Taibah University College of Medicine, Department of Obstetrics and Gynecology, AL Madinah Munawara, Saudi Arabia.
Medicine (Baltimore). 2023 May 26;102(21):e33688. doi: 10.1097/MD.0000000000033688.
One of the major exercises to improve the psychological and physical functions of pregnant women is Pilate's exercises. The aim of this study is to collect evidence about Pilates exercise effects on many consequences in pregnant women, such as maternal and neonatal outcomes and obstetric outcomes.
PubMed, Clinical Key, Cochrane Library, Scopus, Embase, and Web of Science were scoured from their inception. Research comparing Pilates during pregnancy to other methods, or to the control was included. For randomized controlled trials (RCTs), The researcher utilized the Cochrane risk of bias tool; for non-RCTs, risk of bias tool to assess non-randomized studies of interventions, was used for cohort studies, and the national heart, lung, and blood institute tool. Meta-analysis was done using the Review manager 5.4. For continuous data, calculated the mean difference and 95% confidence interval (CI), and the risk ratio (RR) and 95% CI for dichotomous data.
Finally, 13 studies included with a total number of 719 pregnant women. The analysis showed that the Pilates group was significantly more likely to deliver vaginally than the control group (RR = 1.21, 95% CI [1.05 to 1.41], P value = .009). Women in the Pilates group were significantly lower than the control group to have Cesarean delivery (RR = 0.67, 95% CI [0.48-0.94], P value = .02). Moreover, Pilates-treated women were less likely to gain weight during pregnancy than control (mean difference = -3.48, 95% CI [-6.17 to -0.79], P value = .01).
Pilates exercise improved the outcomes of pregnant women. It decreases the rate of Cesarean delivery and the time of delivery. Moreover, Pilates has a role in decreasing weight gain in pregnant women. As a result, that may improve the pregnancy experience for women. However, more RCTs needed with larger sample sizes to assess the Pilates effect on neonatal outcomes.
提高孕妇心理和生理功能的主要方法之一是普拉提运动。本研究旨在收集有关普拉提运动对孕妇诸多后果的影响的证据，例如母婴和新生儿结局以及产科结局。
从建库起对 PubMed、ClinicalKey、Cochrane 图书馆、Scopus、Embase 和 Web of Science 进行了检索。纳入了比较孕期普拉提运动与其他方法或对照组的研究。对于随机对照试验（RCT），研究者使用 Cochrane 偏倚风险工具；对于非随机对照试验，使用偏倚风险工具评估干预措施的非随机研究，对于队列研究，使用国家心肺血液研究所工具。使用 Review Manager 5.4 进行荟萃分析。对于连续性数据，计算均数差值和 95%置信区间（CI），对于二分类数据，计算风险比（RR）和 95%CI。
最终纳入了 13 项研究，共有 719 名孕妇。分析表明，普拉提组阴道分娩的可能性显著高于对照组（RR=1.21，95%CI[1.05 至 1.41]，P 值=0.009）。普拉提组的剖宫产率明显低于对照组（RR=0.67，95%CI[0.48 至 0.94]，P 值=0.02）。此外，普拉提组孕妇在孕期体重增加的可能性低于对照组（均数差值=-3.48，95%CI[-6.17 至-0.79]，P 值=0.01）。
普拉提运动改善了孕妇的结局。它降低了剖宫产率和分娩时间。此外，普拉提在降低孕妇体重增加方面发挥作用。因此，这可能会改善女性的妊娠体验。但是，需要更多具有更大样本量的 RCT 来评估普拉提对新生儿结局的影响。
