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Meta-Analysis
. 2023 Mar 10:13:04023.
doi: 10.7189/jogh.13.04023.

Effectiveness of breathing exercise on the duration of labour: A systematic review and meta-analysis

Alwin Issac  1 , Shalini Ganesh Nayak  2 , Priyadarshini T  1 , Deepthy Balakrishnan  1 , Kurvatteppa Halemani  3 , Prabhakar Mishra  3 , Indumathi P  1 , Vijay Vr  1 , Jaison Jacob  1 , Shine Stephen  1
Affiliations
Meta-Analysis

Effectiveness of breathing exercise on the duration of labour: A systematic review and meta-analysis

Alwin Issac et al. J Glob Health. .

Abstract

Background: Prolonged labour intensifies labour pain, and failure to address labour pain may lead to abnormal labour and augments the usage of operative interventions. Prolonged labour is common among women, resulting in maternal morbidity, increased caesarean section (CS) rates, and postpartum complications. It may bring forth negative birth experiences that may increase the preference for CS. There is a dearth of evidence concerning the effectiveness of breathing exercises on the duration of labor. As per our knowledge, this is the first systematic review and meta-analysis on the effect of breathing exercises on the duration of labor. This systematic review and meta-analysis aimed to appraise the evidence concerning the effectiveness of breathing exercises on the duration of labour.

Methods: Electronic databases MEDLINE, Cumulative Index to Nursing and Allied Health Literature (CINAHL), EMBASE, Web of Science, SCOPUS, and ClinicalKey were searched for randomized controlled trials, quasi-experimental studies published in the English language between January 2005 to March 2022 that reported on the effectiveness of breathing exercises on the duration of labour. Duration of labour was the primary analysed outcome. The secondary outcomes assessed were anxiety, duration of pain, APGAR scores, episiotomy, and mode of delivery. Meta-analysis was done using RevMan v5.3.

Results: The reviewed trials involved 1418 participants, and the study participants ranged from 70 to 320. The mean gestational weeks of the participants among the reported trials was 38.9 weeks. Breathing exercise shortened the duration of the intervention group's second stage of labour compared with the control group.

Conclusions: Breathing exercise is a beneficial preventive intervention in shortening the duration of second stage of labour.

Registration: The review protocol was registered with PROSPERO (CRD42021247126).

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Conflict of interest statement

Disclosure of interest: The authors completed the ICMJE Disclosure of Interest Form (available upon request from the corresponding author) and disclose no relevant interests.

Figures

Figure 1
Figure 1
Flow diagram of study selection.
Figure 2
Figure 2
Risk of bias graph.
Figure 3
Figure 3
Effect of breathing exercise on the duration of labour.
Figure 4
Figure 4
Effect of breathing exercise on the duration of second stage of labour.
Figure 5
Figure 5
Effect of breathing exercise on the duration of pain.
Figure 6
Figure 6
Effect of breathing exercise on caesarean delivery, vaginal delivery, and episiotomy.
See this image and copyright information in PMC

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