产前有氧运动对母婴结局的影响：系统评价和荟萃分析。
Effect of prenatal aerobic exercises on maternal and neonatal outcomes: A systematic review and meta-analysis.
机构信息
Student's Research Committee, Midwifery Department, Tabriz University of Medical Sciences, Tabriz, Iran.
Department of Midwifery, Faculty of Nursing and Midwifery, Tabriz University of Medical Sciences, Tabriz, Iran.
出版信息
Nurs Open. 2021 Sep;8(5):2301-2317. doi: 10.1002/nop2.838. Epub 2021 Mar 8.
AIM
This study aimed to evaluate the effect of prenatal aerobic exercises on maternal and neonatal outcomes.
DESIGN
A systematic review and meta-analysis.
METHOD
A search was carried out in databases including PubMed, ProQuest, EMBASE, Cochrane Library, Scopus, Web of Science, Magiran and SID until 30 September 2020. Two reviewers independently assessed the articles for quality and risk of bias using the Cochrane handbook. The statistical heterogeneity was determined using the Cochran's Q test and Higgins' I coefficient.
RESULTS
Of the 2,790 extracted articles, 16 were included in this review. The results of the meta-analysis showed that prenatal exercise can increase the frequency of vaginal delivery significantly (RR: 1.24; 95% CI: 1.08-1.43), but had no statistically significant effect on other maternal and neonatal outcomes, such as first, second and third stages of labour, gestational age at birth, first and fifth-minute Apgar score, umbilical cord pH, neonatal weight, height and head circumference (p > .05).
CONCLUSIONS
The meta-analysis results suggested that prenatal exercise can reduce the frequency of caesarean section.
目的
本研究旨在评估产前有氧运动对母婴结局的影响。
设计
系统评价和荟萃分析。
方法
检索了包括 PubMed、ProQuest、EMBASE、Cochrane 图书馆、Scopus、Web of Science、Magiran 和 SID 在内的数据库，检索时间截至 2020 年 9 月 30 日。两位审稿人独立使用 Cochrane 手册评估文章的质量和偏倚风险。使用 Cochran's Q 检验和 Higgins' I 系数来确定统计异质性。
结果
从 2790 篇提取的文章中，有 16 篇被纳入本综述。荟萃分析的结果表明，产前运动可以显著增加阴道分娩的频率（RR：1.24；95%CI：1.08-1.43），但对其他母婴结局如第一、第二和第三产程、出生时的胎龄、第一和第五分钟 Apgar 评分、脐动脉 pH 值、新生儿体重、身高和头围没有统计学上的显著影响（p>.05）。
结论
荟萃分析结果表明，产前运动可以降低剖宫产的频率。
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