Abstract：
OBJECTIVE: To examine the effectiveness of pelvic-abdominal mechanics exercise in reducing cesarean section rates and preventing pelvic floor dysfunction in primiparous women.
METHODS: Randomized controlled trial.
METHODS: A single-center prospective study was conducted among 200 primiparous participants (aged 18-38 years) who undertook formal card-issuing maternity tests between June 1, 2022, and June 30, 2023. Participants were divided into two groups: exercise (intervention) and control using the random number table method. Participants of the intervention group performed pelvic-abdominal mechanics exercise at least 1 h each time per week for three months. Participants of the control group did not perform any pelvic-abdominal mechanics exercise during pregnancy. This study conducted a comprehensive evaluation from three perspectives, including maternal and neonatal health outcomes during delivery, the recovery status of pelvic floor muscles at 42 days postpartum, and the quality of life during late pregnancy (36-38 weeks) and 42 days postpartum.
RESULTS: A significant difference was found in delivery outcomes. The cesarean section rates are significantly higher (p < 0.05) in the control group (36 %) than in the exercise group (19 %). At 42 days postpartum, pelvic floor assessment showed that the exercise group had significantly better results in pelvic floor muscle strength compared to the control group, with statistical significance (p < 0.05).
CONCLUSIONS: Pelvic-abdominal mechanics exercise lowers the rate of cesarean section and improves postpartum pelvic floor function.
METHODS: Randomized controlled trial.
METHODS: A single-center prospective study was conducted among 200 primiparous participants (aged 18-38 years) who undertook formal card-issuing maternity tests between June 1, 2022, and June 30, 2023. Participants were divided into two groups: exercise (intervention) and control using the random number table method. Participants of the intervention group performed pelvic-abdominal mechanics exercise at least 1 h each time per week for three months. Participants of the control group did not perform any pelvic-abdominal mechanics exercise during pregnancy. This study conducted a comprehensive evaluation from three perspectives, including maternal and neonatal health outcomes during delivery, the recovery status of pelvic floor muscles at 42 days postpartum, and the quality of life during late pregnancy (36-38 weeks) and 42 days postpartum.
RESULTS: A significant difference was found in delivery outcomes. The cesarean section rates are significantly higher (p < 0.05) in the control group (36 %) than in the exercise group (19 %). At 42 days postpartum, pelvic floor assessment showed that the exercise group had significantly better results in pelvic floor muscle strength compared to the control group, with statistical significance (p < 0.05).
CONCLUSIONS: Pelvic-abdominal mechanics exercise lowers the rate of cesarean section and improves postpartum pelvic floor function.
摘要：
目的：探讨盆腹力学锻炼在降低初产妇剖宫产率和预防盆底功能障碍中的作用。
方法：随机对照试验。
方法：在2022年6月1日至2023年6月30日期间，对200名初产妇参与者（年龄18-38岁）进行了正式的产证检查。采用随机数字表法将参与者分为运动(干预)组和对照组。干预组的参与者每周至少进行1小时的骨盆-腹部力学锻炼，持续三个月。对照组的参与者在怀孕期间没有进行任何骨盆-腹部力学运动。本研究从三个角度进行了综合评价,包括分娩期间的孕产妇和新生儿健康结果，产后42天盆底肌肉恢复状况,以及妊娠晚期（36-38周）和产后42天的生活质量。
结果：分娩结果存在显著差异。对照组的剖宫产率（36％）明显高于运动组（19％）（p<0.05）。产后42天，盆底评估显示运动组盆底肌力明显优于对照组,具有统计学意义(p<0.05)。
结论：盆腹力学锻炼可降低剖宫产率，改善产后盆底功能。
方法：随机对照试验。
方法：在2022年6月1日至2023年6月30日期间，对200名初产妇参与者（年龄18-38岁）进行了正式的产证检查。采用随机数字表法将参与者分为运动(干预)组和对照组。干预组的参与者每周至少进行1小时的骨盆-腹部力学锻炼，持续三个月。对照组的参与者在怀孕期间没有进行任何骨盆-腹部力学运动。本研究从三个角度进行了综合评价,包括分娩期间的孕产妇和新生儿健康结果，产后42天盆底肌肉恢复状况,以及妊娠晚期（36-38周）和产后42天的生活质量。
结果：分娩结果存在显著差异。对照组的剖宫产率（36％）明显高于运动组（19％）（p<0.05）。产后42天，盆底评估显示运动组盆底肌力明显优于对照组,具有统计学意义(p<0.05)。
结论：盆腹力学锻炼可降低剖宫产率，改善产后盆底功能。
