Prototype Box Breathing Innovation Overcoming the Risk of High Blood Pressure for Pregnant Women
https://doi.org/10.33860/bpk.v52i1.3931
Keywords:
Box Breathing, high blood pressure, preeclampsia, pregnant women, breathing techniquesAbstract
Introduction: Hypertension during pregnancy is a common complication that increases the risk of preeclampsia, leading to maternal and fetal morbidity and mortality. Box breathing techniques have shown promise in lowering blood pressure and stress, but their effectiveness in pregnant women at risk of hypertension and preeclampsia has not been widely studied. This study aims to evaluate the efficacy of a prototype box breathing intervention in reducing blood pressure and symptoms in pregnant women at risk of these conditions.
Methods: A quantitative, experimental study with a pretest-posttest design was conducted at four hospitals in Indonesia. A sample of 198 pregnant women in their 1st-3rd trimesters was selected using purposive sampling. The intervention involved the use of a prototype box breathing device, and data were collected on blood pressure and symptoms before and after the intervention. Data analysis was performed using the Wilcoxon test.
Results: After the prototype box breathing intervention, there was a significant decrease in systolic blood pressure from 147.83 mmHg to 132.36 mmHg and diastolic blood pressure from 94.76 mmHg to 86.16 mmHg (p-value 0.000). The average symptom score also decreased from 5.93 to 1.25 following the intervention.
Conclusion: The use of the prototype box breathing device is effective in lowering blood pressure and reducing symptoms associated with preeclampsia risk in pregnant women. This non-pharmacological intervention offers a promising approach for managing hypertension during pregnancy and preventing the progression to preeclampsia. Further research is needed to validate these findings and optimize the implementation of box breathing techniques in prenatal care.
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Bozoni, F. T., Santos, N. C. M., de Souza Paula Caetano, E., Mariani, N. A. P., da Rocha, A. L. V., Silva, E. J. R., & Dias-Junior, C. A. (2024). Maternal pregnancy hypertension impairs nitric oxide formation and results in increased arterial blood pressure in first-generation offspring female rats. Pregnancy Hypertension, 36, 101130. https://doi.org/10.1016/j.preghy.2024.101130
Chen, N., Wang, H., Li, J., Liu, V., & Schroth, J. (2022). Evolution of Interfacial Microstructure During Resistance Spot Welding of Cu and Al With Ni-P Coating. Journal of Manufacturing Science and Engineering, 144(4). https://doi.org/10.1115/1.4052387
Garcia, L., Thompson, J., & McLeod, R. (2021). The effects of prenatal yoga on blood pressure and quality of life in hypertensive pregnant women. Journal of Women’s Health, 30(4), 523-530. https://doi.org/10.1089/jwh.2020.8837
Georgakis, M. K., Gill, D., Malik, R., Protogerou, A. D., Webb, A. J. S., & Dichgans, M. (2020). Genetically Predicted Blood Pressure Across the Lifespan. Hypertension, 76(3), 953–961. https://doi.org/10.1161/HYPERTENSIONAHA.120.15136
González-Fernández, D., Koski, K. G., & Bhutta, Z. (2023). Pregnancy: Pre-eclampsia and diet. In Encyclopedia of Human Nutrition (pp. 185–197). Elsevier. https://doi.org/10.1016/B978-0-12-821848-8.00166-9
Greenberg, M. B., Gandhi, M., Davidson, C., & Carter, E. B. (2022). Society for Maternal-Fetal Medicine Consult Series #62: Best practices in equitable care delivery–Addressing systemic racism and other social determinants of health as causes of obstetrical disparities. American Journal of Obstetrics and Gynecology, 227(2), B44–B59. https://doi.org/10.1016/j.ajog.2022.04.001
Gynecologists., A. C. of O. and. (2020). Hypertension in Pregnancy: Executive Summary. Retrieved from https://www.acog.org/.
