Are pelvic-abdominal mechanics exercises effective for cesarean delivery rate and postpartum pelvic floor function: A randomized controlled trial.

Autor: Huang S; Obstetrics and Gynecology Department, Tongren Hospital, Shanghai Jiao Tong University School of Medicine, China; Wuxi School of Medicine, Jiangnan University, China., Mao X; Obstetrics and Gynecology Department, Tongren Hospital, Shanghai Jiao Tong University School of Medicine, China., Li Y; Obstetrics and Gynecology Department, Tongren Hospital, Shanghai Jiao Tong University School of Medicine, China., Chen A; Obstetrics and Gynecology Department, Tongren Hospital, Shanghai Jiao Tong University School of Medicine, China. Electronic address: caz4128@shtrhospital.com., Qiu J; Obstetrics and Gynecology Department, Tongren Hospital, Shanghai Jiao Tong University School of Medicine, China. Electronic address: qj4098@shtrhospital.com.
Jazyk: angličtina
Zdroj: Journal of science and medicine in sport [J Sci Med Sport] 2024 Oct; Vol. 27 (10), pp. 678-683. Date of Electronic Publication: 2024 Apr 26.
DOI: 10.1016/j.jsams.2024.04.009
Abstrakt: Objectives: To examine the effectiveness of pelvic-abdominal mechanics exercise in reducing cesarean section rates and preventing pelvic floor dysfunction in primiparous women.
Design: Randomized controlled trial.
Methods: A single-center prospective study was conducted among 200 primiparous participants (aged 18-38 years) who undertook formal card-issuing maternity tests between June 1, 2022, and June 30, 2023. Participants were divided into two groups: exercise (intervention) and control using the random number table method. Participants of the intervention group performed pelvic-abdominal mechanics exercise at least 1 h each time per week for three months. Participants of the control group did not perform any pelvic-abdominal mechanics exercise during pregnancy. This study conducted a comprehensive evaluation from three perspectives, including maternal and neonatal health outcomes during delivery, the recovery status of pelvic floor muscles at 42 days postpartum, and the quality of life during late pregnancy (36-38 weeks) and 42 days postpartum.
Results: A significant difference was found in delivery outcomes. The cesarean section rates are significantly higher (p < 0.05) in the control group (36 %) than in the exercise group (19 %). At 42 days postpartum, pelvic floor assessment showed that the exercise group had significantly better results in pelvic floor muscle strength compared to the control group, with statistical significance (p < 0.05).
Conclusions: Pelvic-abdominal mechanics exercise lowers the rate of cesarean section and improves postpartum pelvic floor function.
Competing Interests: Declaration of interest statement No conflict of interest has been declared by the authors.
(Copyright © 2024 Elsevier Ltd. All rights reserved.)
Databáze: MEDLINE
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