ArticleInternational urogynecology journal2026
Association Between Clinical Pilates During Pregnancy and Postpartum Biopsychosocial Health: A Cross-Sectional Study.
Article in International urogynecology journal, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
introduction and hypothesisThis study examined the association between clinical Pilates participation during pregnancy and postpartum biopsychosocial health, focusing on pelvic floor symptoms, body awareness, depressive symptoms, low back pain, and postpartum quality of life.
methodsIn this cross-sectional study, 69 women were assessed at 6 weeks postpartum (clinical Pilates group, n = 34; control group, n = 35). Assessments included the Body Awareness Questionnaire (BAQ), Pelvic Floor Distress Inventory-20 (PFDI-20), Maternal Postpartum Quality of Life Questionnaire (MAPP-QOL), Edinburgh Postnatal Depression Scale (EPDS), Postpartum Functional Status Inventory (PFSI), Multidimensional Assessment of Fatigue (MAF), and the Visual Analog Scale (VAS) for low back pain.
resultsWomen in the clinical Pilates group had significantly higher BAQ and MAPP-QOL scores and significantly lower EPDS and VAS scores compared with the control group (all p < 0.001). Control participants had higher scores on the colorectal-anal distress subscale of the PFDI-20 (p = 0.029), whereas no significant differences were observed in the total PFDI-20 score, PFSI, or MAF (all p > 0.05). After adjustment for relevant demographic and obstetric confounders, these associations remained significant.
conclusionsParticipation in clinical Pilates during pregnancy was associated with improved body awareness and postpartum quality of life, and with fewer depressive symptoms and low back pain. These findings suggest that clinical Pilates might be a valuable component of prenatal exercise counseling to promote maternal well-being.
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