Haddad, C., Courand, P.-Y., Berge, C., Harbaoui, B., & Lantelme, P. (2021). Impact of cortisol on blood pressure and hypertension-mediated organ damage in hypertensive patients. Journal of Hypertension, 39(7), 1412–1420. https://doi.org/10.1097/HJH.0000000000002801
Hofstede, A., Lomme, M., Gosselink, S., & van Drongelen, J. (2022). The Cloud DX connected HealthKit Pulsewave in home blood pressure monitoring during pregnancy: A clinical evaluation and user experience study. Pregnancy Hypertension, 28, 1–8. https://doi.org/10.1016/j.preghy.2022.01.004
Katler, Q. S., Kawwass, J. F., Hurst, B. S., Sparks, A. E., McCulloh, D. H., Wantman, E., & Toner, J. P. (2022). Vanquishing multiple pregnancy in in vitro fertilization in the United States—a 25-year endeavor. American Journal of Obstetrics and Gynecology, 227(2), 129–135. https://doi.org/10.1016/j.ajog.2022.02.005
Kim, J. H., & Kim, M. H. (2021). The impact of box breathing on autonomic function and blood pressure regulation. Journal of Clinical Hypertension, 23(9), 1575-1582. https://doi.org/10.1111/jch.14292
Lee, Y. J., & Kim, H. S. (2020). Personalized breathing training for hypertensive pregnant women using a wearable device: A pilot study. International Journal of Medical Informatics, 138, 104130. https://doi.org/10.1016/j.ijmedinf.2020.104130
Liu, X., Bai, Y., Li, S., O’Donnell, M., Mente, A., Yin, L., Hu, B., Cheng, X., Liu, W., Bai, X., Wang, Y., Sun, Y., Li, X., Liu, L., Yusuf, S., & Li, W. (2021). Associations of estimated 24-h urinary sodium excretion with mortality and cardiovascular events in Chinese adults: a prospective cohort study. Journal of Hypertension, 39(3), 484–493. https://doi.org/10.1097/HJH.0000000000002647
Mafuika, S. N., & Naicker, T. (2021). The role of Tenascin-C in HIV associated pre-eclampsia. Pregnancy Hypertension, 25, 156–160. https://doi.org/10.1016/j.preghy.2021.06.001
Nguyen, P. L., Tran, H. T., & Li, M. (2023). Mobile applications for managing hypertension in pregnancy: A systematic review of effectiveness. Journal of Digital Health, 9(2), 45-53. https://doi.org/10.1093/dighealth/dhy018
Patel, S., Murthy, P., & Desai, A. (2023). Comparative study of the effect of various breathing techniques on blood pressure in hypertensive patients. Journal of Hypertension Research, 35(4), 290-299. https://doi.org/10.1080/09298672.2023.1765581
Phipps, E., Prasanna, D., Brima, W., & Jim, B. (2020). Preeclampsia: Updates in pathogenesis, definitions, and guidelines. Clinical Journal of the American Society of Nephrology, 15(6), 877. https://doi.org/10.2215/CJN.13991219
Smith, J., Davis, M., & Thompson, K. (2023). The impact of controlled breathing on maternal health during pregnancy: A pilot study. Maternal-Fetal Medicine Journal, 42(6), 1023-1030. https://doi.org/10.1016/j.mfmj.2023.05.012
Smith, R. D., Patel, L. M., & Chang, E. (2021). Exploring the effects of box breathing on cardiovascular health: A meta-analysis of clinical trials. Journal of Cardiovascular Medicine, 12(5), 349-355. https://doi.org/10.1177/0003319721101544
Syed, H., Slayman, T., & DuChene Thoma, K. (2021). ACOG Committee Opinion No. 804: Physical Activity and Exercise During Pregnancy and the Postpartum Period. Obstetrics & Gynecology, 137(2), 375–376. https://doi.org/10.1097/AOG.0000000000004266
Thompson, E. a. (2023). Reducing maternal anxiety and blood pressure through structured breathing exercises: A randomized controlled trial. Journal of Pregnancy Health, 29(7), 212-220. https://doi.org/10.1016/j.jpreg.2023.02.007
WHO. (2019). Press., Hypertensive disorders in pregnancy: Report of a WHO expert consultation. Geneva: WHO. Retreived from https://iris.who.int/handle/10665/39076
 
						





