The Effect of Pregnancy Exercise on the Sleep Quality of Pregnant Women in the Third Trimester in the Working Area of Siotapina Public Health Center in Buton Regency

Authors

  • Dewi Sari Pratiwi Department of Nursing, University of Mandala Waluya, Kota Kendari, Sulawesi Tenggara 93561, Indonesia
  • Hasniah Dina Department of Nursing, University of Mandala Waluya, Kota Kendari, Sulawesi Tenggara 93561, Indonesia
  • Armayani Department of Nursing, University of Mandala Waluya, Kota Kendari, Sulawesi Tenggara 93561, Indonesia

DOI:

https://doi.org/10.31674/mjmr.2025.v09i03.008

Abstract

Introduction: Sleep disorders in pregnant women are often caused by elevated fetal weight, maternal dyspnea, noticeable fetal movements, frequent urination, and back pain. Pregnancy exercises are believed to enhance sleep quality, particularly in the third trimester. This study aims to assess the impact of pregnancy exercise on the sleep quality of third-trimester pregnant women within the jurisdiction of the Siotapina Public Health Center. Methods: A pre-experimental design with a one-group pre-test and post-test method was used in this study. The population comprised 148 third-trimester pregnant women, and a purposive sampling technique was applied to select 44 participants. The Wilcoxon Signed Rank Test was employed to analyse the results. Results: Before the pregnancy exercise intervention, 16 (36.4%) respondents had good sleep quality, while 28 (63.6%) had poor sleep quality. After the intervention, the number of respondents with good sleep quality increased to 30 (68.2%), while 14 (31.8%) continued to experience poor sleep quality. Conclusion: Pregnancy exercises significantly improve the sleep quality of third-trimester pregnant women. Future research should explore further pregnancy exercise interventions to enhance sleep quality among pregnant women in their third trimester.

Keywords:

Pregnancy Exercise, Sleep Quality, Third-Trimester Pregnant Women

Downloads

Download data is not yet available.

References

Abebe, T. A., & Debelew, G. T. (2025). Maternal Health Care Services Utilization and Associated Factors Among Pregnant Women in Kersa District, Jimma Zone, Southwest Ethiopia. PLoS ONE, 20(5), 1–16. https://doi.org/10.1371/journal.pone.0323977

Azward, H., Ramadhany, S., Pelupessy, N., Usman, A. N., & Bara, F. T. (2021). Prenatal Yoga Exercise Improves Sleep Quality in The Third Trimester of Pregnant Women. Gaceta Sanitaria, 35. https://doi.org/10.1016/j.gaceta.2021.10.030

Farrell III, B. J., Emmerton, R. W., Camilleri, C., & Sammut, S. (2024). Impulsivity mediates the relationship between sleep quality and interpersonal functioning: a cross-sectional study in a sample of university students. Sleep Science and Practice, 8(1), 16. https://doi.org/10.1186/s41606-024-00113-8

Guducu, N., Şolt Kırca, A., & Kanza Gul, D. (2023). Insomnia During Pregnancy and Related Factors. Journal of Turkish Sleep Medicine, 10(2), 137–143. https://doi.org/10.4274/jtsm.galenos.2022.81894

Hicks, L. E., Graf, M. D., & Yeo, S. (2024). Prenatal exercise and its effects on postpartum mental health: systematic review and meta-analysis. Archives of Women's Mental Health, 1-10. https://doi.org/10.1007/s00737-024-01525-2

Isayeva, G., Shalimova, A., & Buriakovska, O. (2022). The Impact of Sleep Disorders in The Development of Hypertension. Arterial Hypertension, 26(4), 170–179. https://doi.org/10.5603/AH.a2022.0014

Ismiyati, S., & Faruq, M. (2020). Gambaran Gangguan Tidur pada Ibu Hamil Trimester III di Puskesmas Jetis Kabupaten Bantul [Description of Sleep Disorders in Pregnant Women in the Third Trimester at the Jetis Health Center, Bantul Regency]. Jurnal Kebidanan Dan Keperawatan Aisyiyah, 16(2), 167–174. https://doi.org/https://doi.org/10.31101/jkk.1379

Jannah, M., Catur Leny, R., & Irawan, Q. (2023). The Relationship Between Quality of Sleep in Pregnant Women with the Incidence of Preeclampsia. Jurnal Program Mahasiswa Kreatif, 7(1), 123–129. https://doi.org/10.32832/pkm

Kember, A. J., Elangainesan, P., Ferraro, Z. M., Jones, C., & Hobson, S. R. (2023). Common Sleep Disorders in Pregnancy: A Review. Frontiers in Medicine, 10(August), 1–20. https://doi.org/10.3389/fmed.2023.1235252

Kołomańska, D., Zarawski, M., & Mazur-Bialy, A. (2019). Physical Activity and Depressive Disorders in Pregnant Women-A Systematic Review. Medicina (Lithuania), 55(5). https://doi.org/10.3390/medicina55050212

Liu, D., Liu, K., Xie, L., He, M., & Liu, X. (2025). The Effect of Physical Activity on Sleep Disorders in Pregnant People: A Meta-Analysis of Randomized Controlled Trials. BMC Pregnancy and Childbirth, 25(1). https://doi.org/10.1186/s12884-024-07129-z

