Exercise and pregnancy: duration of labor stages and Perinea tear rates
Exercise and pregnancy: duration of labor stages and Perinea tear rates
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运动和怀孕：产程持续时间和会阴撕裂率
DOI：
10.1016/j.sbspro.2011.12.082
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发表时间：
2012
期刊：
影响因子：
--
通讯作者：
Mina Hajiloomohajerani
中科院分区：
文献类型：
--
作者：
Z. Ghodsi;Maryam Asltoghiri;Mina Hajiloomohajerani
分娩是痛苦的，对于大多数孕妇来说，分娩的开始是充满痛苦的。此外，女性在分娩时经常会遭受会阴损伤。本研究旨在评估运动对孕妇产程持续时间和会阴撕裂率的影响。采用持续法选择174名单胎妊娠妇女，并分配为训练组或对照组。他们选择在整个怀孕期间直至分娩期间遵循轻强度运动计划。训练包括每周3次，30-45分钟。记录两组的妊娠结局，包括产程持续时间和会阴撕裂。研究组和对照组的会阴切开率、总体自发性撕裂和会阴完整率相似（PV=0/19）。训练组的会阴完整率明显较高（36.8% vs. 23.8%），而训练组女性的二度撕裂率略低（40.2% vs. 53.6%），不过，这两项结果均未达到统计学显着性。训练组与对照组第一产程持续时间有显着性差异，但第二产程持续时间无显着性差异。训练对会阴创伤的发生既没有显示出保护性的影响，也没有显示出有害的显着影响。然而，孕期运动训练的产程较短，给女性带来良好的感觉。
Labor is painful, and the onset of it is full of fair for most pregnant women. In addition, women frequently suffer perinea trauma while giving birth. This study aimed to evaluate the effects of exercise on duration of labor and perinea tear rates among pregnant women. 174 women singleton gestation were selected by using a continued method, and assigned in training or a control group. They elected to follow either a light intensity exercise program throughout pregnancy until delivery. Training included 3times/week, 30–45min. Pregnancy outcomes include of duration of labor and perinea tear were recorded for two groups. Episiotomy rates, overall spontaneous tears and intact perineum rates were similar in the study and control groups (PV=0/19). The rates of intact perineum were significantly higher in the trained group (36.8% vs. 23.8%) and women in the training group had slightly lower rates of second-degree tears (40.2% vs. 53.6%), although, both of these outcomes did not reach statistical significance. There was meaningful difference between the trained and control group in duration of the first stage of labor, but it was not meaningful in duration of the second stage. The training showed neither a protective nor a detrimental significant effect on the occurrence of perinea trauma. However, exercise training during pregnancy is with a shorter labor which creates a good feeling in women.