Zhang Rong, Xiao Ying, Wei Wei, Wu Bingbing
The Fourth Affiliated Hospital, Zhejiang University School of Medicine, Yiwu, Zhejiang, China.
Women's Hospital Zhejiang University School of Medicine, Zhejiang University, Hangzhou, Zhejiang, China.
Int J Gynaecol Obstet. 2022 Sep;158(3):613-618. doi: 10.1002/ijgo.14045. Epub 2021 Dec 11.
To evaluate the effect of birth ball abdominal core training on fatigue, waist pain, and delivery outcomes in middle and late pregnancy.
A prospective study of 209 primipara in total with 24-27 weeks of gestation were recruited and divided into the training group (109 cases) and the control group (100 cases). The control group received routine prenatal exercise. On the basis of routine prenatal exercise, pregnant women in the training group were given birth ball exercises based on abdominal core training. The difference in pregnancy fatigue, waist discomfort, and delivery outcomes between the two groups were compared.
The waist pain and fatigue ratings of women were significantly lower and the vaginal delivery rate (74.3%) was significantly higher (62%) (P < 0.001) in the training group. There were no significant differences in the total stage of labor, postpartum hemorrhage, neonatal weight and 1-min neonatal Apgar score between the two groups. The rate of episiotomy in the training group (14.7%) was significantly lower than that in the control group (25.0%) (P < 0.05).
Birth ball exercises can relieve fatigue and waist pain in middle and late 2021 pregnancy, reduce the rate of episiotomy, and promote spontaneous vaginal delivery.
评估分娩球腹部核心训练对妊娠中晚期疲劳、腰背痛及分娩结局的影响。
前瞻性研究共纳入209例孕周为24 - 27周的初产妇，分为训练组（109例）和对照组（100例）。对照组接受常规产前运动。训练组孕妇在常规产前运动的基础上，进行基于腹部核心训练的分娩球运动。比较两组妊娠疲劳、腰部不适及分娩结局的差异。
训练组女性的腰背痛和疲劳评分显著更低，阴道分娩率（74.3%）显著更高（62%）（P < 0.001）。两组在总产程、产后出血、新生儿体重及新生儿1分钟阿氏评分方面无显著差异。训练组的会阴侧切率（14.7%）显著低于对照组（25.0%）（P < 0.05）。
分娩球运动可缓解妊娠中晚期的疲劳和腰背痛，降低会阴侧切率，并促进自然阴道分娩。
