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高危妊娠女性对产前瑜伽的认知与态度

Knowledge and Attitudes Toward Prenatal Yoga Among Women with High-Risk Pregnancies.

作者信息

Deshmukh Shilpa, Seely Ellen W, Brickley Tess, Zera Chloe

机构信息

Department of Medicine, Brigham and Women's Hospital; and Instructor, Harvard Medical School, Boston.

Division of Endocrinology, Diabetes and Hypertension, Brigham and Women's Hospital; and Professor of Medicine, Harvard Medical School, Boston.

出版信息

Int J Yoga Therap. 2020 Jan 1;30(1):63-68. doi: 10.17761/2020-D-19-00034.

Abstract

This study sought to evaluate attitudes and knowledge about prenatal yoga and to investigate barriers and facilitators to yoga participation in high-risk pregnant women receiving prenatal care in an academic tertiary care center. We surveyed a convenience sample of women receiving prenatal care through the Maternal-Fetal Medicine practice at Brigham and Women's Hospital. We classified participants as yoga-experienced or yoga-naive depending on self-report. We compared differences between the two groups using the appropriate nonparametric tests and compared bivariate odds ratios for survey results using logistic regression. Of the 100 respondents, 53% had practiced yoga previously. Women with yoga experience were older (age 34.9 ± 5.6 vs. 31.0 ± 6.0 years, p = 0.004), more likely to be college graduates (94% vs. 68%, p = 0.002), and more likely to be White (77% vs. 47%, p = 0.002) than women without previous yoga experience. Previous yoga experience was associated with participant agreement that yoga was safe during their current pregnancy (odds ratio 5.9, 95% confidence interval 1.9-17.7). Of the women surveyed, 56% agreed that they would like to attend a prenatal yoga class. In a multivariate model including age, race, and education, previous yoga experience was the only significant predictor associated with willingness to participate in prenatal yoga classes during current pregnancy (odds ratio 3.1, 95% confidence interval 1.1-8.6). Prior yoga experience was the strongest predictor of willingness to attend a prenatal yoga class in our population. Our results suggest that women with high-risk pregnancies who may benefit from prenatal yoga interventions but lack prior yoga experience may need additional education to facilitate participation.

摘要

本研究旨在评估对产前瑜伽的态度和知识,并调查在一所学术性三级医疗中心接受产前护理的高危孕妇参与瑜伽的障碍和促进因素。我们通过布莱根妇女医院母胎医学科对接受产前护理的妇女进行了便利抽样调查。根据自我报告,我们将参与者分为有瑜伽经验组或无瑜伽经验组。我们使用适当的非参数检验比较两组之间的差异,并使用逻辑回归比较调查结果的双变量优势比。在100名受访者中,53%的人以前练习过瑜伽。有瑜伽经验的女性年龄更大(34.9±5.6岁对31.0±6.0岁,p = 0.004),大学毕业的可能性更高(94%对68%,p = 0.002),并且比没有瑜伽经验的女性更有可能是白人(77%对47%,p = 0.002)。以前的瑜伽经验与参与者认为瑜伽在当前孕期安全的认同相关(优势比5.9,95%置信区间1.9 - 17.7)。在接受调查的女性中,56%的人表示愿意参加产前瑜伽课程。在一个包括年龄、种族和教育程度的多变量模型中,以前的瑜伽经验是与当前孕期参与产前瑜伽课程意愿相关的唯一显著预测因素(优势比3.1,95%置信区间1.1 - 8.6)。在我们的研究人群中,以前练过瑜伽是参加产前瑜伽课程意愿的最强预测因素。我们的结果表明,可能从产前瑜伽干预中受益但缺乏先前瑜伽经验的高危妊娠女性可能需要额外的教育来促进其参与。

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