怀孕期间体育炼对分娩结果的影响:随机对照试验的系统综述和元分析
Betelhem Abebe Andargie1, Abdrehman Legas1, Abebe W/Sellassie1
1Department of Epidemiology and biostatistics, Institute of public Health, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.
PloS one
|July 23, 2025
概括
在怀孕期间进行体育炼与更正常的阴道分娩和更少的剖腹产有关. 本系统性审查强调了运动对母亲健康和分娩结果的好处.
科学领域:
- 产科和妇科 产科和妇科
- 运动医学 运动医学
- 公共卫生 公共卫生
背景情况:
- 怀孕期间的体力活动为母亲提供了显著的益处,并且被认为是安全的.
- 这次系统性审查和元分析评估了运动干预措施对孕妇分娩结果的影响.
研究的目的:
- 评估怀孕期间体育炼对各种分娩结果的综合影响.
- 巩固关于母亲运动和分娩方式之间的关联的证据.
主要方法:
- 从2010年开始发表的随机对照试验 (RCT) 在多个数据库中进行了系统的文献搜索.
- 使用随机效应模型进行了对16项涉及3387名女性的RCT的元分析.
- 使用GRADE方法评估证据的确定性,结果包括分娩方式,分娩时间和出生体重.
主要成果:
- 运动干预与更高的正常阴道分娩率 (RR=1.14) 和显著较低的剖腹产率 (RR=0.66) 相关.
- 在运动组中,分娩的第一阶段明显短 (WMD=-61.30分钟).
- 在仪器分娩,分娩第二阶段,出生体重或Apgar分数方面没有发现显著差异.
结论:
- 怀孕期间的体育炼增加了正常阴道分娩的可能性,并减少了剖腹产的发生率.
- 运动与较短的分娩第一阶段有关,加强了对没有禁忌的孕妇的建议.
- 研究结果支持鼓励在怀孕期间进行适当的体育活动,以改善孕产妇和分娩的结果.
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