我们对怀孕和分娩的生物力学有什么了解呢? 一个系统的范围审查审查
Anastasia Topalidou1, Lauren Haworth2, Raeesa Jassat3
1School of Nursing and Midwifery, University of Lancashire, Preston, United Kingdom.
PloS one
|December 1, 2025
概括
怀孕期间的生物力学研究是有限的,没有研究检查分娩生物力学. 本次审查突出了了解母亲适应的关键差距,影响了基于证据的出生实践和公平.
科学领域:
- 围产期健康 围产期健康
- 生物机械研究 生物机械研究
- 孕产妇医学 孕产妇医学
背景情况:
- 生物机械并发症是导致母亲发病率和死亡率的重要因素.
- 怀孕和分娩的生物力学研究显著欠发达.
- 现有的临床实践往往缺乏经验生物力学数据,依靠传统.
研究的目的:
- 系统地绘制和合成关于怀孕和分娩的生物力学现有文献.
- 发现围产期母亲生理机械适应的研究缺口.
- 评估目前的证据状态,以指导更安全和个性化的分娩实践.
主要方法:
- 根据Arksey和O'Malley的框架和PRISMA-ScR指南进行系统范围审查.
- 在MEDLINE,EMBASE和MIDIRS数据库中进行全面的文献搜索,截至2025年5月.
- 包括同行评审的经验研究,评估孕妇或分娩妇女的肌肉骨,动力学,动力学,姿势或动态参数.
主要成果:
- 包括87项研究,所有这些研究都专注于怀孕;没有确定有关劳动力学生物力学的研究.
- 大多数研究都是观察性的,样本大小小,多样性有限 (例如,仅在一项研究中报告了种族).
- 关键主题包括姿势,步态,功能任务和平衡,显示出高度的个体变化,但在整个怀孕期间没有一致的生物力学模式.
结论:
- 关于分娩的生物力学存在关键证据空白,在围产期研究中留下了显著的空白.
- 目前对怀孕期间母亲生物力学的理解是分散的,缺乏多样性,限制了临床相关性.
- 解决缺乏劳动力学生物力学数据的问题和改善种族代表性对于推进围产期结果和孕产妇护理平等至关重要.
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