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Table 2 Summary of findings

From: The characteristics and effectiveness of pregnancy yoga interventions: a systematic review and meta-analysis

Yoga for pregnancy

Patient or population: pregnant women

Settings: Any

Intervention: yoga

Comparison: treatment as usual or any other active treatment

Outcomes

Illustrative comparative risks* (95% CI)

Relative effect

(95% CI)

No of Participants

(studies)

Quality of the evidence

(GRADE)

Comments

Assumed risk

Corresponding risk

 

Treatment as usual or any other active treatment

Yoga

    

Anxiety

STAI, HADS-A, Hamilton

Follow-up: 2-18 weeks

 

The mean anxiety in the intervention groups was

0.91 standard deviations lower

(1.49 to 0.33 lower)

 

733

(11 studies)

low 1,2,3,4,5

SMD -0.84 (-1.64 to -0.03)

Depression

CES-D, HADS-D, Hamilton, EPDS

Follow-up: 2-18 weeks

 

The mean depression in the intervention groups was

0.47 standard deviations lower

(0.90 to 0.04 lower)

 

679

(12 studies)

low 1,2,3,4,5,6,7

SMD -0.53 (-1.04 to -0.02)

Perceived stress

PSS-10; Pregnancy experiences questionnaire (PEQ)

Follow-up: 12-24 weeks

 

The mean perceived stress in the intervention groups was

1.03 standard deviations lower

(1.55 to 0.52 lower)

 

423

(5 studies)

low 1,2,5

 

Physiological stress

Salivary cortisol

Follow-up: 4-20 weeks

 

The mean physiological stress in the intervention groups was

0.69 standard deviations lower

(1.50 lower to 0.13 higher)

 

279

(4 studies)

very low 1,2,3,4,5,6,8,9

 

Total duration of labour

medical records

Follow-up: 10-24 weeks

 

The mean total duration of labour in the intervention groups was

117.75 lower

(153.80 to 81.71 lower)

 

472

(6 studies)

low 1,2,3,8

 

Normal vaginal birth

medical records

Follow-up: 10-28 weeks

Study population

OR 2.58

(1.46 to 4.56)

1195

(12 studies)

very low 1,2,3,5,6,10

 

51 per 100

73 per 100

(61 to 83)

Moderate

49 per 100

72 per 100

(59 to 82)

Quality of life

WHOQoL100

Follow-up: mean 16 weeks

 

The mean quality of life in the intervention groups was

1.73 higher

(0.79 to 2.67 higher)

 

102

(1 study)

low 1,2,8

 
  1. *The basis for the assumed risk (e.g., the median control group risk across studies) is provided in footnotes. The corresponding risk (and its 95% confidence interval) is based on the assumed risk in the comparison group and the relative effect of the intervention (and its 95% CI)
  2. CI: Confidence interval; OR: Odds ratio
  3. GRADE Working Group grades of evidence
  4. High quality: Further research is very unlikely to change our confidence in the estimate of effect
  5. Moderate quality: Further research is likely to have an important impact on our confidence in the estimate of effect and may change the estimate
  6. Low quality: Further research is very likely to have an important impact on our confidence in the estimate of effect and is likely to change the estimate
  7. Very low quality: We are very uncertain about the estimate.
  8. 1Concerns with high-risk of bias for allocation concealment
  9. 2Concerns with high-risk of bias for lack of blinding of participants
  10. 3Concerns with high-risk of bias due to unclear evidence on blinding of outcome assessors
  11. 4Serious inconsistency due to large variation in effect across studies
  12. 5Serious inconsistency I2 value is large indicating substantial heterogeneity
  13. 6Concerns with high-risk of bias for random allocation
  14. 7Concerns with high-risk of bias due to pre-existing depression or depressive symptoms in some studies
  15. 8Serious imprecision based on total population size >400
  16. 9Serious imprecision due to wide 95% CI's
  17. 10Serious inconsistency due to inclusion of high risk pregnant populations
  18. Abbreviations: STAI state and trait anxiety scale, HADS-A hospital anxiety and depression scale - anxiety, HAM-A Hamilton anxiety rating scale, CES-D centre for epidemiological studies - depression, HADS-D hospital anxiety and depression scale - depression, HDRS Hamilton depression rating scale, EPDS Edinburgh postnatal depression scale, PSS-10 perceived stress scale 10 item, PEQ pregnancy experiences questionnaire