Awareness of Puerperal Exercises Among Postnatal Kurdish Mothers in Erbil City

Authors

  • Warda Hassan Abdullah Department of Nursing, College of Nursing, Hawler Medical University, Erbil, Kurdistan Region, Iraq.

DOI:

https://doi.org/10.15218/ejnm.2025.18

Keywords:

Puerperal Exercise, Postnatal Mothers, Cross-sectional Study, Mother’s Awareness

Abstract

Background and objectives: The postnatal period is a critical phase for maternal and newborn health, with increased risk of illness and complications. Postnatal exercise plays a vital role in reducing these risks and helps mothers recover and return to their pre-pregnancy state. This study aimed to assess the awareness of postnatal Kurdish mothers regarding puerperal exercises.

Methods: A cross-sectional study was conducted from September 2021 to November 2023, involving 1,000 postpartum Kurdish mothers in the postpartum ward of the Maternity Teaching Hospital, Erbil City, Kurdistan Region, Iraq. Data were collected using a structured interview questionnaire comprising 45 items to assess mothers' knowledge of puerperal exercises, including types (5 items), benefits (34 items), and contraindications (6 items). Each correct answer was awarded one point, with a total possible score of 45. Data were analyzed using SPSS version 20.0, applying descriptive statistics (frequencies, percentages, means) and inferential statistics (chi-square test) to examine associations between variables.

Results: Approximately half of the study participants (51.6%) Kurdish mothers, had low knowledge regarding the types, benefits, and practices of puerperal exercise. While many participants expressed willingness to engage in postpartum physical activity, a range of barriers were reported that hindered their actual participation. These included neglect and lack of time (100%), fatigue and discomfort (98.7%), limited information (72.5%), disinterest in exercise (45.4%), as well as family-related responsibilities such as spousal support (80.9%) and childcare duties (83.4%). A very highly statistically significant relationship was found between Kurdish mothers’ overall knowledge and their educational level and age (P-values < 0.001).

Conclusion: The study reveals a lack of puerperal exercise knowledge among Kurdish mothers in Iraq's Kurdistan Region, indicating the necessity for culturally sensitive education, healthcare provider training, and community-wide awareness initiatives to promote postpartum health and exercise.

Metrics

Metrics Loading ...

References

Chauhan G, Tadi P. Physiology, Postpartum Changes. [Updated 2022 Nov 14]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2024 -. Available from: https://www.ncbi.nlm.nih.gov/books/NBK555904/

Baattaiah, B.A., Zedan, H.S., Almasaudi, A.S. et al. Physical activity patterns among women during the postpartum period: an insight into the potential impact of perceived fatigue. BMC Pregnancy Childbirth. (2022) 22, 678. https://doi.org/10.1186/s12884-022-05015-0

King TL, Brucker MC, Jevitt C, Osborne K. Varney's midwifery. Sixth edition. ed. Burlington, Massachusetts: Jones & Bartlett Learning; 2019. Available Online. https://cmc.marmot.org/Record/.b59372461 .

Cilar Budler, L., Budler, M. Physical activity during pregnancy: a systematic review for the assessment of current evidence with future recommendations. (2022). BMC Sports Sci Med Rehabil. 14, 133. https://doi.org/10.1186/s13102-022-00524-z

Mbombi, Masenyani & Thopola, Magdeline & Kgole, Jermina. Puerperas’ knowledge regarding postpartum exercises in a tertiary hospital in the Capricorn District of Limpopo Province, South Africa. (2017). South African Journal of Obstetrics and Gynaecology. 23. 3-6.10.7196/SAJOG. 2017.v23i1.1059.

Sreenivasan A. A. study to assess the knowledge, practice and attitude of postnatal mother regarding postnatal exercise in government headquarters hospital, Kumba-konam. (2019). International Journal of Advanced Scientific Research. V.2; (4). Pp 32-35. www.allscientificjournal.com

Grant, A., Currie, S. Qualitative exploration of the acceptability of a postnatal pelvic floor muscle training intervention to prevent urinary incontinence. (2020). BMC Women's Health .20, 9 . https://doi.org/10.1186/s12905-019-0878-z

Rajah AS, Bayero UB, Hussein ZM, Lawal AK, Tashi TF, Tukuntawa AS, Rabiu AF. Perceived Benefits and Barriers to Prenatal and Post-partum Exercises among Child Bearing Women in Kano, Nigeria. (2021). International Journal of Childbirth. 2;11(2):37-46. DOI:10.1891/IJCBIRTH-D-20-00013

American College of Obstetricians and Gynecologists.Fetal Heart Rate Monitoring During Labor. (2018). Available Online. https://www.acog.org/-/media/For-Patients/ fa-q015 .pdf ?d mc=1&ts= 20191208 T0926083371

American College of Obstetricians and Gynecologists. Physical activity and exercise during pregnancy and the postpartum period. ACOG Committee Opinion No. 804. Obstet. Gynecol. 2020, 135, e178–e188. Available online: https: www.acog.org/-/media/project /acog/acogorg/clinical/files/committee-opinion/articles/2020/04/physical-activity-and-exercise-during-pregnancy-and-the-postpartum-period.pdf (accessed on 7 January 2023).

