Impact of maternal muscle strength on cesarean delivery outcomes: a comparative study of nulliparous women.

IF 16.4 1区化学 Q1 CHEMISTRY, MULTIDISCIPLINARY

Accounts of Chemical Research Pub Date : 2024-07-02 eCollection Date: 2024-01-01 DOI:10.55730/1300-0144.5867

Gülsemin Ertürk Çelik, Sezin Ertürk Aksakal, Yaprak Engin Üstün

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引用次数: 0

Abstract

Background/aim: This study explored the correlation between maternal muscle mass and strength and the mode of delivery in childbirth. Specifically, it focused on full-term nulliparous pregnant women, analyzing ultrasonographic measurements of the quadriceps femoris muscle together with serum myostatin levels and muscle strength as determined by a handgrip test. The aim was to discern whether these factors could influence the likelihood of delivering vaginally or via cesarean section.

Materials and methods: This study included 86 healthy nulliparous women at term, categorizing them into two groups based on their mode of delivery: vaginal delivery (58 women, Group 1) and cesarean section (28 women, Group 2). Comparative analyses of demographic information, delivery characteristics, ultrasonographic measurements of the quadriceps femoris, limb circumferences, handgrip strength, and serum myostatin concentrations were conducted.

Results: The findings revealed that women in Group 1 had less gestational weight gain but greater handgrip strength compared to Group 2. Additionally, women who underwent cesarean section due to nonprogressive labor had greater arm and calf circumferences relative to those who had vaginal deliveries.

Conclusion: The data of this study suggest a trend whereby lower maternal muscle strength and mass are associated with a decreased likelihood of vaginal delivery in pregnant women.

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产妇肌肉力量对剖宫产结果的影响：一项针对无阴道产妇的比较研究。

背景/目的：本研究探讨了产妇肌肉质量和力量与分娩方式之间的相关性。具体而言，该研究以足月无阴道分娩的孕妇为对象，分析了股四头肌的超声波测量值、血清肌生成素水平以及通过手握试验测定的肌肉力量。研究的目的是了解这些因素是否会影响经阴道分娩或剖腹产的可能性：这项研究包括 86 名健康的足月无痛分娩产妇，根据其分娩方式分为两组：阴道分娩（58 名产妇，第 1 组）和剖宫产（28 名产妇，第 2 组）。对人口统计学信息、分娩特征、股四头肌超声波测量、肢体围度、握力和血清肌生长激素浓度进行了比较分析：结果：研究结果显示，与第二组相比，第一组产妇的妊娠体重增加较少，但手握强度较大。此外，与阴道分娩的产妇相比，因顺产而接受剖宫产的产妇的手臂和小腿周长更大：本研究的数据表明，产妇肌肉力量和质量较低与孕妇阴道分娩的可能性降低有关。

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

Accounts of Chemical Research 化学-化学综合

CiteScore

31.40

自引率

1.10%

发文量

312

审稿时长

2 months

期刊介绍： Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.