产前运动对分娩方式影响的研究

Vlatka Bojanić, Vesna Ljubojević
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摘要

简介/目的孕妇不建议运动,因为有早产的风险。然而,产前锻炼可以通过其他机制降低早产风险,如减少氧化应激或改善胎盘血管形成。考虑到剖宫产的数量正在增加,中等强度的体育活动对母亲和胎儿都有好处,有必要确定进行产前锻炼和不锻炼的孕妇分娩的频率。材料与方法:120名孕妇参与了本研究。只参加理论部分的孕妇被纳入对照组(n = 59)。通过加入实验组,孕妇(n = 61)同时参加理论部分和产前练习。我们对每个参与者进行了8周的随访,这是一个心理生理准备周期。结果:在孕妇进行产前锻炼的小组中,阴道分娩占主导地位,几乎是剖宫产的两倍。另一方面,在孕妇不运动的那一组中,阴道分娩的频率略有下降,但由于这一组中剖宫产的比例明显增加,因此有平衡结果的趋势。卡方检验的应用并没有确定进行产前锻炼的孕妇组和未进行产前锻炼的孕妇组在分娩方面是否存在统计学上的显著差异。结论:中等强度的产前运动对分娩类型有积极影响。虽然在进行运动的孕妇和没有进行运动的孕妇之间没有统计学上的显著差异,但进行产前运动的孕妇阴道分娩的趋势有所增加。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Research on the Influence of Prenatal Exercise on the Type of Delivery
INTRODUCTION / OBJECTIVE Pregnant women were not recommended to exercise because there was a risk of preterm delivery. Prenatal exercise however may reduce the risk of preterm delivery by other mechanisms such as reduced oxidative stress or improved placental vascularization. Given that the number of cesarean deliveries is growing and that a moderate-intensity physical activity can have a beneficial effect on mother and fetus, it is necessary to determine the frequency of delivery with pregnant women who performed prenatal exercises and those who did not exercise. METERIALS AND METHODS: One hundred and twenty pregnant women participated in the study (n = 120). Pregnant women who attended only the theoretical part were included in the control group (n = 59). By joining the experimental group, pregnant women (n = 61) participated in both the theoretical part and prenatal exercises. We followed each participant for 8 weeks, which is the duration of one cycle of psychophysical preparation. RESULT: In the group where pregnant women practiced prenatal exercises, vaginal deliveries predominate, almost twice as many as cesarean births. On the other hand, in the group where pregnant women did not exercise there is a slight decrease in the frequency of vaginal deliveries, with a tendency to equalize the results because there is an evident increase in the cesarean sections in that group. The application of the chi-square test did not determine the presence of a statistically significant difference in terms of delivery between the group of pregnant women who practiced prenatal exercises and those who did not. CONCLUSION: Prenatal exercise of moderate intensity has a positive impact on the type of delivery. Although no statistically significant difference was observed between pregnant women who exercised and those who did not, there is a tendency for an increase in vaginal delivery in pregnant women who performed prenatal exercise.
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