Activity in Pregnancy for Patients with a History of Preterm Birth
Activity in Pregnancy for Patients with a History of Preterm Birth
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DOI：
10.4137/cmwh.s34684
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发表时间：
2016-01-01
期刊：
影响因子：
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通讯作者：
May, Linda E.
中科院分区：
文献类型：
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作者：
Satterfield, Nichelle;Newton, Edward R.;May, Linda E.
早产仍然是全世界新生儿发病率和死亡率的主要原因。许多早产的危险因素已被确定，包括非西班牙裔黑人、各种社会和行为因素、感染和先前早产的病史。其中，既往自然早产史是最大的危险因素之一。传统上，有早产史或被认为早产风险较高的妇女在怀孕期间会卧床休息或减少活动。然而，几乎没有证据支持这一建议。最近的研究表明，怀孕期间经常进行体育活动和锻炼是安全的，不会增加早产的风险。因此，医生应该鼓励有早产史的女性在怀孕期间根据美国妇产科医生学会发布的指南进行锻炼，只要她们正在接受定期产前护理，并且目前的健康状况允许她们锻炼。然而，目前还没有评估有早产史妇女运动处方的随机对照试验，因此需要在这一领域进行更多的研究。
Preterm birth remains a leading cause of neonatal morbidity and mortality throughout the world. Numerous risk factors for preterm birth have been identified, including non-Hispanic black race, a variety of social and behavioral factors, infections, and history of a prior preterm delivery. Of these, a history of prior spontaneous preterm birth is one of the strongest risk factors. Traditionally, women with a history of preterm birth or those deemed at high risk for preterm delivery have been placed on bed rest or a reduced activity regimen during their pregnancy. However, there is little evidence to support this recommendation. Recent research has suggested that regular physical activity and exercise during pregnancy is safe and does not increase the risk of preterm delivery. Therefore, physicians should encourage women with a history of preterm birth to exercise throughout pregnancy according to guidelines published by the American College of Obstetricians and Gynecologists as long as they are receiving regular prenatal care and their current health status permits exercise. However, there are no randomized controlled trials evaluating exercise prescription in women with a history of preterm birth, hence additional research is needed in this area.