EFFECTS OF PRENATAL GENTLE YOGA ON THE INCIDENCE AND SEVERITY OF PERINEAL RUPTURE IN VAGINAL DELIVERY: A QUASI-EXPERIMENTAL STUDY

Authors

  • Frida Sisternike Pay Midwifery Study Program, Universitas Citra Bangsa
  • Ummu Zakiah Midwifery Study Program, Universitas Citra Bangsa

DOI:

https://doi.org/10.61677/jth.v4i1.797

Keywords:

Prenatal gentle yoga, perineal rupture, vaginal delivery, maternal outcomes, antenatal care.

Abstract

Perineal rupture remains a common obstetric complication in vaginal delivery and contributes significantly to maternal morbidity. This study aimed to evaluate the effects of prenatal gentle yoga on the incidence and severity of perineal rupture among third-trimester pregnant women undergoing vaginal delivery. A quasi-experimental study with a control group design was conducted at Sikumana Community Health Center from February to March 2026 involving 30 participants, divided into an intervention group (n=15) and a control group (n=15). The intervention group received prenatal gentle yoga sessions three times per week for four weeks, while the control group received standard antenatal care. Data were collected using observation sheets and medical records, and analyzed using Chi-square test, Mann-Whitney U test, and logistic regression. The results showed that the incidence of perineal rupture was significantly lower in the intervention group (40%) compared to the control group (73.3%) (p=0.048). The severity of perineal rupture was also significantly reduced, with no cases of severe rupture in the intervention group and a significant difference between groups (p=0.021). Logistic regression analysis indicated that prenatal gentle yoga reduced the risk of perineal rupture by approximately 72% (OR=0.28; p=0.041). In conclusion, prenatal gentle yoga may serve as a promising non-pharmacological intervention to reduce the incidence and severity of perineal rupture among pregnant women undergoing vaginal delivery. However, considering the quasi-experimental design and relatively small sample size, further large-scale randomized studies are required to confirm these findings before broad clinical implementation.

References

Aasheim, V., Nilsen, A. B. V., Reinar, L. M., & Lukkasse, M. (2017). Perineal Techniques During the Second Stage of Labour for Reducing Perineal Trauma. Cochrane Database of Systematic Reviews. 6 (1), 1-10. https://doi.org/10.1002/14651858.CD006672.pub3

Armaita, A., Nisa, S., Lucintarillova, B., Aprihatin, Y., Krishna, N. R., Alimuddin, A., Ockta, Y., & Festiawan, R. (2025). Reducing Anxiety in Pregnant Women by Prenatal Gentle Yoga. Retos: Nuevas Tendencias En Educación Física, Deportes y Recreación, 65(1), 1056–1064. https://doi.org/10.47197/retos.v65.108934

Cilla, M., Checa, S., & Duda, G. N. (2017). Strain Shielding Inspired Re-design of Proximal Femoral Stems for Total Hip Arthroplasty. Journal of Orthopaedic Research : Official Publication of the Orthopaedic Research Society, 35(11), 2534–2544. https://doi.org/10.1002/jor.23540

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), 1–21. https://doi.org/10.1186/s12884-022-04474-9

Darlina, Djalil, D., Hakim, L., Mose, J. C., Rizkar, M., & Sukarsa, A. (2025). Risk Factors Influencing the Incidence of Perineal Rupture in Normal Delivery. Science Midwifery Journal, 13(3).1–10. https://doi.org/10.35335/midwifery.v13i3.2010

Dewi, R. S., Erialdy, & Novita, A. (2018). Comparative Study of Prenatal Yoga and Pregnancy Exercise on Physical Readiness. Jurnal Ilmu Kesehatan Masyarakat, 7(3), 155–166. https://doi.org/10.33221/JIKM.V7I3.124

Jansson, M. H., Franzén, K., Hiyoshi, A., Tegerstedt, G., Dahlgren, H., & Nilsson, K. (2020). Risk Factors for Perineal and Vaginal Tears in Primiparous Women-the Prospective Popract-Cohort Study. BMC Pregnancy and Childbirth, 20(1), 1–14. https://doi.org/10.1186/s12884-020-03447-0

John, S., Unnikrishnan, S., John, S., & Unnikrishnan, S. (2025). The Role of Yoga in Promoting Maternal Health During Pregnancy: A Holistic Approach. Ournal of Ayurveda and Integrated Medical Sciences, 10(10), 201–215. https://doi.org/10.21760/jaims.10.10.28

Kuder, L., Dinevski, D., Dinevski, I. V., Takač, I., Mujezinović, F., & Gašparović, V. E. (2024). Benefits of Yoga in Pregnancy: A Randomised Controlled Clinical Trial. Journal of Perinatal Medicine (De Gruyter). 52(1), 1–14. https://doi.org/10.1515/jpm-2024-0422

