Effect of Structured Bed Exercise on Uterine Contractions, Fetal Heart Rate Patterns, and Maternal Psychophysical Symptoms of Hospitalized High-Risk Pregnant Women: A Randomized Control Trial

Kim, Young Jeoum; Park, Young Joo

doi:10.1016/j.anr.2017.12.003

Cited by 13 publications

(16 citation statements)

References 27 publications

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“…With the wide application of electronic monitors in clinic in the past 20 years, the changes of fetal heart baseline rate, variability of baseline rate, and periodic fetal heart rate were recorded through the monitor description curve, which can be used as the basis for predicting or judging fetal intrauterine conditions [1]. Fetal heart rate patterns associated with hypoxia include late deceleration, decreased baseline short-term variability, prolonged deceleration, sinusoidal graph, and baseline heart rate changes [2]. e method of fetal heart rate extraction based on wavelet transform is studied.…”

Section: Introductionmentioning

confidence: 99%

Fetal Heart Rate Extraction Based on Wavelet Transform to Prevent Fetal Distress In Utero

Zhu

Liu

2021

Journal of Healthcare Engineering

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In order to improve the effective extraction of fetal heart rate and prevent fetal distress in utero, a study of fetal heart rate feature extraction based on wavelet transform to prevent fetal distress in utero was proposed. This paper adopts a fetal heart rate detection method based on the maximum value of the binary wavelet transform modulus. The method is simulated by the Doppler fetal heart signal obtained from the clinic. Compared with the original curve, the transformed curve can roughly see the change rule of the original signal and identify the peak point of the signal, but due to the large disturbance of the peak point, the influence on the computer processing is also great. The periodicity of the transformed signal is greatly enhanced, making it easier to deal with the computation. A total of 300 pregnant women with full-term fetal heart monitoring from January 2018 to January 2020 were selected as the research subjects and divided into the observation group and the control group. The observation group consisted of 100 patients with abnormal fetal heart monitoring, and the control group consisted of 200 patients with normal fetal heart monitoring. The uterine contractions and fetal heart rate were recorded, and the incidence of fetal distress, cesarean section, neonatal asphyxia, and amniotic fluid and fecal contamination were observed. The incidence of fetal distress, cesarean section, neonatal asphyxia, and amniotic fluid fecal stain in the observation group were significantly higher than those in the control group. Fetal heart monitoring can accurately judge the situation of the fetus in pregnant women and timely diagnose the abnormal fetal heart rate, which has a better effect on the prognosis of perinatal infants and can reduce their mortality. It can effectively solve the problems existing in the autocorrelation algorithm and extract the fetal heart rate more accurately. It is an effective improved scheme of fetal heart rate extraction. It is very helpful in preventing fetal distress in utero.

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Section: Introductionmentioning

confidence: 99%

Fetal Heart Rate Extraction Based on Wavelet Transform to Prevent Fetal Distress In Utero

Zhu

Liu

2021

Journal of Healthcare Engineering

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“…The remaining 81 records were screened based on the title and abstract, and then the full text was read according to the inclusion criteria. Finally, 18 RCT studies that met the criteria were included in the analysis [10,16,18,19,[22][23][24][25][26][27][28][29][30][31][32][33][34][35] (Fig. 1).…”

Section: Resultsmentioning

confidence: 99%

“…There were no significant differences in blood pressure, heart rate and fetal heart rate between two groups, but the physical discomfort and anxiety symptoms of pregnant women in structured physical exercise group had been significantly improved. Therefore, structured bed physical exercise for hospitalized high-risk bedridden pregnant women will not increase the health risks of themselves and the fetus, and bed exercise intervention can be considered in the management of high-risk pregnant women during pregnancy [27]. Daily physical exercise is recommended for non-risk or low-risk pregnant women, and regular physical exercise during pregnancy can prevent HDP [42,43].…”

Section: Discussionmentioning

confidence: 99%

Effects of physical exercise on blood pressure during pregnancy

et al. 2022

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Objective Effect of physical exercise on pregnant women currently has become a hot topic in prenatal health care. In this study, A meta-analysis was conducted on account of Randomized Controlled Trial (RCT). It focused on evaluating the effect of physical exercise intervention on blood pressure so that could provide certain evidence for health care during pregnancy. Methods Results of relevant studies were retrieved from PubMed, Embase, Web of Science and the Cochrane Library, and all of these included studies were evaluated according to the Cochrane collaboration’s tool for assessing the risk of bias. Stata 15.1 was used for meta-analysis, and mean difference (MD) was used as statistic for pooled analysis. The effect values were combined by conventional meta-analysis and Bayesian meta-analysis respectively, and the consistency of pooled results was considered as well. Results A total of 18 RCT studies were included in the quantitative analysis. The conventional meta-analysis showed differences in blood pressure between intervention group and control group (P < 0.05). Systolic and diastolic blood pressures of intervention group were 3.19 mmHg (95% CI: -5.13, -1.25) and 2.14 mmHg (95% CI: -4.26, -0.03) lower than that of control group, respectively. Bayesian meta-analysis showed that both systolic and diastolic pressure among intervention group decreased by 3.34 mmHg (95% CrI: -5.15, -1.56) and 2.14 mmHg (95% CrI: -3.79, − 0.50), respectively. Subgroup analysis supported that as long as healthy pregnant women participated in exercises, their blood pressure could be slightly regulated, while hypertension susceptible pregnant women significantly lowered blood pressure. Conclusion Exercise intervention during pregnancy is beneficial to lower or normalize blood pressure, and this research provides clues for follow-up studies.

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“…There is a small body of literature on interventions to improve in-hospital depressive or anxiety symptoms in hospitalized obstetric patients. Interventions including acceptance-based therapy, 32 yoga, 21 relaxation techniques, 26,46,66,67 psychosomatic interventions, 43 music therapy, 38,68 pet therapy, 27 bed exercise programs, 31 aromatherapy, 69 educational interventions, 70,71 a stress-coping app 72 and other integrative modalities 73 have been studied. It is important to recognize that in addition to pharmacologic treatment, interpersonal therapy and cognitive behavioral therapy interventions are the most wellstudied and most effective treatment 74,75 and prevention strategies 76 for perinatal mood disorders.…”

Section: Discussionmentioning

confidence: 99%

Prevalence of Depression or Anxiety During Antepartum Hospitalizations for Obstetric Complications

Toscano

Royzer

Castillo

et al. 2021

Obstetrics &Amp; Gynecology

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Effect of Structured Bed Exercise on Uterine Contractions, Fetal Heart Rate Patterns, and Maternal Psychophysical Symptoms of Hospitalized High-Risk Pregnant Women: A Randomized Control Trial

Abstract: SBE in hospitalized high-risk pregnant women under bed rest did not increase the risk to the fetus, and relieved physical discomfort and anxiety. Therefore, SBE should be considered as a nursing intervention in hospitalized high-risk pregnant women.

Cited by 13 publications

References 27 publications

Fetal Heart Rate Extraction Based on Wavelet Transform to Prevent Fetal Distress In Utero

Fetal Heart Rate Extraction Based on Wavelet Transform to Prevent Fetal Distress In Utero

Effects of physical exercise on blood pressure during pregnancy

Prevalence of Depression or Anxiety During Antepartum Hospitalizations for Obstetric Complications

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