z. (2020). The effect of practicing yoga during pregnancy on labor stages length , anxiety and pain : a randomized controlled trial. 0–4.

Mooventhan, A. (2019). Journal of Bodywork & Movement Therapies A comprehensive review on scienti fi c evidence-based effects ( including adverse effects ) of yoga for normal and high-risk pregnancy-related health problems. Journal of Bodywork & Movement Therapies, 23(4), 721–727. https://doi.org/10.1016/j.jbmt.2019.03.005

Ng, Q. X., Venkatanarayanan, N., Loke, W., & Yeo, W. (2018). A meta-analysis of the effectiveness of yoga-based interventions for maternal depression during pregnancy. Complementary Therapies in Clinical Practice. https://doi.org/10.1016/j.ctcp.2018.10.016

Profil, C. java. (2022). Central Java Profil. In 2022.

Santi, D. B., Denardi, V., & Baldissera, A. (2023). Pender NJ , Murdaugh CL , Parsons MA . Health promotion in nursing practice. 993–996. https://doi.org/10.1590/0103-1104202313919

WHO. (2025). Pre eklamsi.

Williams, C. B., Lacoursiere, D. Y., Talavera, G. A., & Gahagan, S. (2019). A Feasibility Study to Promote Optimal Weight in First Time Pregnant Mothers and Their Babies : Lessons Learned in a US-Mexico Border Community. 578–584.