Impact of Physical Activity During Pregnancy on Delivery

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Abstract

Although cesarean section is an essential maternal healthcare service, it has both maternal and neonatal adverse outcomes as compared to spontaneous vaginal delivery. Physical activities enhance the strength of the abdominal, diaphragm, and pelvic floor muscles, stretching the thigh and back leg adductors; all these help the women more easily turn to and keep their natural relaxant pelvic adequacy. This might facilitate spontaneous vaginal delivery with a short duration of labor. The objective of this study is to assess the effect of degree of physical activity during pregnancy on mode of delivery and duration of labor. A cross-sectional study was conducted in 150 women who gave birth from November 2021 to February 2022 at MTUTH, Ethiopia. Data was collected through face-to-face interviews using a structured questionnaire. Descriptive analysis, chi-square, and t test were conducted to check the presence of any association between the dependent and independent variables. A p value of < 0.05 will be considered statistically significant. Our study found that 87% of women who engaged in vigorous physical activities had spontaneous vaginal deliveries. Of those women who have light physical activities, only 16.5% have spontaneous vaginal delivery. The duration of labor for women with vigorous and light physical activity was 5.2 ± 2.07 and 8.9 ± 2.8 h, respectively. Engaging in the recommended amount of aerobic exercise while pregnant under a doctor’s supervision is crucial for reducing the duration of labor and the need for an operational delivery.

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孕期体育锻炼对分娩的影响
摘要 尽管剖腹产是产妇保健的一项基本服务,但与自然阴道分娩相比,剖腹产对产妇和新生儿都有不利影响。体育活动可增强腹部、横膈膜和骨盆底肌肉的力量,拉伸大腿和后腿内收肌;所有这些都有助于产妇更容易转向并保持自然放松的骨盆适度。这可能有助于自然阴道分娩,缩短产程。本研究旨在评估孕期体力活动程度对分娩方式和产程的影响。本研究对 2021 年 11 月至 2022 年 2 月期间在埃塞俄比亚 MTUTH 分娩的 150 名产妇进行了横断面研究。研究采用结构化问卷,通过面对面访谈收集数据。研究采用了描述性分析、卡方检验和 t 检验来检验因变量和自变量之间是否存在关联。P 值为 0.05 时将被视为具有统计学意义。我们的研究发现,从事剧烈运动的妇女中有 87% 自然阴道分娩。在从事轻微体力活动的妇女中,只有 16.5%的妇女能自然阴道分娩。从事剧烈运动和轻度运动的产妇的分娩时间分别为 5.2 ± 2.07 小时和 8.9 ± 2.8 小时。怀孕期间在医生的指导下进行推荐量的有氧运动对于缩短产程和减少手术分娩的需要至关重要。
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