The influence of prepartum physical activity patterns on mode of delivery in postpartum women

Abstract

Background: Pregnancy related complications like gestational diabetes, hypertension and gestational weight gain can be prevented by physical activity as suggested by WHO, however, little has been explored about this in Pakistan. This study was designed to explore whether low levels of physical activity before pregnancy are associated with an increased likelihood of cesarean delivery.

Material & Methods: This study was a cross-sectional study conducted on female patients admitted at Gynecology& Obstetrics department of Lady Reading Hospital, Peshawar. A total of n=132 postpartum healthy women (mean age= 25±5.307 years) were included in the study through convenience sampling technique. Physical Activity among the participants was assessed using International Physical Activity Questionnaire (IPAQ-short form) and by calculating Metabolic Equivalents of Tasks (MET-minutes/week).

Results: The results of this study showed that level of prepartum physical activity was reduced in around quarter (24.2%) in postpartum women. A total of 75.7% reported the minimum level of activity required for performing daily activities. None of the participants reported high levels of physical activity (0%). A statistically significant association (p=0.001) was found between the mode of delivery namely, normal vaginal delivery and cesarean section and the level of physical activity among participants.

Conclusion: The study indicates a significant association between the type of delivery and the level of physical activity among females of childbearing age. Women who underwent normal vaginal delivery were engaged in moderate physical activity whereas those with pre-term or cesarean deliveries predominantly reported low physical activity levels.