• Ismi Puji Astuti
  • Suharyo Hadisaputro


Background: Physiological and psychological changes during pregnancy process can cause discomfort to pregnant women. During pregnancy, pregnant women from developed and developing countries tend to have an increase in anxiety and symptoms of depression. If not properly managed, those situations can adversely affect maternal and infant health. This systematic review is to explore the effectiveness of yoga in order to reduce anxiety and depression in pregnant women.

Methods: This systematic review was based on Preferred Reporting Items for Systematic Review and Meta-Analysis Protocols (PRISMA Protocol). Publication screening was carried out by filtering the 2009-2019 English and Indonesian articles from electronic data sources, namely PubMed, PsycINFO, Google Scholar and Science Direct. The keywords used in the literature searching were ‘anxiety’, ‘depression in pregnancy’, ‘prenatal yoga’, ‘yoga in pregnancy’, ‘pregnancy’, and ‘complementary and alternative medicine in pregnancy’.

Results: The search identified 368 record, of which 8 articles were included in this study. Studies regarding to the effect of yoga in pregnant women has been shown to reduce anxiety scores, pregnancy depression, anger, sleep disorders, lower maternal cortisol hormones, improve maternal immunity and neonatal outcomes.

Conclusion: Yoga could be applied as a complementary therapy that was easy, low cost, and useful for reducing anxiety and depression in pregnant women.


Suryani I, Mose JC, Tarawan VM, et al. Pengaruh Senam Hamil Teratur pada Primigravida terhadap Perubahan Psikofisiologis Ibu dan Berat Badan Lahir Bayi (Studi Eksperimen di Puskesmas Pagarsih dan Padasuka Bandung). (The Effect Of Pregnancy Exercise Regulated In Primigravida On Maternal Psychophysiological Changes and Infant Birth Weight (Experimental Study in Pagarsih and Padasuka Health Centers, Bandung). Jurnal Pendidik dan Pelayanan Kebidanan Indones (Indonesian J Educ Midwifery Care) 2015; 2: 1–7.

Ritsma Zunira Aryani, Rohmi Handayani DS. Pengaruh Pelaksanaan Prenatal Gentle Yoga Terhadap Kecemasan Menjelang Persalinan Pada Ibu Hamil Primigravida Trimester III Di Klinik Bidan Kita Klaten. (Effect Of Prenatal Gentle Yoga Implementation On The Anxiety Before The Delivery Of Primigravida Third Trimester Pregnant Women At Bidan Kita Clinic, Klaten). Jurnal Kebidanan Dan Kesehatan Tradisional 2018; 3: 57–106.

Shi Z, MacBeth A. The Effectiveness of Mindfulness-Based Interventions on Maternal Perinatal Mental Health Outcomes: a

Systematic Review. Mindfulness (N Y) 2017; 8: 823–847.

Rouhe H, Salmela-Aro K, Halmesmäki E, et al. Fear of childbirth according to parity, gestational age, and obstetric history. BJOG

An International Journal Obstetrics Gynaecology 2009; 116: 67–73.

Leung BMY, Kaplan BJ. Perinatal Depression: Prevalence, Risks, and the Nutrition Link-A Review of the Literature. Journal

American Dietetic Association 2009; 109: 1566–1575.

Fauzy R, Fourianalistyawati E. Hubungan antara Depresi dengan Kualitas Hidup pada Ibu Hamil Berisiko Tinggi. (Relationship

between Depression and Quality of Life in High-Risk Pregnant Women). Jurnal Psikogenesis 2018; 4: 206.

Moghaddam Hosseini V, Nazarzadeh M, Jahanfar S. Interventions for reducing fear of childbirth: A systematic review and meta-

analysis of clinical trials. Women and Birth 2018; 31: 254–262.

Glover V. The Effects of Prenatal Stress on Child Behavioural and Cognitive Outcomes Start at the Beginning. Encycl Early Child

Dev 2011; 1–5.

Rubertsson C, Hellström J, Cross M, et al. Anxiety in early pregnancy: Prevalence and contributing factors. Arch Womens Ment

Health 2014; 17: 221–228.

Field T, Diego M, Hernandez-Reif M. Prenatal depression effects and interventions: A review. Infant Behav Dev 2010; 33: 409–418.

