孕期体力活动对分娩方式的影响研究 |
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引用本文: | 蒋泓,何更生,Mu Li,林燧恒,范燕燕,蒋红懿,周辉,钱序. 孕期体力活动对分娩方式的影响研究[J]. 中国妇幼保健, 2013, 28(19): 3074-3077 |
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作者姓名: | 蒋泓 何更生 Mu Li 林燧恒 范燕燕 蒋红懿 周辉 钱序 |
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作者单位: | 1. 复旦大学公共卫生学院公共卫生安全教育部重点实验室,上海,200032 2. 澳大利亚悉尼大学公共卫生学院 3. 江苏省常州市妇幼保健院 |
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基金项目: | 达能基金[DIC2006-01]、复旦大学研究生创新基金[EYF201009]、上海市重点学科建设项目[B118]、上海市公共卫生重点学科建设计划 |
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摘 要: | 目的:探索孕期体力活动对分娩方式的影响。方法:在孕中期招募孕妇,跟踪随访至分娩。在分娩前把研究人群按孕中期、孕晚期的记步器读数分成不同体力活动活跃程度的4组,分析体力活动不同组分娩方式即阴道分娩与剖宫产率的差异。结果:在866名孕妇中,剖宫产596名,剖宫产率为68.8%,选择性剖宫产率为51.4%。就孕中、晚期平均的体力活动量而言,低活跃组、较活跃组和活跃组发生剖宫产的风险分别是静坐组的0.60、0.30、0.23倍,发生选择性剖宫产的风险分别是静坐组的0.57、0.32、0.20倍。结论:该研究提示孕期体力活动活跃者剖宫产或选择性剖宫产率降低。
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关 键 词: | 孕期 体力活动 剖宫产 |
Study on effect of gestational physical activities on delivery modes |
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Abstract: | Objective: To explore the effect of gestational physical activities on delivery modes.Methods: The pregnant women during the second trimester of pregnancy were recruited and followed up until delivery.Before delivery,the study objects were divided into four groups according to the indication of steps-teller,the differences of vaginal delivery rates and cesarean section rates in the four groups were analyzed.Results: Among 866 pregnant women,596 pregnant women gave birth to their babies via cesarean section,the rate of cesarean section was 68.8%,and the rate of selective cesarean section was 51.4%.As far as average physical activities during the second and the third trimesters of pregnancy,the risk ratios of cesarean section in low-active group,relative-active group and active group were 0.60,0.30 and 0.23 times more than that in sit-downstrike group,and the risk ratios of selective cesarean section in low-active group,relative-active group and active group were 0.57,0.32 and 0.20 times more than that in sit-downstrike group.Conclusion: The study indicates that cesarean section rate or selective cesarean section rate in pregnant women having active physical activities decreases. |
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Keywords: | Trimester of pregnancy Physical activity Cesarean section |
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