The effect of exercise on childbirth in primiparous women: A clinical trial study
Abstract
Background & Aim: The process of delivery, from physiologic point of view, is similar to long exercises and decrease in physical activities is so common during pregnancy which could cause disruptions in the process of delivery. This study aimed to determine the effects of exercise on childbirth process among primigravid women.
Methods & Materials: This single-blind randomized clinical trial recruited 80 primigravid women in Damghan, 2013-2014. Simple random sampling method was used to select the participants, who were then divided into two equal groups of intervention and control. The intervention group received an 8- week regular walking program and the control group was only followed up. The childbirth process controls and administrative processes were similar for both groups. The data were collected after childbirth and analyzed using descriptive and inferential statistics (independent t-test, chi-square, and Mann–Whitney) in SPSS Version 22.
Results: Both groups were matched for demographic indicators. The results showed significant differences in active and latent-phase hospitalization (P < 0.0010, χ 2 = 14.05), duration of the active phase (P = 0.0020), and the time interval between admission to initiation of the active phase (P = 0.0020). The time interval between the admission and the childbirth (P < 0.0010), and duration of hospitalization (P < 0.0010) between two groups. The natural childbirth rate was more in the intervention group (P < 0.0010, χ 2 = 21.33).
Conclusion: Regular walking with appropriate intensity and duration during pregnancy was correlated with reducing the length of childbirth stages and natural childbirth. This safe method is recommended in healthy pregnancies.
Gary C, Kenneth LJ, Steven BL, John HC, Lar- ry GC, Katharine WD. Concise Williams ob- stetrics. Trans. Ebrahimiadib T. Tehran, Iran: Sobhan Publications; 2010. [In Persian].
Cunningham FG, Leveno KJ, Bloom SL, Spong CY, Dashe JS, Hoffman BL, et al. Williams Obstetrics. 24th ed. New York, NY: McGraw- Hill Medical; 2014. p. 51, 162, 177, 961.
Marowitz A. Caring for women in early labor: can we delay admission and meet women's needs? J Midwifery Womens Health 2014;59(6): 645-50.
Naghizadeh S, Sehati Shafaei F, Ghojazadeh M.Comparing the post partum hemorrhage based on hb and hct in women admitted in latent and active phase of labor. J Urmia Nurs Midwifery Fac 2013; 11(8). [In Persian].
Direkvand Moghadam A, Delpisheh A. Effect of increased intravenous hydration on duration of labor and outcome of pregnancy among nul- liparous women: a randomized controlled trial. Hayat 2013; 19(3): 38-46. [In Persian].
Bailit JL, Dierker L, Blanchard MH, Mercer BM.Outcomes of women presenting in active versus latent phase of spontaneous labor. Obstet Gynecol 2005; 105(1): 77-9.
Gharoro EP, Enabudoso EJ. Labour manage- ment: An appraisal of the role of false labour and latent phase on the delivery mode. J Obstet Gynaecol 2006; 26(6):534-7.
Rahnama P, Ziaei S, Faghihzadeh S. Impact of early admission in labor on method of delivery. Int J Gynaecol Obstet 2006; 92(3): 217-20.
Sehhati Shafaei F, Naghizadeh S, Gojazadeh M.Comparison of maternal outcomes in women admitted in latent and active phases of labor. Iran J Obstet Gynecol Infertil 2013; 16(53):18-28. [In Persian].
Wilmore JH, Costill DL, LarryKenney W.Physiology of sport and exercise. Trans. Moeeni Z, Rahmaninia F, Rajabi H, Aghaalinejad H, Salami F. Tehran, Iran: Mobtakeran, Iran; 2008. p. 82, 639, 642. [In Persian].
Wang TW, Apgar BS. Exercise during pregnan- cy. Am Fam Physician 1998; 57(8): 1846-52.
Artal R, Lockwood CL, Fricker P, Barss VA. Ex- ercise during pregnancy and the postpartum peri- od [Online]. [cited 2016]; Available from: URL: http://www.uptodate.com/contents/exercise-during-pregnancy-and-the-postpartum-period
ACOG Committee opinion. Number 267, Janu- ary 2002: exercise during pregnancy and the postpartum period. Obstet Gynecol 2002; 99(1):171-3.
Zavorsky GS, Longo LD. Exercise guidelines in pregnancy: new perspectives. Sports Med 2011;41(5): 345-60.
Office of Maternal Health, Ministry of Health and Medical education. The Country Guide for Gynecology and Infertility Services. 3rd ed. Tehran, Iran: Charsooye Honar; 2012.
