Effectiveness of Antenatal Exercise on Labor and Birth Outcomes in Uncomplicated Pregnancy

We will conduct a randomized clinical trial, consenting and randomizing 96 healthy pregnant women with singleton pregnancies between the 28th and 30th weeks and aged 18–35 years from a tertiary hospital. Women randomized to the intervention group will receive structured antenatal exercise supervised by a women’s health physiotherapist with routine antenatal care, while women randomized to the control group will receive routine antenatal care only. The primary outcome is mode of delivery and duration of labor, and the secondary outcomes will include gestational age at delivery, neonatal birthweight, Bishop score, and Apgar score. Analyses will be intention to treat with estimates reported as relative risks and 95% CIs.This will be included in the 1st paper in a series of two papers.  A secondary analysis will be considered after six months follow up related to post partum complications such as pelvic floor muscle function, dysperunia,Urinary incontinence, diastasis rectus abdominis in the second paper in a series of two papers.