Keywords
Resistance training
Aerobic exercise
Parturient
Psychological state
Labor duration
Submitted : 2024-04-10
Accepted : 2024-04-25
Published : 2024-05-10
Abstract
Objective: To investigate the impact of resistance training and aerobic exercise before doula-assisted delivery on the psychological well-being and labor duration of parturients. Methods: 105 cases of parturients who gave birth in our hospital from February 2021 to April 2023 were included in this study. The patients were divided into a control group of 52 cases and an observation group of 53 cases. The patients in the control group received no particular intervention before delivery and only received doula assistance. The patients in the observation group received resistance training, aerobic exercise, and doula assistance prior to giving birth. After delivery, the mothers were observed for 2 hours in the delivery room and then returned to the maternal and infant ward. The observation indicators of the two groups were compared. Results: In comparison to the control group, the observation group exhibited shorter durations in the first, second, and third stages of labor, as well as the total delivery time. Additionally, the amount of postpartum blood loss at 2 hours was smaller in the observation group. The rate of cesarean section was lower, and the rate of vaginal natural delivery was higher in the observation group. Following the intervention, both groups of postpartum women showed decreased SAS and SDS scores compared to before the intervention. Moreover, the observation group had lower scores than the control group. These differences were all statistically significant (P < 0.05). Conclusion: Resistance training and aerobic exercise before doula-assisted delivery can effectively improve the psychological state of parturients, shorten labor duration, increase the rate of natural vaginal delivery, and reduce pain and postpartum hemorrhage.
References
Wang J, Li L, Wang S, 2021, The Effect of Narrative Nursing Combined with Six-Step Breast Massage on Maternal Lactation and Postpartum Psychological State. Journal of Nursing, 36(23): 35–37.
Wang X, Wang J, Yang L, 2020, Application of Doula Labor Analgesia Device in Full-Term Primipara and its Impact on Delivery Outcomes. Chinese Maternal and Child Health Care, 35(24): 4693–4695.
Wang J, Xu F, Kang Z, et al., 2019, Efficacy and Safety Analysis of Individualized Resistance Training Combined with Aerobic Exercise on Low Back Pain During Pregnancy. Journal of Neck and Back Pain, 40(5): 671–673.
Yan Q, Yi Y, Li Q, 2021, Analysis of the Impact of Predictive Nursing on Postpartum Hemorrhage in Vaginal Delivery Women. Journal of Chengdu Medical College, 16(5): 645–647.
Yao C, Wan L, 2021, Application of Nursing Based on Improved Early Warning Score in Cesarean Section Women. China Medical Herald, 18(5): 185–188.
Pan X, Zhang H, Zhou Y, et al., 2022, The Application Value of Ropivacaine Combined with Dexmedetomidine Transversus Abdominis Plane Block in Patients with Cesarean Section. Chengdu Medical College Journal, 17(2): 197–200.
Mszar R, Mahajan S, Valero-Elizondo J, et al., 2020, Sociodemographic Variations in Prenatal Cholesterol Screening Among Pregnant Women in the United States: The National Health Interview Survey. Journal of Clinical Lipidology, 14(4): 556–557.
Li H, Liu X, Chu L, et al., 2019, The Effect of Personalized, Comprehensive Nursing Care on Neonatal Infection in Women with Premature Rupture of Membranes. Hebei Medicine, 41(1): 156–159.
Ren Z, Peng X, 2019, Effects of Traditional Chinese Medicine Acupoint Massage Combined with Doula Delivery on Negative Emotions, Breast Tenderness, and Delivery Outcomes of Primiparas. Journal of Hunan University of Traditional Chinese Medicine, 39(5): 658–662.
Wang X, Wang J, 2021, Clinical Efficacy and Risk Factors Analysis of Doula Application in Labor Analgesia. Medical Clinical Research, 38(2): 298–300.
Roland CB, Knudsen SP, Alomairah SA, et al., 2021, Structured Supervised Exercise Training or Motivational Counseling During Pregnancy on Physical Activity Level and Health of Mother and Offspring: FitMum Study Protocol. BMJ Open, 11(3): 43–67.
Silva-Jose C, Nagpal TS, Coterón J, et al., 2022, The ‘New Normal’ Includes Online Prenatal Exercise: Exploring Pregnant Women’s Experiences During the Pandemic and the Role of Virtual Group Fitness on Maternal Mental Health. Pregnancy Childbirth, 22(1): 251.
Liu Z, Zhang S, 2018, The Effect of Husband and Doula Accompaniment on Labor Time, Delivery Outcome, and Satisfaction During Delivery. Chinese Modern Doctor, 56(8): 59–62.
E G, Liu W, Yang H, et al., 2022, Effects of Daily Interval Aerobic Resistance Exercise on Blood Sugar Control and Delivery Outcomes in Patients with Gestational Diabetes Mellitus. Chinese Journal of Practical Nursing, 38(29): 2241–2246.
Ma L, 2021, The Application Effect of AIDET Standard Communication Mode Combined with Doula Delivery in Primipara. Chinese Sexology, 30(2): 100–103.