Batrak A S, Khodasevich L S
Research Centre of Balneotherapy and Rehabilitation - the branch of the North-Caucasian Federal Research and Clinical Centre, Russian Federal Medico-Biological Agency, Sochi, Russia.
Research Centre of Balneotherapy and Rehabilitation - the branch of the North-Caucasian Federal Research and Clinical Centre, Russian Federal Medico-Biological Agency, Sochi, Russia; Sochi State University, Sochi, Russia.
Vopr Kurortol Fizioter Lech Fiz Kult. 2019;96(1):30-36. doi: 10.17116/kurort20199601130.
The delivery of the fetus in breech presentation remains one of the most serious challenge for obstetricians. In the cases of pregnancy of more than 29 weeks, it is recommended to carry out the activities aimed at translating breech presentation into cephalic presentation by means of the external preventive rotation of the fetus to the head with the use various complexes of gymnastic exercises as well as other methods applied for the correction of the abnormal fetal presentation including water aerobics.
The objective of the present study was to evaluate the effectiveness of the method for the prenatal correction of the pathological presentation of the fetus based on the use of the water aerobics procedures.
The study included 100 women at the age from 21 to 38 years presenting with the purely gluteal presentation of the fetus in 83 cases, the transverse presentation in 14 cases, the footling presentation in 2 cases, and the slanting presentation in 1 one case. To prepare women for the childbirth at the direction of the attending doctor and under the guidance of an instructor a complex of water aerobics exercises was employed.
The successful prenatal correction of fetal presentation with the use of water aerobics exercises was achieved in 83 cases. In these women, pregnancy ended in the delivery through the natural birth canal. In 17 cases, antenatal correction proved inefficient which was regarded as the indication for the planned operation of cesarean section. Fetal turnaround occurred after 2-3 sessions of water aerobics in 66.3% of the women, with the gestational age at the time of the version being 32-33 weeks in 81.9% of the cases.
Our experience of the work with pregnant women gives evidence of the high effectiveness of corrective water aerobics and allows to recommend the performance of external cephalic version with the use of this physiotherapeutic procedure for the application in the clinical practice.
臀位胎儿的分娩仍然是产科医生面临的最严峻挑战之一。对于孕周超过29周的孕妇，建议采取各种体操练习及其他用于纠正异常胎位（包括水中有氧运动）的方法，通过胎儿外倒转术将臀位转为头位。
本研究的目的是评估基于水中有氧运动程序的胎儿产前胎位异常纠正方法的有效性。
研究纳入了100名年龄在21至38岁之间的女性，其中83例为单纯臀位胎儿，14例为横位，2例为足先露，1例为斜位。在主治医生的指导下，由一名教练指导，采用一套水中有氧运动练习，让孕妇为分娩做准备。
83例孕妇通过水中有氧运动成功实现了胎儿胎位的产前纠正。这些孕妇的妊娠以经自然产道分娩告终。17例中，产前纠正被证明无效，这被视为计划剖宫产手术的指征。66.3%的女性在进行2至3次水中有氧运动后实现了胎儿倒转，其中81.9%的病例倒转时的孕周为32至33周。
我们与孕妇的工作经验证明了矫正水中有氧运动的高效性，并允许推荐在临床实践中使用这种物理治疗程序进行外倒转术。
