孕期形体训练对298例母婴影响的临床研究  

Clinical Study of Physical Training on 298 Cases of Pregnancy Form Maternal and Infant Influence

作　　者：关渐明[1] 吴西英[1] 劳健仪 叶小青[1] 冯燕仪 罗小芳[1] 

机构地区：[1]广东省佛山市南海区人民医院产科,528000

出　　处：《医学理论与实践》2011年第14期1636-1637,1639,共3页The Journal of Medical Theory and Practice

基　　金：广东省佛山市卫生局医学科研立项(编码:2010225)

摘　　要：目的:探讨孕期形体训练对母婴的影响及临床效果。方法:建立母婴俱乐部,开设孕期形体教学,对298例初产妇进行孕期形体训练,并讲授产后母乳喂养的相关知识。根据依从性不同分两组,孕期坚持形体训练的为研究组171例,未能坚持形体训练的为对照组127例,评估其对两组孕妇孕期体重增加幅度、顺产率、第二产程时间、产后24h总出血量、产后42d母乳喂养率及体形恢复率等情况的影响。结果:孕妇体重增加幅度(12.4±4.3)kg,对照组(17.6±5.9)kg;研究组顺产率74.85%(128/171),对照组52.76%(67/127);第二产程时间研究组(0.6±1.1)h,对照组(1.3±2.3)h;产后24h总出血量研究组(238.7±10.5)ml,对照组(332.3±21.7)ml;产后42d母乳喂养率研究组81.29%(139/171),对照组58.27%(74/127);体形恢复率研究组65.50%(112/171),对照组46.46%(59/127),差别均有统计学意义(P<0.05)。结论:通过设立母婴俱乐部,开展孕期形体训练,能有效控制孕妇孕期体重过度增长,提高自然分娩率,缩短第二产程时间,减少产后出血,提高产后42d母乳喂养率,促进产后产妇体形的恢复,值得临床推广应用。Objective：To explore maternal and child during pregnancy on the impact of physical training and clinical effects.Methods：Maternal and child clubs,the creation of physical education during pregnancy,carried out on 298 patients with early pregnancy maternal body training,and taught postnatal breastfeeding knowledge.The patients were divided into two groups according to the different compliance,physical training during pregnancy persist as the study group（171 patients）,not to adhere to physical training for the control group（127 patients）.The two groups of weight gain during pregnancy,natural labor rates,time of second stage of labor,postpartum hemorrhage 24 hours total,42 days postnatal breastfeeding rate and shape recovery rate situation was assessed.Results：Maternal weight gain was（12.4±4.3）kg,while that in control group was（17.6±5.9）kg;along the yield study group 74.85%（128/171）,control group 52.76%（67/127）;second stage of labor time to study group（0.6±1.1）h,the control group（1.3±2.3）h.Postpartum blood loss 24 hours of total in study group was（238.7±10.5）ml,while that in control group was（332.3±21.7）ml.42 days postnatal breastfeeding rate of group was 81.29%（139/171）,control group was 58.27%（74/127）;form study groups recovery rate was 65.50%（112/171）,control group was 46.46%（59/127）,The difference was significant（P0.05）.Conclusion：The establishment of maternal and child and conducting physical training during pregnancy can effectively control the excessive growth of body weight during pregnancy,natural birth rate of increase,shorten the second stage of labor time,reduce postpartum bleeding,increase breastfeeding rates 42 days after delivery,and promote the recovery of post-natal maternal body and is worthy of clinical application.

关 键 词：孕期形体训练 体重 顺产率 产后出血 母乳喂养 

分 类 号：R714[医药卫生—妇产科学]