The impact of physical activity during pregnancy on labor and delivery

Watkins, Virginia Y.; O’Donnell, Carly M.; Pérez, Marta; Zhao, Peinan; England, Sarah K.; Carter, Ebony B.; Kelly, Jeannie C.; Frolova, Antonina I.; Raghuraman, Nandini

doi:10.1016/j.ajog.2021.05.036

Cited by 26 publications

(18 citation statements)

References 27 publications

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“…Different types of CAM have proved efficacious in reducing labour pain [43], physiological and psychological stress [44], anxiety [45], and tension headache in pregnancy [46]. There is also evidence available that women who are physically active during pregnancy have a shorter duration of active labour [47,48], lower number of perineal tears [49], reduction in CS rates [50] and appropriate maternal and foetal weight gain [50].…”

Section: Discussionmentioning

confidence: 99%

Effectiveness of breathing exercise on the duration of labour: A systematic review and meta-analysis

et al. 2023

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Section: Discussionmentioning

confidence: 99%

Effectiveness of breathing exercise on the duration of labour: A systematic review and meta-analysis

et al. 2023

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“…How to promote the rate and safety of vaginal delivery induced by dinoprostone is a problem to be solved. Vaginal delivery may vary by various factors, including race/ethnicity, socioeconomic status, age, and medical conditions [8,9]. The median DT was 740.50 min.…”

Section: Discussionmentioning

confidence: 99%

A model to predict delivery time by induction of labour at term with a dinoprostone vaginal insert：A retrospective study

Huang

Chen

et al. 2022

Preprint

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Background: Dinoprostone vaginal insert is the most common pharmacological method of induction of labour for pregnant women. Few studies have predicted the vaginal delivery time (DT), our study aimed to analyse the primary factors for DT among women at or beyond term who underwent labour induction with dinoprostone vaginal inserts in the middle of China. Methods: In this retrospective observational study performed in the obstetric ward in Zhongnan Hospital of Wuhan University, we ultimately included all women at37 weeks 0 days to 41 weeks 6 days of gestation who underwent labour induction with vaginal dinoprostone between January 1st, 2019, and December 31st, 2021. The primary outcome was vaginal or caesarean delivery; the principal secondary outcome was influence for DT including several maternal complications and neonatal characteristics. Results: A total of 1,562 women at or beyond term underwent labour induction, and 71% (1109/1562) delivered vaginally. The median delivery time (DT) was 740.50 min, with an interquartile range from 443.25 to 1264.50 min. A total of 29% (453/1562) of the women gave birth by caesarean section, and 11.9% (54/453) were multiparous. Multiple linear regression analysis showed that multiparity, advanced maternal age, foetal macrosomia, premature rupture of membranes (PROM), and having dinoprostone inserted during the day all significantly influenced DT. A mathematical model was developed to integrate these factors for predicting DT: Y=804.478–125.284 × multiparity + 765.637 × advanced maternal age + 411.511 × foetalmacrosomia-593.358 × dinoprostone inserted during the day - 125.284×PROM. Conclusions: The DT with dinoprostone vaginal inserts was increased in women with advanced maternal age and foetal macrosomia, but decreased in multiparity, PROM, and dinoprostone inserted during the day.This study allows obstetricians to calculate a preliminary DT for pregnant women before placing a dinoprostone insert, which may be helpful to improve the management of patients and reduce the risk in busy maternity wards.

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“…Our results are in agreement with another study suggesting that women involved in competitive sports training did not experience longer first and second stages of labor compared to recreationally active controls [ 16 ]. However, a shorter duration of active labor (second stage of labor) was recently reported in non-athlete women with higher levels of daily physical activity in pregnancy assessed with the Kaiser Physical Activity Survey [ 36 ]. Additionally, the results of systematic reviews and meta-analyses indicate that antenatal exercise (not related to competitive sports), as well as pelvic floor muscle exercises, may reduce the duration of the second stage of labor [ 37 , 38 ].…”

Section: Discussionmentioning

confidence: 99%

Comparison of First Childbirth Characteristics between Elite Judo Athletes and Non-Athletes: The Preliminary Retrospective Case–Control Study

Kuczera

Opala-Berdzik

Malá

et al. 2022

IJERPH

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It has been speculated that elite athletes are more likely to have obstetric interventions during labor and delivery. So far, the impact of many years of competitive sports participation on childbirth characteristics has not been well-established. This preliminary retrospective case–control study aimed to determine whether the first labors of elite judo competitors required obstetric interventions more frequently and were longer than those of non-athletes. The study comprised 32 parous women: 16 elite judo athletes and 16 non-athletes. Women were included if they had access to the following obstetric data (from their first childbirth hospital discharge reports and/or first child’s health record books): induction and augmentation of labor, mode of delivery, the duration of labor and its second stage, episiotomy, perineal tear, and the neonate’s Apgar score. Electronic surveys were completed concerning childbirth characteristics, level of “eliteness” (judo athletes), and recreational physical activity (non-athletes). The statistical analysis showed no significant between-group differences in any of the first childbirth outcomes under analysis. The preliminary results indicate elite judo practice before first pregnancy had no negative impact on the rates of labor induction and augmentation, delivery mode, duration of labor, the rates of episiotomy and perineal tear, and the neonate’s Apgar score. Due to the small sample size, the conclusions should be considered with caution.

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The impact of physical activity during pregnancy on labor and delivery

Cited by 26 publications

References 27 publications

Effectiveness of breathing exercise on the duration of labour: A systematic review and meta-analysis

Effectiveness of breathing exercise on the duration of labour: A systematic review and meta-analysis

A model to predict delivery time by induction of labour at term with a dinoprostone vaginal insert：A retrospective study

Comparison of First Childbirth Characteristics between Elite Judo Athletes and Non-Athletes: The Preliminary Retrospective Case–Control Study

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