Features of the application of physiotherapeutic procedures during pregnancy (literature review)

Physiotherapy for pregnant women is a significant area of modern medicine aimed at maintaining the health of both the mother and the fetus. It is relevant due to its safety and the ability to address a wide range of obstetric and gynecological issues. One of its key advantages is its non-invasive nature, making it an optimal choice for use in pregnant women when pharmacological treatment options are limited. The purpose of this work is to study the features of applying physiotherapeutic procedures during pregnancy, their effectiveness, and their role in improving the health of the mother and fetus. Materials and methods: The authors conducted an analysis of scientific works related to the peculiarities of using physiotherapy during pregnancy, employing sociological methods and content analysis. The results confirmed the effectiveness of physiotherapeutic methods in improving the health of pregnant women, reducing the risk of complications, and enhancing their quality of life. Conclusions: Thus, physiotherapy is an important component of comprehensive medical care during pregnancy, providing pain relief, improving the overall condition of women, and preventing complications.

1. Klinicheskie rekomendatsii – Normal'naya beremennost' – 2023-2024-2025 (15.02.2024). Utverzhdeny Minzdravom RF. (In Russ.). URL: https://srb48.gosuslugi.ru/netcat_files/44/136/KR_Normal_naya_beremennost_.pdf

2. WHO recommendations on antenatal care for a positive pregnancy experience. Женева: Всемирная организация здравоохранения; 2017 г. Лицензия: CC BY-NC-SA 3 IGO.

3. Aylamazyan E. K. Akusherstvo. Natsional'noe rukovodstvo. Kratkoe izdanie. Pod red. E. K. Aylamazyana, V. N. Serova, V. E. Rad-zinskogo, G. M. Savel'evoy. Moskva: GEOTAR-Media. 2021:608. (In Russ.). URL : https://www.rosmedlib.ru/book/ISBN9785970461044.html

4. Savelieva G.M., Sukhikh G.T., Serov V.N., Radzinsky V.E. Obstetrics (2nd ed.). GEOTAR-Media. 2022;1080. (In Russ.).

5. Dzigua M.V., Skrebyshevskaya A.A. Obstetrics: A guide to practical classes. GEOTAR-Media. 2019;352. (In Russ.). Retrieved from https://www.studentlibrary.ru/book/ISBN9785970452219.html (Accessed: 16.03.2025)

6. Radzinsky V.E. Obstetrics: A guide to practical classes (5th ed., revised and expanded). Moscow: GEOTAR-Media. 2015;728. (In Russ.).

7. Fedorov D.V., Kirgizova O.Yu. Myofascial release in the treatment of lumbar pain in pregnant women. Siberian Scientific Medical Journal. 2024;44(2):149-156. (In Russ.). https://doi.org/10.18699/SSMJ20240218

8. Se I, Zhao H, Zhao M, Huang H, Liu S, Huang F, Wu J. The impact of resistance exercises on blood glucose levels and pregnancy outcomes in patients with gestational diabetes mellitus: a randomized controlled trial. BMJ Open Diabetes Res Care. 2022;10(2):e002622. (In Russ.). https://doi.org/10.1136/bmjdrc-2021-002622 PMID: 35383101; PMCID: PMC8984031.

9. Ghandali N.Y., Iravani M., Habibi A. et al. The effectiveness of a Pilates exercise program during pregnancy on childbirth outcomes: a randomised controlled clinical trial. BMC Pregnancy Childbirth. 2021;21:480. https://doi.org/10.1186/s12884-021-03922-2

10. Yelverton C.A., Rafferty A.A., Moore R.L., Byrne D.F., Mehegan J., Cotter P.D., Van Sinderen D., Murphy E.F., Killeen S.L., McAuliffe F.M. Diet and mental health in pregnancy: Nutrients of importance based on large observational cohort data. Nutrition. 2022;96:111582. https://doi.org/10.1016/j.nut.2021.111582. Epub 2022 г. 5 января. PMID: 35149320.

11. Lawson S., Sachs A. Pelvic floor physiotherapy and women's health promotion. J Midwifery Womens Health. 2018;63(4):410-417. (In Russ.). https://doi.org/10.1111/jmwh.12736.