NIH. Complementary, Alternative, or Integrative Health : What’s In a Name ? nccih.nih.gov 2016; 1–6.

Barnes PM, Bloom B, Interview H. Complementary and Alternative Medicine Use Among Adults and Chiltren : United States, 2007.

Natl Health Stat Report 2008; December 1: 1–24.

Jeter PE, Slutsky J, Singh N, et al. Yoga as a Therapeutic Intervention: A Bibliometric Analysis of Published Research Studies from 1967 to 2013. Journal Alternative Complementary Medicine 2015; 21: 586–592.

Shiraishi JC, Bezerra LMA. Effects of yoga practice on muscular endurance in young women. Complementary Therapies Clinical

Practice 2016; 22: 69–73.

Curtis K, Weinrib A, Katz J. Systematic Review of Yoga for Pregnant Women: Current Status and Future Directions. Evidence-

Based Complement Alternative Medicine 2012; 2012: 1–13.

Liberati A, Altman DG, Tetzlaff J, et al. The PRISMA statement for reporting systematic reviews and meta-analyses of studies that

evaluate health care interventions: explanation and elaboration. Journal Clin Epidemiol 2009; 62: e1-34.

Newham JJ, Wittkowski A, Hurley J, et al. Effects of antenatal yoga on maternal anxiety and depression: A randomized controlled

trial. Depression Anxiety 2014; 31: 631–640.

Davis K, Goodman SH, Leiferman J, et al. A randomized controlled trial of yoga for pregnant women with symptoms of depression

and anxiety. Complementary Therapies Clinical Practice 2015; 21: 166–172.

Battle CL, Uebelacker LA, Magee SR, et al. Potential for Prenatal Yoga to Serve as an Intervention to Treat Depression During

Pregnancy. Women’s Heal Issues 2015; 25: 134–141.

Uebelacker LA, Battle CL, Magee SR, et al. A pilot randomized controlled trial comparing prenatal yoga to perinatal health education

for antenatal depression. Arch Womens Ment Health 2015; 19: 543–547.

Satyapriya M, Nagarathna R, Padmalatha V, et al. Effect of integrated yoga on anxiety, depression & well being in normal pregnancy.

Complementary Therapies Clinical Practice 2013; 19: 230–236.

Field T, Diego M, Delgado J, et al. Yoga and social support reduce prenatal depression, anxiety and cortisol. Journal Bodywork

Movement Therapies 2013; 17: 397–403.

Mitchell J, Field T, Diego M, et al. Yoga Reduces Prenatal Depression Symptoms. Psychology 2012; 3: 782–786.

Dunkel Schetter C, Tanner L. Anxiety, depression and stress in pregnancy. Curr Opin Psychiatry 2012; 25: 141–148.

De Weerth C, Buitelaar JK. Physiological stress reactivity in human pregnancy - A review. Neuroscience Biobehavioral Reviews

; 29: 295–312.

Sarkar P, Bergman K, O’Connor TG, et al. Maternal antenatal anxiety and amniotic fluid cortisol and testosterone: Possible

implications for foetal programming. Journal Neuroendocrinology 2008; 20: 489–496.

Gennari-Moser C, Khankin E V., Schüller S, et al. Regulation of placental growth by aldosterone and cortisol. Endocrinology 2011;

: 263–271.

Matthey S, Ross-Hamid C. The validity of DSM symptoms for depression and anxiety disorders during pregnancy. Journal Affective

Disorders 2011; 133: 546–552.

Streeter CC, Gerbarg PL, Saper RB, et al. Effects of yoga on the autonomic nervous system, gamma-aminobutyric-acid, and allostasis

in epilepsy, depression, and post-traumatic stress disorder. Medical Hypotheses 2012; 78: 571–579.

Brown RP, Gerbarg PL. Yoga breathing, meditation, and longevity. Ann N Y Acad Sci 2009; 1172: 54–62.

Battle CL, Salisbury AL, Schofield CA, et al. Perinatal antidepressant use: Understanding women’s preferences and concerns. Journal Psychiatric Practice 2013; 19: 443–453.

Doran F, Hornibrook J. Women’s experiences of participation in a pregnancy and postnatal group incorporating yoga and facilitated

group discussion: A qualitative evaluation. Women and Birth 2013; 26: 82–86.