Downs DS, Chasan-Taber L, Evenson KR, Leiferman J, Yeo S. Physical activity and pregn- ancy: past and present evidence and future rec-ommendations. Res Q Exerc Sport 2012; 83(4):485-502.
Shakerinejad M. Exercise for pregnancyand after childbirth. Tehran, Iran: Golban Publica- tions; 2015. [In Persian].
Nascimento SL, Surita FG, Parpinelli MA, Siani S, Pinto e Silva JL. The effect of an antenatal physical exercise programme on mater- nal/perinatal outcomes and quality of life in over- weight and obese pregnant women: a randomised clinical trial. BJOG 2011; 118(12): 1455-63.
Zolfaghari M, Asadi Noghani AA. Matrenal neoborn nursing,Iran. Tehran, Iran: Boshra Pub- lications; 2012. [In Persian].
Danforce J, Scott R. Diseases of obstetrics and gynecology. Trans. Niroomanesh M. Tehran, Iran: Teimorzadeh Publications; 2003. [In Persian].
McArdel WD, Katch FI, Katch VK. Exercise physiology. Trans. Khaledan A. Tehran, Iran: Samt Publications; 2011. [In Persian].
van Raaij JM, Schonk CM, Vermaat-Miedema SH, Peek ME, Hautvast JG. Energy cost of physical activity throughout pregnancy and the first year postpartum in Dutch women with sed- entary lifestyles. Am J Clin Nutr 1990; 52(2): 234-9.
Jackson DJ, Lang JM, Ecker J, Swartz WH, Heeren T. Impact of collaborative management and early admission in labor on method of de- livery. J Obstet Gynecol Neonatal Nurs 2003;32(2): 147-57.
Perales M, Calabria I, Lopez C, Franco E, Coteron J, Barakat R. Regular exercise throughout pregnancy is associated with a shorter first stage of labor. Am J Health Promot 2016; 30(3): 149-54.
Maharana S, Nagarathna R, Padmalatha V, Nagendra HR, Hankey A. The effect of inte- grated yoga on labor outcome: a randomized controlled study. Int J Childbirth 2013; 3(3):165-77.
Ajori L, Masoumi M, Rahbari H, Ahmadi K.Prolonged latent phase: maternal and neonatal outcomes. J Shahid Sadoughi Univ Med Sci 2010; 18(1): 3-7. [In Persian].
Ghodsi Z, Asltoghiri M. Effects of aerobic exer- cise training on maternal and neonatal outcome: a randomized controlled trial on pregnant women in Iran. J Pak Med Assoc 2014; 64(9): 1053-6.
Beckmann CR, Beckmann CA. Effect of a structured antepartum exercise program on pregnancy and labor outcome in primiparas. J Reprod Med 1990; 35(7): 704-9.
Salvesen KA, Stafne SN, Eggebo TM, Morkved S. Does regular exercise in pregnancy influence duration of labor? A secondary analysis of a randomized controlled trial. Acta Obstet Gyne- col Scand 2014; 93(1): 73-9.
Szumilewicz A, Wojtyla A, Zarebska A, Drob- nik-Kozakiewicz I, Sawczyn M, Kwitniewska A. Influence of prenatal physical activity on the course of labour and delivery according to the new Polish standard for perinatal care. Ann Agric Environ Med 2013; 20(2): 380-9.
Greulich B, Tarrant B. The latent phase of la-bor: diagnosis and management. J Midwifery Womens Health 2007; 52(3): 190-8.
Sabbaghian Rad L, Jahanshiri A. Effect of a period of exercise during pregnancy on certain delivery parameters. Euro J Exp Bio 2013; 3(2):78-85.
Haj Kazemi E, Heidari M, Faizi Z, Haqqani H.The effect of exercise during pregnancy on pregnancy outcome. Iran J Nurs Midwifery Res 2000; 13(25).
Zand S, Zamani A. The effect of simple exer- cise maneuvers and proper performance of daily activity on outcome of pregnancy 2009. Iran J Obstet Gynecol Infertil 2009; 12(3): 51-7. [In Persian].
Bungum TJ, Peaslee DL, Jackson AW, Perez MA. Exercise during pregnancy and type of de- livery in nulliparae. J Obstet Gynecol Neonatal Nurs 2000; 29(3): 258-64
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Issue | Vol 3 No 2 (2016): Spring | |
Section | Original Article(s) | |
Keywords | ||
pregnancy exercise primiparous women labor |
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