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孕期身体活动及其对分娩时间的影响:一项随机临床试验。

Physical activity during pregnancy and its influence on delivery time: a randomized clinical trial.

作者信息

Rodríguez-Blanque Raquel, Sánchez-García Juan Carlos, Sánchez-López Antonio Manuel, Aguilar-Cordero María José

机构信息

Hospital Universitario San Cecilio, Granada, Spain.

Andalusia Research Plan, Research Group CTS 367, Granada, Spain.

出版信息

PeerJ. 2019 Feb 7;7:e6370. doi: 10.7717/peerj.6370. eCollection 2019.

Abstract

INTRODUCTION

During pregnancy, women often change their lifestyle for fear of harmful effects on the child or themselves. In this respect, many women reduce the amount of physical exercise they take, despite its beneficial effects.

OBJECTIVE

To determine the duration of labor in pregnant women who completed a program of moderate physical exercise in water and subsequently presented eutocic birth.

METHODS

A randomized trial was performed with 140 healthy pregnant women, divided into an exercise group (EG) ( = 70) and a control group (CG) ( = 70). The women who composed the study population were recruited at 12 weeks of gestation. The intervention program, termed SWEP (Study of Water Exercise during Pregnancy) began in week 20 of gestation and ended in week 37. Perinatal outcomes were determined by examining the corresponding partographs, recorded by the Maternity Service at the Granada University Hospital Complex.

RESULTS

The intervention phase of the study took place from June through October 2016, with the 120 women finally included in EG and CG (60 in each group). At term, 63% of the women in EG and 56% of those in CG had a eutocic birth. The average total duration of labor was 389.33 ± 216.18 min for the women in EG and 561.30 ± 199.94 min for those in CG, a difference of approximately three hours ( < 0.001).

CONCLUSIONS

The women who exercised in water during their pregnancy presented a shorter duration of labor than those who did not. The difference was especially marked with respect to the duration of the first and second stages of labor.

摘要

引言

在孕期,女性常常因担心对胎儿或自身产生有害影响而改变生活方式。在这方面,许多女性减少了体育锻炼量,尽管体育锻炼有益。

目的

确定完成水中适度体育锻炼计划并随后顺产的孕妇的产程。

方法

对140名健康孕妇进行了一项随机试验,分为运动组(EG)(n = 70)和对照组(CG)(n = 70)。组成研究人群的女性在妊娠12周时招募。干预计划称为SWEP(孕期水中运动研究),从妊娠20周开始,至妊娠37周结束。围产期结局通过检查格拉纳达大学医院综合院区产科记录的相应产程图来确定。

结果

研究的干预阶段于2016年6月至10月进行,最终EG组和CG组各有60名女性纳入研究。足月时,EG组63%的女性顺产,CG组56%的女性顺产。EG组女性的平均总产程为389.33±216.18分钟,CG组女性为561.30±199.94分钟,相差约三小时(P<0.001)。

结论

孕期进行水中运动的女性产程比未进行水中运动的女性短。这种差异在第一产程和第二产程的时长方面尤为明显。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9087/6371916/1b371be40f88/peerj-07-6370-g001.jpg

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