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. 2023 Oct 24;2023(10):CD014722. doi: 10.1002/14651858.CD014722.pub2

Rajeswari 2020.

Study characteristics
Methods Study design: RCT
Duration of study: the study was conducted from May 2015 to June 2017.
Country: India
Income classification: low‐middle‐income country in 2015‐2017
Geographical scope: urban and rural—63 (50.40%) of the intervention group and 59 (47.20%) of the control group were residing in a suburban area.
Healthcare setting: at the Department of Obstetrics and Gynaecology, Sri Ramachandra Institute of Higher Education and Research (outpatient)
Participants 1. Age: majority 25‐29
2. Gender: female
3. Socioeconomic background: 28‐29% had high school education.
4. Educational background: not specified
Inclusion criteria:
a. low‐risk primigravidae;
b. 21‐22 weeks of gestational age;
c. planning to undergo delivery and postnatal care;
d. having minimal to moderate stress.
Exclusion criteria:
a. primigravidae associated with medical and obstetrical complications;
b. practising any other relaxation technique;
c. not willing to participate.
Note: considerations on baseline scores not applicable for this study
Stated purpose: to assess the efficacy of progressive muscle repose on stress and anxiety amongst primigravidae
Interventions Name: progressive muscle relaxation
Title/name of PW and number: PC health workers (2)
1. Selection: not specified
2. Educational background: doctor of nursing practice and an expert in reproductive medicine
3. Training: not specified
4. Supervision: monitoring only for intervention adherence by phone calls to participants
5. Incentives/remuneration: not specified
Prevention type: indicated – participants with minimal to moderate stress were eligible for inclusion.
Intervention details: along with the routine care, progressive muscle relaxation was taught by the researcher on a one‐to‐one basis to the primigravidae from 21 to 22 weeks of gestation with the help of a video for two consecutive days, with each session lasting for 20‐25 minutes. The routine was followed by the primigravidae in the following days. In progressive muscle relaxation, each muscle group such as arms, face, shoulder, and upper and lower extremities are tensed for 10 seconds and released, taking a few deep breaths. It begins with the top of the body and goes down. To ensure daily practice, weekly reinforcement was given through phone; direct reinforcement was given during antenatal check, and also, diary of performance was maintained by the primigravidae. It was ensured that every day phone calls were made until the message was delivered.
Control: usual care – standard antenatal care
Outcomes Participants’outcomes of interest for this review
  1. Diagnosis of mental disorder – State‐Trait Anxiety Inventory (STAI), severe

  2. Depressive symptoms – Edinburgh Postnatal Depression Scale (EPDS)

  3. Distress/PTSD symptoms – Calvin Hobel Scale


Carers’outcomes of interest for this review
Nil
Economic outcomes
Nil
Time points: baseline, post‐intervention (< 1 month, 1‐6 months)
Notes Source of funding: nil
Notes on validation of instruments (screening and outcomes): the selected measures are widely adopted and used across contexts.
Additional information: none
Handling the data: not applicable
Prospective trial registration number: not reported