Pregnancy is one of the most serious periods in a woman's life and lasts approximately
forty weeks. Many anatomical, physiological, and psychological changes occur in pregnant
women. The main reasons for these are hormonal changes, increase in total blood volume,
growth of the uterus, and postural changes due to the shift of the body's center of
gravity.
Even though the etiology and pathogenesis of low back pain occurring during pregnancy
have not been clearly explained, it is assumed to be multifactorial. Low back pain during
pregnancy is common and affects approximately half of pregnant women. Additionally, pain
may occur in the low back and sacroiliac joints due to postural changes that occur with
the growth of the fetus. Low back pain and pelvic girdle pain are among the most common
musculoskeletal complaints in pregnant women.
Studies conducted on pregnant women and women in the postpartum period have reported
changes in the length, thickness, and separation amount of the abdominal muscles and the
morphological features of the rectus abdominis muscle.
The strength and thickness of the pelvic floor muscles may decrease in pregnant women.
Pregnancy and birth are major risk factors for urinary incontinence. Additionally, a
relationship between pregnancy and sexual dysfunction has been reported in the
literature.
To meet the needs of the fetus during pregnancy, changes occur in many organs and
systems, as well as changes in the uterus. One of these is the adaptation seen in the
respiratory system. Another change is the adaptation in the venous system. Pregnancy is
one of the factors that increase the risk of developing venous insufficiency.
Pregnancy is known as a period associated with important physiological and psychological
changes in women's lives. Pregnancy and exercise are biological processes. These cause
many adaptations in the body, which may be in the same or the opposite direction. There
is moderately sufficient evidence in the literature to recommend promoting prenatal
physical activity for maternal health benefits.
In the literature, no study has been found investigating the effects of reformer pilates
on pain, functional capacity, lumbopelvic stabilization, diastasis recti abdominis,
abdominal muscle thickness, respiratory functions, pelvic floor dysfunction, urinary
incontinence, sexual function, and venous insufficiency in pregnant women. For this
reason, this study aimed to investigate the effects of reformer pilates on pain,
functional capacity, lumbopelvic stabilization, diastasis recti abdominis, abdominal
muscle thickness, respiratory functions, pelvic floor dysfunction, urinary incontinence,
sexual function, and venous insufficiency in pregnant women.