12. Pakhtman Shetty SL, Fogarty S. Massage during pregnancy and postpartum. Clin Obstet Gynecol. 2021 Sep 1;64(3):648-660. https://doi.org/10.1097/GRF.0000000000000638 PMID: 34323238

13. Prevett K., Kimber M.L., Forner L., de Vivo M., Davenport M.H. The impact of resistance training on pregnancy and postpartum health. Int Urogynecol J. 2023;34(2):405-411. (In Russ.). https://doi.org/10.1007/s00192-022-05393-1.

14. Ipatova M.V., Malanova T.B. Vozmozhnosti klassicheskoy fizioterapii v sovremennykh usloviyakh. Mat' i ditya. 2023;3(37):25-30. (In Russ.).

15. Apolikhina I.A., Bolotova N.V., Raigorodskiy Y.M. Rehabilitation in gynecology using device-based physiotherapy. Practical Medicine. 2019;208. (In Russ.).

16. Musnikov V.L. Fundamentals of rehabilitation in obstetrics and gynecology (3rd ed.). LANI. 2022;152. (In Russ.).

17. Ozolina L.A., Savchenko T.N., Anisimova M.A. The role of modern physiotherapy methods in the prevention and treatment of gynecological diseases (literature review). Snegirev Archive of Obstetrics and Gynecology. 2019;3. (In Russ.). URL: https://cyberleninka.ru/article/n/rol-sovremennyh-metodovfizioterapii-v-profilaktike-i-lechenii-ginekologicheskih-zabolevaniy-obzor-literatury) (Accessed: 16.03.2025).

18. Poděbradská R, Šarmírová M, Janura M, Elfmark M, Procházka M. The effect of physiotherapy intervention on the load of the foot and low back pain in pregnancy. Ceska Gynekol. 2019 Winter;84(6):450-457. English. PMID: 31948255.

19. Biana C.B., Cecagno D., Porto A.R., Cecagno S., Marques V.A., Soares M.C. Non-pharmacological therapies applied in pregnancy and labor: an integrative review. Rev Esc Enferm USP. 2021 Apr 16;55:e03681. English, Portuguese. https://doi.org/10.1590/S1980-220X2019019703681. PMID: 33886910.

20. Bodyazhina V.I., Zhmakin K.N. Uchebnik ginekologii. M.: Gosudarstvennoe izdatel'stvo meditsinskoy literatury. 2021:368. (In Russ.).

21. Likhachev V.K. Practical gynecology. Medical Information Agency. 2020;672. (In Russ.).

22. Russian Ministry of Health. Guidelines for medical care of pregnant women, parturients, and newborns during COVID-19. Ministry of Health of the Russian Federation. 2021. (In Russ.). URL: https://static-0.minzdrav.gov.ru/system/attachments/attaches/000/057/311/original/05072021_MR_Preg_v4.pdf (Accessed: 16.03.2025).

23. Khabarov S.V., Khadarceva K.A., Panshina M.V. The effectiveness of transcranial electrostimulation in obstetrics and gynecology. Questions of balneology, physiotherapy, and therapeutic physical culture. 2021;98(4):62-69. (In Russ.).

24. Fedorova T.A., Moskvin S.V., Apolikhina I.A. Lazernaya terapiya v akusherstve i ginekologii. Moscow–Tver': Izdatel'stvo «Triada». 2009:352. (In Russ.).

25. Kingau N.V., Dagala M. Women's knowledge about physiotherapy during pregnancy: A mixed-method study. Bull Fac Phys Ther. 2023;28:46. (In Russ.). https://doi.org/10.1186/s43161-023-00157-4

26. Enikeeva L.V. Effectiveness of physiotherapeutic methods in the comprehensive rehabilitation of women with chronic gynecological diseases. 2025;6(207). (In Russ.). URL: https://scilead.ru/article/8134-effektivnost-fizioterapevticheskikhmetodov-v

27. Yakyt Yesilirt S., Birinci Olgun T., Ayaz Tash S., Tosun G., Ozer M., Ozenkin N. Safety and efficacy of motor imagery-based physical activity in high-risk pregnancy: a randomized controlled trial. Int J Gynecol Obstet. 2024;167(3):1222-1230. (In Russ.). https://doi.org/10.1002/ijgo.15799.

28. Dzangiev I.I., Dzaurov I.M., Umakhadzhiev D.Sh., Umakhadzhieva D.Sh. Application of electrophoresis in obstetrics and gynecology. Science through the prism of time. 2022;6(63):97–99. (In Russ.).