Effect of antenatal exercise on mode of delivery in gestational diabetic females: a single-blind randomized controlled trial

Abstract

Introduction. Gestational diabetes mellitus (GdM) is common in pregnancy. Maternal consequences might include an increased rate of caesarean delivery. This study was conducted to determine the effect of an exercise program on the mode of delivery in gestational diabetic females. Methods. A prospective, randomized, single-blind, pre-post-test, controlled trial was performed. overall, 60 pregnant females with GdM were included, at their 20-24 weeks of gestation, aged 25-35 years, with body mass index not exceeding 40 kg/m 2. The participants were randomly assigned into 2 equal groups: group A, undergoing an exercise program with a moderately restricted diet and insulin therapy, and group B (control group), receiving solely the same diet protocol with insulin therapy. Results. The chi-square test revealed significant differences between the groups in the mode of delivery (p < 0.05), with a significant decrease in caesarean deliveries in group A. Group A showed a statistically significant difference in neonates' Apgar scores at the 1 st and 5 th minute of life (p < 0.05) compared with the participants in group B. Conclusions. it can be concluded that antenatal exercises can be considered effective in decreasing labour complications and shifting the mode of delivery towards normal, complication-free delivery in females with GdM and their offspring.

Aerobic or Resistance Exercise for Improved Glycaemic Control and Pregnancy Outcomes in Women with Gestational Diabetes Mellitus: A Systematic Review

“…Six papers reported rate of Caesarean section (CS) as an outcome. There was a significant difference in Awad’s [ 48 ] paper: the rate of CS was higher in the control group (63.4% ( n = 19/30) compared with 16% ( n = 5/30) in the exercise group, ( p = 0.001) . Five studies showed no difference in CS rates between the exercise intervention and control groups [ 35 , 37 , 39 , 47 ].…”

“…Flow of studies through the stages of identification, screening, eligibility, and final inclusion is shown in Figure 1 . Fourteen randomised controlled studies were selected for inclusion in this systematic review [ 34 , 35 , 36 , 37 , 38 , 39 , 40 , 41 , 42 , 43 , 44 , 45 , 46 , 47 , 48 ]. Two of the papers [ 41 , 47 ] reported different outcomes from one trial and for the purpose of this manuscript are referred to as one paper.…”

Effects of Antenatal Exercises on Clinical Outcomes in Pregnant Females with Gestational Diabetes Mellitus: A Randomized Controlled Trial

“…The result of the study was in our support. [10] Gehan et al checked the e cacy of antenatal exercises on the mode of delivery and APGAR score in primigravida. They concluded that there was no relation between antenatal exercises and mode of delivery in primigravida.…”

“…Sample size calculation formula was N= (Z1-β + Z1 -α/2) 2(δ2 1 + δ2 2)/(µ1-µ2) /2,where desired Z1-α/2 Level of signi cance = 95% ,µ1 Expected mean change in APGAR scale in Control Group = 8.7 ,µ2 Expected mean change in APGAR scale in Experimental Group = 8.03,δ1 Expected standard deviation in Control group = 0.5,δ2 Expected standard deviation in Experimental group = 1.2,Z1-β power of the study = 80%. [10] Sample size in each group was 36.…”

A comparison of abdominal muscles fatigue in women after vaginal birth, women after caesarean section, and a control group. A pilot study

“…Compared with delivery by caesarean section (CS), the morbidity rate of mothers after vaginal delivery (Vd) is less, and their recovery period is shorter [8]. Physical activity is recommended for pregnant women because it plays an important role in reducing a potential risk of instrumental childbirth and CS [9]. delivery by CS generally decreases damages to the pelvic floor muscles (affecting urinary incontinence) but it damages abdominal muscles and can cause intestinal obstruction, chronic pelvic girdle pain, infertility, or difficulties due to repeated surgery.…”