Majeed R, Zehra S, Furqan Z, Shoukat M, Samad M, Gulzar T, Waris S. Knowledge, Attitude and Practice among Women Regarding Postnatal Exercises; A Cross-Sectional Study Across Lahore in Private Sector. (2022). Pakistan Journal of Medical & Health Sciences. 28;16(03):883-. DOI: https://doi.org/10.53350/pjmhs22163883

Sundaramurthy R, Kathiresan S, Ven-kateshvaran S, Kannan S. Knowledge, attitude and practice of postnatal exercises among postnatal women from a tertiary care centre, South India. (2020). International Journal of Reproduction, Contraception, Obstetrics and Gynecology. 1;9(4):1366-72. GaleAcademicOneFile,link.gale.com/apps/doc/A62402800 8/AONE?u=ano n~1 e2c2688&sid=googleScholar&xid=eb0939be. Accessed 5 Mar. 2024.

Dudonienė V, Kuisma R. Women's Knowledge and Perceptions of the Effect of Exercise during Pregnancy: A Cross-Sectional Study. (2023). Int J Environ Res Public Health. 19;20(3):1822. doi: 10.3390/ijerph20031822. PMID: 36767189; PMCID: PMC9914450.

Meeral Kalariya. A Study to Assess Effectiveness of Structured Teaching Programme on Knowledge and Practice Regarding Postnatal Exercises among Postnatal Mother in Selected Hospitals of Valsad District. (2015). Int. J. Nur. Edu. and Research. 3(3); Page 281-283. doi: 10.5958/2454-2652.2015.00020.7

Vishnu G A & Aazmi M. Knowledge, practice and attitude of postnatal mothers towards postnatal exercises in a rural area of Tamil Nadu. (2019). IJFCM. V:6, (3); pp: 134-137. https://doi.org/10.18231/j.ijfcm.2019.031

Alharqi, H.M., Jilan, D., & Albattawi, A. Assessment of Knowledge and Attitude of Women Towards Postpartum Exercise. (2018). I OSR-JNHS. V.7; (1); PP 16-20. DOI: 10.9790/1959-0701081620. www.iosrjournals.org

Alharbi J.H, AwadAlrhiely A, Mufleh F A, Alharbi N, Ali Kh, and El-sayed E. Knowledge, Attitude and Practices of Kegel Exercise among Postnatal Women, in Madinah Al Munawarah, Saudi Arabia. (2019) International Journal of Nursing Didactics. 9: (06). http://innovativejou rnal.in/index.php/ijnd

Sarkar J, Konwar G, Das LK. Assessment of knowledge and practice regarding postnatal exercises among mothers admitted in postnatal ward in Gauhati medical college and hospital. (2014). Obstet Gynaecol Barpeta.; V.1(1):52-6. https://www.journal.barpetaog s. co.in/pdf/0152.pdf

Kumari1 A.S and Prasanna M.L. Effectiveness of Video Assisted Structured Teaching Pro-gramme on Postnatal Exercises in Terms of Knowledge Attitude and Practices among Postnatal Mothers at KIMS Hospital, Amalapuram.(2022). IJSR. 2319-7064. Paper ID: SR231109153438DOI: https://dx.doi.org/10.21275/SR231109153438

Sabiri E, Olutende OM, Wabuyabo IK, Esther V. Knowledge of prenatal exercise among expectant women from selected health facilities, Kakamega County, Kenya. Journal of Physical Activity Research. 2018.3(1):55-9. DOI:10.12691/jpar-3-1-9

Mbada, Ch. E, Olubukayomi E. A, Adebanjo B A, Kikelomo E. A, Olabisi A. A and Ibidun A. Knowledge and Attitude of Nigerian Nursing Mothers towards Postnatal Exercise: A Cross-Sectional Survey. (2016). SMU MJ. V.3, (1). https://www.researchgate .net/public cati-on/344823425_Knowledge_and_Attitude_ofNigerian_Nursing_Mothers_towards_Postnatal_Exercise_A_Cross-Sectional_Survey

Mistry K.R, Bhonsle M, Chaudhari Ch, Chauhan P, Gayakwad S, Parmar K, et al. Knowledge of Postnatal Mothers Regarding Postnatal Exercises. (2017). The Journal of Advanced Health Informatics. V1;(1). Available at URL: http://mbnc.edu.in/U TUJAH I.html.

Downloads

Published

2025-05-30

How to Cite

1.
Abdullah WH. Awareness of Puerperal Exercises Among Postnatal Kurdish Mothers in Erbil City. Erbil j. nurs. midwifery [Internet]. 2025 May 30 [cited 2026 Jan. 30];8(2):177-86. Available from: https://ejnm.hmu.edu.krd/index.php/ejnm/article/view/303

Issue

Section

Original Articles