Silva-Jose Cristina, Sánchez-Polán Miguel, Díaz-Blanco Ángeles, Pérez-Medina Tirso, Carrero Martínez Vanessa, Alzola Irune, Barakat Rubén, Refoyo Ignacio, Mottola Michelle F
AFIPE Research Group, Faculty of Physical Activity and Sport Sciences-INEF, Universidad Politécnica de Madrid, 28040 Madrid, Spain.
Gynecology and Obstetrics Department, Hospital Universitario Severo Ochoa de Leganés, 28911 Leganés, Spain.
J Clin Med. 2021 Nov 11;10(22):5250. doi: 10.3390/jcm10225250.
The complications associated with COVID-19 confinement (impossibility of grouping, reduced mobility, distance between people, etc.) influence the lifestyle of pregnant women with important associated complications regarding pregnancy outcomes. Therefore, perineal traumas are the most common obstetric complications during childbirth. The aim of the present study was to examine the influence of a supervised virtual exercise program throughout pregnancy on perineal injury and episiotomy rates during childbirth. A randomized clinical trial design (NCT04563065) was used. Data were collected from 98 pregnant women without obstetric contraindications who attended their prenatal medical consultations. Women were randomly assigned to the intervention (IG, = 48) or the control group (CG, = 50). A virtual and supervised exercise program was conducted from 8-10 to 38-39 weeks of pregnancy. Significant differences were found between the study groups in the percentage of episiotomies, showing a lower episiotomy rate in the IG ( = 9/12%) compared to the CG ( = 18/38%) (χ (3) = 4.665; = 0.031) and tears (IG, = 25/52% vs. CG, = 36/73%) (χ (3) = 4.559; = 0.033). A virtual program of supervised exercise throughout pregnancy during the current COVID-19 pandemic may help reduce rates of episiotomy and perineal tears during delivery in healthy pregnant women.
与新冠疫情居家限制相关的因素（无法聚集、活动受限、人与人之间保持距离等）影响着患有与妊娠结局相关的重要并发症的孕妇的生活方式。因此，会阴创伤是分娩期间最常见的产科并发症。本研究的目的是探讨整个孕期有监督的虚拟运动计划对分娩时会阴损伤和会阴切开率的影响。采用随机临床试验设计（NCT04563065）。收集了98名无产科禁忌证且参加产前检查的孕妇的数据。将孕妇随机分为干预组（IG，n = 48）或对照组（CG，n = 50）。在怀孕8 - 10周到38 - 39周期间开展了一项虚拟且有监督的运动计划。研究组之间在会阴切开率方面存在显著差异，与对照组（18/38%）相比，干预组的会阴切开率较低（9/12%）（χ²(3)=4.665；P = 0.031），撕裂情况也是如此（干预组，25/52%对对照组，36/73%）（χ²(3)=4.559；P = 0.033）。在当前新冠疫情大流行期间，整个孕期有监督的虚拟运动计划可能有助于降低健康孕妇分娩时的会阴切开率和会阴撕裂率。
