孕妇养生保健操对初产妇妊娠母婴结局的影响

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摘要目的探讨孕妇养生保健操对初产妇妊娠母婴结局的影响，为指导孕妇的孕期运动健康教育提供依据。方法选取2017年10月1日～12月31日在江西省妇幼保健院进行常规产检的自愿参加研究的136名健康初产妇作为研究对象，按照随机数字表法分为对照组（n=68）和研究组（n=68）。对照组行常规产检，并接受健康教育，不进行系统运动，研究组在对照组的基础上采用孕妇养生保健操进行干预。在研究开始时和孕妇分娩后1 周采用面对面询问和电话随访的方法收集相关信息。结果共计124例初产妇完成研究，其中对照组68例，研究组56例。研究组孕妇孕期体重增长少于对照组，并发症发生率低于对照组，母乳喂养率和自然分娩率高于对照组，差异均有统计学意义（P＜0.05）。两组孕妇早产率和新生儿体重比较，差异无统计学意义（P＞0.05）。研究组自然分娩孕妇（n=44）的第一及第二产程短于对照组自然分娩孕妇（n=40），差异均有统计学意义（P＜0.05）。两组自然分娩孕妇的产后出血发生率比较，差异无统计学意义（P＞0.05）。结论初产妇孕期坚持做养生保健操可有效改善妊娠及母婴结局，对医护人员指导初产妇的孕期运动有重要意义

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	谭彩1?任玉枝2▲

关键词 ： , 养生保健操, 孕妇, 母婴结局

Abstract：Objective To explore the impact of gymnastic exercises during pregnancy on maternal and neonatal outcomes for primiparas，and provide evidence for instructing pregnant women performing gymnastic exercises.Methods From October 1 to December 31，2017，a total of 136 health primiparas performed routine labor tests in the Jiangxi Maternal and Child Health Hospital，who volunteered to participate in this study as the research subjects，and they were divided into a study group (n=68) and a control group (n=68) according to the random number table method.The control group received routine physical examination and health education without systematic exercise，the study group was intervened by a specific gymnastics exercise on the basis of control group.Face-to-face interview and phone interview were carried out to collect related information at the beginning of the study and the participants gave birth one week later.Results A total of 124 primiparas completed the study，68 primiparas in the control group and 56 primiparas in the study group.Pregnancy weight gain in the study group was less than that in the control group，and the incidence of complications in the study group was lower than that in the control group，the rates of breastfeeding and natural delivery in the study group were higher than those in the control group，the differences were statistically significant(P＜0.05).There were no significant differences between the two groups in terms of premature and neonatal weight (P＞0.05).The first and second birth process time of primiparas in the study group who were natural delivery (n=44) was shorter than that in the control group (n=40)，the difference was statistically significant (P＜0.05).There was no significant difference in the incidence of postpartum hemorrhage between the two groups of primiparas gave birth naturally(P＞0.05).Conclusion The results of this study showed that insist performing gymnastic exercises during pregnancy can improve maternal and neonatal health outcomes.These findings can be important for medical staff to instruct pregnant women performing gymnastic exercises regularly during pregnancy.

Key words： Gymnastic exercises Pregnancy Maternal and neonatal outcomes

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基金资助: 江西省重点研发计划项目（20161BBG70139）；江西省卫生计生委科技计划项目（20195479）

引用本文:

谭彩1?任玉枝2▲. 孕妇养生保健操对初产妇妊娠母婴结局的影响[J]. 中国当代医药, 2020, 27(33): 101-104.
TAN Cai1?REN Yu-zhi2▲. Influence of gymnastic exercises during pregnancy on maternal and neonatal outcomes of primiparas. 中国当代医药, 2020, 27(33): 101-104.

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https://www.dangdaiyiyao.com/CN/ 或 https://www.dangdaiyiyao.com/CN/Y2020/V27/I33/101

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