孕期普拉提训练对高龄产妇分娩状况的影响初步研究
A Preliminary Study on the Effect of Prenatal Pilates Training on the Delivery Outcome of Advanced Maternal Age Women
DOI: 10.12677/jcpm.2026.51012, PDF,    科研立项经费支持
作者: 满 琴, 金 朝*:自贡市妇幼保健院产前诊断中心,四川 自贡;谢川博:自贡市妇幼保健院超声医学科,四川 自贡
关键词: 高龄产妇孕期普拉提训练分娩结局自然分娩率产程时间Advanced Maternal Age Prenatal Pilates Training Delivery Outcome Natural Delivery Rate Duration of Labor
摘要: 本研究旨在评估孕期普拉提训练对高龄产妇分娩状况的影响,并探讨其潜在的益处和影响因素。研究采用随机对照实验设计,选取70例35岁以上的高龄初产妇,随机分为普拉提训练组和普通产前锻炼对照组。普拉提训练组从孕20周开始进行分阶段普拉提训练,对照组进行快步走等普通产前锻炼。结果显示,普拉提训练组的自然分娩率显著高于对照组,总产程时间明显缩短,分娩疼痛感减轻,且无运动相关不良反应发生。研究证实孕期普拉提训练对高龄产妇分娩状况具有积极影响,可作为临床推荐的辅助干预措施。
Abstract: This study aimed to evaluate the impact of prenatal Pilates training on the delivery outcomes of advanced maternal age women and explore its potential benefits and influencing factors. A randomized controlled trial design was adopted, selecting 70 primiparous women over 35 years old, who were randomly assigned to either a Pilates training group or a control group engaging in routine prenatal exercises like brisk walking. The Pilates training group underwent phased Pilates training starting from the 20th week of pregnancy, while the control group performed routine prenatal exercises. The results showed that the natural delivery rate in the Pilates group was significantly higher than that in the control group, the total duration of labor was significantly shorter, the perception of labor pain was reduced, and no exercise-related adverse reactions occurred. The study confirms that prenatal Pilates training has a positive impact on the delivery outcomes of advanced maternal age women and can be recommended as an auxiliary clinical intervention.
文章引用:满琴, 谢川博, 金朝. 孕期普拉提训练对高龄产妇分娩状况的影响初步研究[J]. 临床个性化医学, 2026, 5(1): 74-82. https://doi.org/10.12677/jcpm.2026.51012

参考文献

[1] 韦艳清, 玉雪雕, 覃汝麦. 孕期普拉提训练对促进初产妇自然分娩的临床应用研究[J]. 临床护理杂志, 2024, 23(1): 20-22.
[2] Kenny, L.C., Lavender, T., McNamee, R., O’Neill, S.M., Mills, T. and Khashan, A.S. (2013) Advanced Maternal Age and Adverse Pregnancy Outcome: Evidence from a Large Contemporary Cohort. PLOS ONE, 8, e56583. [Google Scholar] [CrossRef] [PubMed]
[3] 王艳芬, 李冬静, 孙艳乔, 魏玉如, 李艳丽, 刘倩, 杨茜, 王素玲, 张福娟, 董景珍, 王琳. 普拉提联合仿生物电刺激对产后盆底功能障碍患者的疗效观察[J]. 中国康复, 2025, 40(11): 655-659.
[4] Zaman, A.Y. (2023) Obstetric, Maternal, and Neonatal Outcomes after Pilates Exercise during Pregnancy: A Systematic Review and Meta-Analysis. Medicine, 102, e33688. [Google Scholar] [CrossRef] [PubMed]
[5] Ghandali, N.Y., Iravani, M., Habibi, A. and Cheraghian, B. (2021) The Effectiveness of a Pilates Exercise Program during Pregnancy on Childbirth Outcomes: A Randomised Controlled Clinical Trial. BMC Pregnancy Childbirth, 21, Article No. 480.
[6] 姚晓燕. 孕期普拉提训练对初产妇分娩状况的影响[J]. 循证护理, 2018, 4(12): 1131-1134.
[7] 谭爱琴, 郭宇萍. 凯格尔运动联合普拉提运动在阴道分娩产妇盆底肌功能恢复中的应用效果[J]. 反射疗法与康复医学, 2023, 4(15): 106-108.
[8] Ashrafinia, F., Mirmohammadali, M., Rajabi, H., Kazemnejad, A., Sadeghniiat Haghighi, K. and Amelvalizadeh, M. (2015) Effect of Pilates Exercises on Postpartum Maternal Fatigue. Singapore Medical Journal, 56, 169-173. [Google Scholar] [CrossRef] [PubMed]
[9] Reis, Y.A., Akay, A., Aktan, B., Tetik, S., Fıratlıgil, F.B. and Kayıkçıoğlu, F. (2023) The Effect of Clinical Pilates Exercises and Prenatal Education on Maternal and Fetal Health. Zeitschrift für Geburtshilfe und Neonatologie, 227, 354-363. [Google Scholar] [CrossRef] [PubMed]
[10] Baradwan, S., Khadawardi, K., Alayed, N.M., Akkour, K.M., Mahmoud, M.S., Abdelhakim, A.M., et al. (2024) The Effect of Pilates Exercise during Pregnancy on Delivery Outcomes: A Systematic Review and Meta-Analysis. Women & Health, 64, 131-141. [Google Scholar] [CrossRef] [PubMed]
[11] 梁云, 陈才菊, 林白浪, 云欣. 孕期普拉提训练与常规盆底康复训练效果比较[J]. 现代养生, 2022, 22(11): 1947-1948.
[12] 包理丽, 姚晓燕, 蒋美琴. 孕期普拉提训练对高龄产妇分娩结局的影响[J]. 国际护理学杂志, 2021, 40(19): 3528-3531.
[13] Li, Y., Lu, H., Zhang, L., Ren, Y., Dai, X. and Lin, L. (2025) Pilates Exercise in Pregnancy: A Systematic Review and Meta-Analysis. BMC Sports Science, Medicine and Rehabilitation, 17, Article No. 20. [Google Scholar] [CrossRef] [PubMed]
[14] 刘珍妮. 普拉提产后操的创编及对产妇形体恢复及盆底肌张力的影响[D]: [硕士学位论文]. 北京: 北京体育大学, 2016.
[15] 韦艳清. 普拉提运动在孕妇孕期应用的可行性研究[J]. 循证护理, 2021, 7(3): 401-404.
[16] 李俞萱, 卢赫然, 张留伟. 普拉提对孕妇BMI、妊娠结局影响的系统评价与Meta分析[C]//中国体育科学学会. 第十三届全国体育科学大会论文摘要集——专题报告(体质与健康分会). 北京: 北京体育大学, 2023: 542-544.
[17] Ashrafinia, F., Mirmohammadali, M., Rajabi, H., Kazemnejad, A., Sadeghniiat Haghighi, K., Amelvalizadeh, M., et al. (2014) The Effects of Pilates Exercise on Sleep Quality in Postpartum Women. Journal of Bodywork and Movement Therapies, 18, 190-199. [Google Scholar] [CrossRef] [PubMed]