Marconcin, P., Peralta, M., Gouveia, É. R., Ferrari, G., Carraça, E., Ihle, A., & Marques, A. (2021). Effects of Exercise During Pregnancy on Postpartum Depression: A Systematic Review of Meta-Analyses. Biology, 10(12). https://doi.org/10.3390/biology10121331

Marsh, M., Chien, P., & Clark, J. (2020). Issue Information. BJOG: An International Journal of Obstetrics & Gynaecology, 127(4). https://doi.org/10.1111/1471-0528.16052

Mislu, E., Kumsa, H., Tadesse, S., Arage, M. W., Susu, B., Ayele, M., & Chane, F. (2024). Sleep Quality Disparities in Different Pregnancy Trimesters in Low- and Middle-Income Countries: A Systematic Review and Meta-Analysis. BMC Pregnancy and Childbirth, 24(1), 627. https://doi.org/10.1186/s12884-024-06830-3

Nurherliyany, M., Novianti, A. R., Srinayanti, Y., & Heryani, H. (2025). The Effect of Pregnancy Exercises on the Quality of Sleep of Third Trimester Pregnant Women in Sindangrasa Village Ciamis District. Nurul Ilmi: Journal of Health Sciences and Midwifery, 3(1), 38-48. https://doi.org/10.52221/nuri

Pusparani, A. (2022). A Review on Insomnia: The Sleep Disorder. Scientia Psychiatrica, 3(2), 233-237. https://doi.org/10.37275/scipsy.v3i2.53

Ramar, K., Malhotra, R. K., Carden, K. A., Martin, J. L., Abbasi-Feinberg, F., Aurora, R. N., Kapur, V. K., Olson, E. J., Rosen, C. L., Rowley, J. A., Shelgikar, A. V., & Trotti, L. M. (2021). Sleep is Essential to Health: An American Academy of Sleep Medicine Position Statement. Journal of Clinical Sleep Medicine, 17(10), 2115–2119. https://doi.org/10.5664/jcsm.9476

Sanchez-Polan, M., Nagpal, T. S., Zhang, D., Silva-Jose, C., Montejo, R., & Barakat, R. (2024). The Influence of Physical Activity during Pregnancy on Maternal Pain and Discomfort: A Meta-Analysis. Journal of Personalized Medicine, 14(1). https://doi.org/10.3390/jpm14010044

Sánchez-Polán, M., Silva-Jose, C., Franco, E., Nagpal, T. S., Gil-Ares, J., Lili, Q., Barakat, R., & Refoyo, I. (2021). Prenatal Anxiety and Exercise. Systematic Review and Meta-Analysis. Journal of Clinical Medicine, 10(23). https://doi.org/10.3390/jcm10235501

Summer S Cannon, Michele Lastella, Kelly R Evenson, M. J. H. (2023). The Association Between Physical Activity and Sleep During Pregnancy: A Systematic Review. Behavioral Sleep Medicine, 21(4), 513–528. https://doi.org/https://doi.org/10.1080/15402002.2022.2124258

Wang, F., & Boros, S. (2021). The Effect of Physical Activity on Sleep Quality: A Systematic Review. European Journal of Physiotherapy, 23(1), 11–18. https://doi.org/10.1080/21679169.2019.1623314

Wolynczyk-Gmaj, D., Rózanska-Waledziak, A., Ziemka, S., Ufnal, M., Brzezicka, A., Gmaj, B., Januszko, P., Fudalej, S., Czajkowski, K., & Wojnar, M. (2017). Insomnia in pregnancy is associated with depressive symptoms and eating at night. Journal of Clinical Sleep Medicine, 13(10), 1171–1176. https://doi.org/10.5664/jcsm.6764

World Health Organization (WHO). (2019). WHO Recomendations on Antenatal Care for a Positive Pregnancy Experience. Retrieved from: https://www.who.int/publications/i/item/9789241549912. Accessed on 19th August 2024.

Yang, S. Y., Lan, S. J., Yen, Y. Y., Hsieh, Y. P., Kung, P. T., & Lan, S. H. (2020). Effects of Exercise on Sleep Quality in Pregnant Women: A Systematic Review and Meta-analysis of Randomized Controlled Trials. Asian Nursing Research, 14(1), 1–10. https://doi.org/10.1016/j.anr.2020.01.003

Yuniarti, K., Wulandari, A. P., & Ruslinawati, R. (2023). The Effect of Pregnancy Exercise on The Sleep Quality of Trimester II and III Pregnant Women at the Pelambuan Community Health Center, Banjarmasin City in 2023. Journal of Midwifery and Reproduction, 7(1), 1-4. https://doi.org/http://dx.doi.org/10.35747/jmr.v7i1.730

Published

08-07-2025

How to Cite

Pratiwi, D. S. ., Dina, H. ., & Armayani. (2025). The Effect of Pregnancy Exercise on the Sleep Quality of Pregnant Women in the Third Trimester in the Working Area of Siotapina Public Health Center in Buton Regency. Malaysian Journal of Medical Research (MJMR), 9(3), 69-76. https://doi.org/10.31674/mjmr.2025.v09i03.008

Metrics