Does antenatal exercise shape labor and delivery outcomes?

IF 2.1 3区 医学 Q2 OBSTETRICS & GYNECOLOGY
Akanksha Chauhan, Anjali Gupta, Poonam Dhankher, Jagjit Singh Dalal, Nitika Jesingh, Savita Rani Singhal
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Abstract

Purpose: Incorporating regular physical activity into the lifestyle of a pregnant woman offers numerous health benefits and prepares her effectively for labor. This study was conducted to determine the impact of antenatal exercise on labor, delivery and perinatal outcome.

Methods: An interventional study was conducted including 200 women attending the antenatal clinic of Obstetrics and Gynaecology department of PGIMS Rohtak, India. The study subjects were randomly divided into two groups-exercise group and control group.

Results: The demographic profile of both the groups was similar. A higher proportion of patients in control group required labor induction compared to exercise group (33% vs 16%, P = 0.002). The rate of vaginal delivery was significantly higher in exercise group than in control group (71% vs 56%, P = 0.027). Additionally, women in exercise group had fewer assisted vaginal deliveries than control group (7% vs 20%, P = 0.007). Rates of cesarean section were comparable between both groups (P = 0.736). The mean duration of labor was significantly shorter in exercise group compared to control group (428.69 ± 131.242 min vs 516.91 ± 143.105 min, P < 0.0001). Mean Visual Analog Scale (VAS) score for pain was 6.38 ± 1.94 in exercise group compared to 7.89 ± 1.49 in control group (P < 0.0001). No significant difference was observed between the groups in birth weight and APGAR score of neonates.

Conclusion: A structured exercise program, practiced regularly during the antenatal period reduced the need for labor induction, shortened labor duration, increased the incidence of vaginal deliveries, and decreased pain perception during labor and delivery.

产前锻炼会影响分娩和生产结果吗?
目的:将有规律的体育锻炼纳入孕妇的生活方式可为健康带来诸多益处,并为分娩做好有效准备。本研究旨在确定产前锻炼对分娩、生产和围产期结果的影响:方法:本研究对印度罗塔克 PGIMS 妇产科的 200 名产妇进行了干预性研究。研究对象被随机分为两组--运动组和对照组:两组的人口统计学特征相似。与运动组相比,对照组需要引产的患者比例更高(33% 对 16%,P = 0.002)。运动组的阴道分娩率明显高于对照组(71% 对 56%,P = 0.027)。此外,运动组产妇的阴道助产率低于对照组(7% 对 20%,P = 0.007)。两组的剖宫产率相当(P = 0.736)。运动组的平均产程明显短于对照组(428.69±131.242 分钟 vs 516.91±143.105 分钟,P 结论:运动组的平均产程明显短于对照组(428.69±131.242 分钟 vs 516.91±143.105 分钟,P = 0.007):在产前定期进行有组织的运动可减少引产的需要,缩短产程,增加阴道分娩的发生率,并降低分娩过程中的疼痛感。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
4.70
自引率
15.40%
发文量
493
审稿时长
1 months
期刊介绍: Founded in 1870 as "Archiv für Gynaekologie", Archives of Gynecology and Obstetrics has a long and outstanding tradition. Since 1922 the journal has been the Organ of the Deutsche Gesellschaft für Gynäkologie und Geburtshilfe. "The Archives of Gynecology and Obstetrics" is circulated in over 40 countries world wide and is indexed in "PubMed/Medline" and "Science Citation Index Expanded/Journal Citation Report". The journal publishes invited and submitted reviews; peer-reviewed original articles about clinical topics and basic research as well as news and views and guidelines and position statements from all sub-specialties in gynecology and obstetrics.
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