Response of Pulmonary Functions to Deep Breathing Exercise in Twin Pregnancy

Abd El Rahman, Noha Ahmed Fouad; Georgui Elias, Mina atef; ahmed roshdy, Shimaa hussien; Hamed Elsallamy, Ayman Aly; Abdulrahman Mahmoud, Radwa Saeid; Mohamed, Doaa Saeed

doi:10.21608/ejpt.2024.264289.1172

	Response of Pulmonary Functions to Deep Breathing Exercise in Twin Pregnancy
Egyptian Journal of Physical Therapy
Volume 18, Issue 1, June 2024 PDF (298.41 K)
Document Type: Original Article
DOI: 10.21608/ejpt.2024.264289.1172
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Authors
Noha Ahmed Fouad Abd El Rahman ¹; Mina atef Georgui Elias ²; Shimaa hussien ahmed roshdy³; Ayman Aly Hamed Elsallamy⁴; Radwa Saeid Abdulrahman Mahmoud ⁵; Doaa Saeed Mohamed¹
¹Department of Physical Therapy for Women's Health, Faculty of Physical Therapy, Badr University in Cairo, Egypt.
²1-Department of Physical Therapy, Ahmed Maher Teaching Hospital, General Organization for Teaching Hospitals and Institutes GOTHI, Cairo, Egypt. 2-Department of Physical Therapy for Internal Medicine and Geriatrics; Faculty
³Department of Physical Therapy for Cardio-pulmonary and Geriatric, Faculty of Physical Therapy, Misr University for Science and Technology, Giza, Egypt.
⁴Assistant Professor of Obstetrics and Gynecology, Misr University for Science and Technology, Egypt.
⁵1-Department of Physical Therapy for Pediatrics, Faculty of Physical Therapy, Cairo University, Egypt. 2-Department of Physical Therapy for Pediatrics and Pediatrics Surgery, Faculty of Physical Therapy, Badr University in Cairo, Egypt.
Abstract
Physiological changes during pregnancy significantly influence respiratory function, posing potential health risks to the mother and fetus, especially in twin pregnancies. This study aimed to investigate the impact of deep breathing exercises on pulmonary functions in twin pregnant women. The primary objective was to evaluate response of pulmonary functions to deep breathing exercises during the third trimester of twin pregnancies. A randomized controlled study was conducted at Soaad Kafafy University Hospital between October 2022 and June 2023. Sixty twin pregnant women, aged 25 to 35 years, in the third trimester of their pregnancies, were randomly assigned to two equal groups. Pulmonary function tests conducted at the 27th and 36th weeks of gestation to establish baseline values. The study group engaged in deep breathing exercises, involving diaphragmatic and costal breathing, three times daily for 15 repetitions over 9 weeks. Pre-treatment values of Forced Vital Capacity, Forced Expiratory Volume in the first second, and Peak Expiratory Flow showed no significant differences between the study and control groups (p > 0.05). Post-treatment outcomes in the study group demonstrated a noteworthy improvement in all variables compared to pre-treatment values (p < 0.05). Conversely, the control group showed no significant difference between the pre and post study outcomes. Comparative analysis of post-study results revealed a substantial increase favoring the study group (p < 0.05). Diaphragmatic and costal breathing proved to be effective in augmenting pulmonary functions in twin pregnant women. These findings underscore the benefits of incorporating respiratory exercises into prenatal care for twin pregnancies.
Keywords
Twin pregnancy; pulmonary function test; breathing exercise


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