Effect of aerobic water exercise during pregnancy on epidural use and pain: A multi-centre, randomised, controlled trial

Carrascosa, María del Carmen; Navas, Araceli; Artigues, Catalina; Ortas, Silvia; Portells, Elena; Soler, Aina; Bennasar‐Veny, Miquel; Leiva, Alfonso; Trial, Aquanatal

doi:10.1016/j.midw.2021.103105

Cited by 16 publications

(21 citation statements)

References 39 publications

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“…There was a total of 20 studies that were incorporated in this analysis 39–47,49–59 . Incorporating regular PFMT or PA including PFMT during pregnancy did not significantly change the outcome ( Z = 0.80; p = 0.42 ) in the rate of having an episiotomy (RR = 0.95, 95% CI: 0.85, 1.07, I 2 = 75%, P heterogeneity <0.00001).…”

Section: Resultsmentioning

confidence: 99%

“…A total of 11 studies were incorporated in this analysis 48,51–59 . There was an association ( z = 2.89; p = 0.004 ) between the third‐ or fourth‐degree perineal tear and PFMT or PA including PFMT during pregnancy (RR = 0.50, 95% CI: 0.31, 0.80, I 2 = 48%, P heterogeneity = 0.04).…”

Section: Resultsmentioning

confidence: 99%

“…There was a total of 20 studies that were incorporated in this analysis. 39 , 40 , 41 , 42 , 43 , 44 , 45 , 46 , 47 , 49 , 50 , 51 , 52 , 53 , 54 , 55 , 56 , 57 , 58 , 59 Incorporating regular PFMT or PA including PFMT during pregnancy did not significantly change the outcome ( Z = 0.80; p = 0.42 ) in the rate of having an episiotomy (RR = 0.95, 95% CI: 0.85, 1.07, I 2 = 75%, P heterogeneity <0.00001). The quantitative assessment of the publication bias risk in the analyzed articles revealed no indication of potential publication bias in this analysis ( p = 0.68).…”

Section: Resultsmentioning

confidence: 99%

“…A total of 11 studies were incorporated in this analysis. 48,[51][52][53][54][55][56][57][58][59] There was an association (z = 2.89; p = 0.004) between the third-or fourth-degree perineal tear and PFMT or PA including PFMT during pregnancy (RR = 0.50, 95% CI: 0.31, 0.80, I 2 = 48%, P heterogeneity = 0.04). Statistical significance was observed in the quantitative assessment of the publication bias risk test for the articles analyzed (p = 0.02).…”

Section: Effect Of Pfmt or Pa Programs Including Pfmt During Pregnanc...mentioning

confidence: 99%

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Influence of pelvic floor muscle training alone or as part of a general physical activity program during pregnancy on urinary incontinence, episiotomy and third‐ or fourth‐degree perineal tear: Systematic review and meta‐analysis of randomized clinical trials

Zhang,

Bo,

Montejo

et al. 2023

Acta Obstet Gynecol Scand

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IntroductionThe complex process of pregnancy and childbirth significantly influences the well‐being of both mother and child. Today all pregnant women without medical contraindications are recommended to start or continue regular aerobic and strength training for at least 150 min per week to prevent pregnancy‐related diseases and conditions. Urinary incontinence in pregnancy, episiotomy and third‐ or fourth‐degree perineal tear during labor can greatly impact womens’ health, quality of life and ability to be physically active. The aim of this study was to examine the efficacy of pelvic floor muscle training (PFMT) during pregnancy in the prevention of urinary incontinence, episiotomy, and third‐ or fourth‐degree perineal tear.Material and methodsA systematic review and meta‐analysis (CRD42022370600) was performed. Only randomized clinical trials published between 2010 and 2023 were included. The following databases were examined: EBSCO (including Academic Search Premier, Education Resources Information Center, MEDLINE, SPORTDiscus and OpenDissertations databases), Clinicaltrials.gov, Web of Science, Scopus, Cochrane Database of Systematic Reviews and Physiotherapy Evidence Database (PEDro). Three meta‐analyses to investigate the effect of PFMT exclusively or implemented as a section within a physical activity program during pregnancy on urinary incontinence, episiotomy, and third‐ or fourth‐degree perineal tear were conducted.ResultsThirty studies were analyzed (N = 6691). An effective preventive action of PFMT was found for urinary incontinence (z = 3.46; p < 0.0005; relative risk [RR] = 0.72, 95% confidence interval [CI]: 0.59, 0.87, I2 = 59%) and third‐ or fourth‐degree perineal tear (z = 2.89; p = 0.004; RR = 0.50, 95% CI: 0.31, 0.80, I2 = 48%) but not for episiotomy (z = 0.80; p = 0.42; RR = 0.95, 95% CI: 0.85, 1.07, I2 = 75%).ConclusionsPFMT during pregnancy proves to be an effective preventive intervention for reducing the risk of urinary incontinence and the occurrence of third‐ or fourth‐degree perineal tears. These findings highlight the importance of incorporating PFMT into antenatal care and training programs to improve maternal well‐being and overall childbirth outcomes.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Effect Of Pfmt or Pa Programs Including Pfmt During Pregnanc...mentioning

confidence: 99%

See 2 more Smart Citations

Influence of pelvic floor muscle training alone or as part of a general physical activity program during pregnancy on urinary incontinence, episiotomy and third‐ or fourth‐degree perineal tear: Systematic review and meta‐analysis of randomized clinical trials

Zhang,

Bo,

Montejo

et al. 2023

Acta Obstet Gynecol Scand

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“…In addition to pharmacological approaches have also been shown to be affective without adverse side effects and can increase satisfaction during delivery by allowing mothers to have control over their feelings and strengths. Examples of non-pharmacological methods include massage, hot and cold therapy, touch therapy, relaxation techniques, and use of birth balls, continuous birth support, water therapy, yoga, counter pressure (5)(6)(7)(8)(9)(10)(11)(12) .…”

Section: Introductionmentioning

confidence: 99%

The Management of Delivery Pain: A Bibliometric Analysis

Wahyuningsih,

Putri,

Sariayu

et al. 2023

Placentum J. Ilmiah Kes. Apl.

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Introduction: Management of delivery pain was part of the most important tasks that health workers need to focus on. Non-pharmacological and pharmacological approaches have been shown to provide significant benefits in managing delivery pain and ensuring the well-being of the mother and her baby. This study analyses research trends on management of delivery pain.Methods: The documents from 2013 to 2022 (December 31, 2022) were searched, in English, Article and Review. The implementation date of the strategy is April 11, 2023 and search terms and strategies are as follows “delivery” OR “pain management” AND “Articles and Reviews” AND “English”. Visualization and analysis of research trends from downloaded article data in CSV format using VOSviewer 1.6.18.Results: To achieve this goal, a bibliometric analysis was conducted on 469 articles obtained from the Scopus database, which identified the most productive countries/regions, journals, authors, and potential future topics of this research field. According to this study, 2017 saw the most significant growth; the United States was the most productive country in this field; BMC Pregnancy and Childbirth was the most prestigious journal in this field; Khildea, S., contributed the most significant research in this field. The use of complementary therapies, drug administration and maternal care requires further study in the future.Conclusion: The conclusion of this study was that pain management continues to grow in research across different countries, fields and expertise. The future needs to focus on the use of complementary therapies, drug delivery pathways and maternal care for further research.

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