The effectiveness of prenatal yoga in reducing anxiety levels among pregnant women in primary health care: A literature review
DOI: https://doi.org/10.56922/mchc.v5i2.3314
Anxiety Pregnant Women Prenatal Yoga
Abstract
Background: Anxiety in pregnant women is a common maternal mental health issue, particularly during the third trimester. This condition can negatively impact both maternal and fetal health, leading to sleep disturbances, elevated blood pressure, preterm labor, and postpartum depression. One widely used non-pharmacological intervention to reduce anxiety in pregnant women is prenatal yoga.
Purpose: to analyze the effectiveness of prenatal yoga in reducing anxiety levels among pregnant women in primary healthcare settings.
Method: This study employed a literature review using a narrative approach. Articles were electronically searched via the Google Scholar, PubMed, and ScienceDirect databases. Inclusion criteria included research articles published between 2021 and 2026, written in Indonesian or English, available in full text. The article selection process utilized the PRISMA flow diagram, resulting in 8 articles meeting the inclusion criteria.
Results: The findings indicate that all articles state prenatal yoga is effective in reducing anxiety levels in pregnant women, particularly during the third trimester. The mechanism by which prenatal yoga reduces anxiety is related to stimulation of the parasympathetic nervous system, a decrease in cortisol levels, and an increase in endorphins and serotonin, which play a role in creating a sense of comfort and calm.
Conclusion: Prenatal yoga is an effective, safe, and easily implementable nonpharmacological intervention in primary healthcare to help reduce anxiety levels in pregnant women. Prenatal yoga can be recommended as part of integrated antenatal care to support maternal mental health and improve the quality of life for pregnant women
Downloads
References
Beddoe, A. E., & Lee, K. A. (2008). Mind-body interventions during pregnancy. Journal of Obstetric, Gynecologic & Neonatal Nursing, 37(2), 165-175.
Corrigan, L., Moran, P., McGrath, N., Eustace-Cook, J., & Daly, D. (2022). The characteristics and effectiveness of pregnancy yoga interventions: a systematic review and meta-analysis. BMC pregnancy and childbirth, 22(1), 250.
Domínguez-Solís, E., Lima-Serrano, M., & Lima-Rodriguez, J. S. (2021). Non-pharmacological interventions to reduce anxiety in pregnancy, labour and postpartum: A systematic review. Midwifery, 102, 103126.
Field, T. (2012). Prenatal exercise research. Infant Behavior and Development, 35(3), 397-407.
Gencer, H., Özkan, S., Vardar, O., & Serçekuş, P. (2022). The effects of the COVID 19 pandemic on vaccine decisions in pregnant women. Women and Birth, 35(3), 317-323.
Hall, J., Foster, M., & White, R. (2023). Complementary therapies for maternal mental health: A systematic review. Complementary Therapies in Medicine, 70, 1–10.
Hasibuan, H., Siregar, R., & Harahap, N. (2024). Factors associated with anxiety levels among pregnant women in the third trimester. Indonesian Midwifery Journal, 15(2), 66–74.
Irawati, D., Irawati, A. M., & Anisak, S. (2023). The Effect of Combination of Prenatal Yoga and Self Hypnosis on Anxiety Level of Pregnant Women with Preeclampsia. International Journal of Advanced Health Science and Technology, 3(3), 55-60.
Kiselev, S. (2021). Yoga exercises can reduce prenatal maternal stress. European Psychiatry, 64(S1), S394-S394.
Kundarti, F. I., Titisari, I. R. A., Sepdianto, T. C., Karnasih, I., & Sugijati, S. (2020). The Effect of prenatal yoga on anxiety, cortisol and sleep quality. International Journal of Pharmaceutical Research (09752366), 12(3).
Li, X., Zhang, W., & Chen, Y. (2025). Effectiveness of prenatal yoga on maternal anxiety and quality of life. BMC Women’s Health, 25(1), 1–11.
Mercer, R. (2021). Becoming a mother: Maternal role attainment theory (2nd ed.). Springer Publishing.
Ministry of Health of the Republic of Indonesia. (2023). Pedoman Perawatan Antenatal Terpadu. Retrieved from: https://fliphtml5.com/fbesq/hfeq/basic
Muthoharoh, H., & Asmarani, N. A. (2024). The Effectiveness of Prenatal Yoga Reduce Pregnant Women's Anxiety Facing Childbirth. Journal of Health Sciences, 17(02), 190-196.
Novianti, R. P., Supariasa, I. D. N., Setyarini, D. I. S. I., & Mustafa, A. (2024). The Impact of Prenatal Yoga on Anxiety Levels in Third-Trimester Primigravida Mothers: A Pre-Experimental Study. International Journal of Advanced Health Science and Technology, 4(4), 206-211.
Rahmawati, Y., Fitriani, N., & Andini, D. (2024). The implementation of prenatal yoga classes on the mental health of pregnant women at community health centers. Indonesian Journal of Public Health, 19(2), 77–85.
Ramadhan, F. V. A., & Febriyani, P. A. (2025). The Effect of Prenatal Gentle Yoga on Anxiety In 3rd Trimester Pregnant Women. JURNAL KEBIDANAN, 15(1).
Setiyarini, A. D., Putri, E. R. T., Andini, D. M., & Rahmawati, E. (2024). Effects of prenatal yoga on the anxiety of pregnant women before birth. Indonesian Midwifery and Health Sciences Journal, 8(1), 31-37.
Sulastri, A., Syamsuddin, S., Idris, I., & Limoa, E. (2021). The effectiveness of gentle prenatal yoga on the recovery of anxiety level in primigravid and multigravid pregnant women. Gaceta Sanitaria, 35, S245-S247.
Utami, W. N., & Zolekhah, D. (2021). The impact of relaxation in prenatal yoga against the anxiety level in pregnant women.
World Health Organization. (2022). World mental health report: Transforming mental health for all. Retrieved from: https://www.who.int/publications/i/item/9789240049338
Wu, T. C. H., Meehan, A. J., Rijlaarsdam, J., Maughan, B., Fearon, P., & Barker, E. D. (2022). Developmental pathways from toddler difficult temperament to child generalized psychopathology and adult functioning. Journal of Affective Disorders, 301, 14-22.
Downloads
Published
Issue
Section
License
Copyright (c) 2026 THE JOURNAL OF Mother and Child Health Concerns

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.