Longo, V. L., Odjidja, E. N., Zan, B. A., Catarci, S., Carducci, B., Draisci, G., Lanzone, A., & Bevilacqua, E. (2023). Risk Factors Associated with Severe Perineal Lacerations During Vaginal Delivery : A 10-Year Propensity Score − Matched Observational Study. AJOG Global Reports, 3(4), 1–10. https://doi.org/10.1016/j.xagr.2023.100174

Łuczak, K., Dudek, P., Ulicka, W., Pięta, J., Chudzikowski, M., Tabeau, A., Pawlik, A., Sitarek, H., Prus, J., & Prokopiuk, A. (2025). How Does Prenatal Exercise Affect Labor and Delivery? A Review of the Influence of Prenatal Physical Activity on the Course of Vaginal Birth. Ournal of Education, Health and Sport, 80(1), 59415. https://doi.org/10.12775/jehs.2025.80.59415

Man, R., Morton, V. H., & Morris, R. K. (2024). Childbirth-Related Perineal Trauma and Its Complications: Prevalence, Risk Factors and Management. Obstetrics, Gynaecology & Reproductive Medicine, 34(9), 252–259. https://doi.org/10.1016/j.ogrm.2024.06.003

Massalha, M., Rom, E., Bonfis, A. G., Suleiman, H. K., & Diab, M. (2025). The Prevalence of Perineal Tears Among Women Having Spontaneous Vaginal Births with Intrapartum Fever. Microorganisms, 13(12), 1–11. https://doi.org/10.3390/microorganisms13122815

Opondo, C., Harrison, S., Sanders, J., Quigley, M. A., & Alderdice, F. (2023). The Relationship Between Perineal Trauma and Postpartum Psychological Outcomes : A Secondary Analysis of A Population ‑ Based Survey. BMC Pregnancy and Childbirth, 6(1), 1–10. https://doi.org/10.1186/s12884-023-05950-6

Riawati, M. S., Budihastuti, U. R., & Prasetya, H. (2022). The Effect of Prenatal Yoga on Birth Labor Duration and Pain: A Meta Analysis. Journal of Maternal and Child Health (JMCH), 6(3), 327–337. https://doi.org/10.26911/thejmch.2021.06.03.07

Smith, L. A., Price, N., Simonite, V., & Burns, E. E. (2013). Incidence of and Risk Factors for Perineal Trauma : A Prospective Observational Study. BMC Pregnancy and Childbirth, 13(1), 1–11. https://doi.org/10.1186/1471-2393-13-59

Theobald, P. von, Bohrer, M., Lorrain, S., & Iacobelli, S. (2020). Risk Factors Associated with Severe Perineal Tears: A Five-Year Study. Journal of Gynecology Obstetrics and Human Reproduction, 49(7), 21–31. https://doi.org/10.1016/j.jogoh.2020.101820

Venugopal, V., Deenadayalan, B., Maheshkumar, K., Yogapriya, C., Akila, A., & Pandiaraja, M. (2022). Perineal Massage for Prevention of Perineal Trauma and Episiotomy During Labor : A Systematic Review and Meta-Analysis. Journal of Family and Reproductive Health, 16(3), 162–169. https://doi.org/10.18502/jfrh.v16i3.10575

Villar-alises, O., Martinez-miranda, P., & Martinez-calderon, J. (2023). Prenatal Yoga-Based Interventions May Improve Mental Health during Pregnancy : An Overview of Systematic Reviews with Meta-Analysis. International Journal of Environmental and Public Health, 20(2). https://doi.org/10.3390/ijerph20021556

Wakjira, D. B., Deksisa, A., Abera, W., & Beyene, K. (2025). The effect of prenatal yoga and reflexology in reducing labor duration and perceived pain ; a systematic review and meta-analysis. BMC Pregnancy and Childbirth, 25(9), 67–78. https://doi.org/10.1186/s12884-025-08046-5

Yenni, Uly, N., & Alim, A. (2025). The Effect of Prenatal Yoga on Labor Preparation and Outcomes: A Literature Review. Bunda Edu-Midwifery Journal, 8(2), 457–467. https://doi.org/10.54100/bemj.v8i2.443

Published

2026-07-17

How to Cite

Frida Sisternike Pay, & Ummu Zakiah. (2026). EFFECTS OF PRENATAL GENTLE YOGA ON THE INCIDENCE AND SEVERITY OF PERINEAL RUPTURE IN VAGINAL DELIVERY: A QUASI-EXPERIMENTAL STUDY. JTH: Journal of Technology and Health, 4(1), 769 ~ 782. https://doi.org/10.61677/jth.v4i1.797