2026-05-17T05:52:38Zhttps://repisalud.isciii.es/rest/oai/request
oai:repisalud.isciii.es:20.500.12105/231712024-11-29T01:11:44Zcom_20.500.12105_15322com_20.500.12105_2051col_20.500.12105_16967
Repisalud author Carrascosa Martín, María del Carmen author Navas, Araceli author Artigues, Catalina author Ortas, Silvia author Portells, Elena author Soler Mieras, Aina author Bennasar-Veny, Miquel author Leiva Rus, Alfonso 2024-09-18T06:42:09Z 2024-09-18T06:42:09Z 2021-12 Carrascosa M del C, Navas A, Artigues C, Ortas S, Portells E, Soler A, et al. Effect of aerobic water exercise during pregnancy on epidural use and pain: A multi-centre, randomised, controlled trial. Midwifery. 1 desembre 2021;103:103105. 10.1016/j.midw.2021.103105 1532-3099 Midwifery https://hdl.handle.net/20.500.13003/18703 34352600 L635838356 2-s2.0-85111584475 https://hdl.handle.net/20.500.12105/23171 703774300033 Objective: The physical and psychological benefits of exercise during pregnancy are well established. However, the impact of exercise on pain during labour and the use of epidural analgesia has been less explored. The main aim of this study was to analyse the effectiveness and safety of moderate aerobic water exercise by pregnant women on the subsequent use of epidural analgesia during labour, induction of labour, mode of delivery, and pain perception. Design: A multi-centre, parallel, randomised, evaluator blinded, controlled trial in a primary care setting. Setting: Primary care centres in a health district of a tertiary obstetric metropolitan hospital in Mallorca, Spain. Participants: Pregnant women (14 to 20 weeks' gestation) who had low risk of complications. Methods: Three hundred and twenty pregnant women were randomly assigned to two groups: women who practiced moderate aquatic aerobic exercise with usual antenatal care, and those who received usual prenatal care alone. The gynaecologist, anaesthesiologist and midwife who assisted the women during labour were blinded to group allocations. Principal outcome: use of epidural analgesia during labour. Other outcomes: use of epidural analgesia before 6 cm cervical dilation, labour pain, type of delivery, time of active labour, episiotomy or perineal tear, and induction of labour. Results: The exercise program did not affect the use of epidural analgesia (OR = 0.79, 95% CI = 0.44 to 1.40), vaginal delivery (OR = 1.35, 95% CI = 0.73 to 2.41), or caesarean section (OR = 0.94, 95% CI = 0.47 to 1.89). However, women in the exercise group reported less pain during labour (mean difference: -0.6, 95% CI = -1.11 to -0.09). The two groups (moderate aquatic aerobic exercise versus usual antenatal care) showed no significant differences in maternal or newborn adverse events. Conclusion: Aquatic aerobic exercise during pregnancy had no effect on the use of epidural analgesia during labour, whereas pain perception was lower after aquatic exercise compared to usual care in pregnancy. The intervention was safe for pregnant women and their newborns. eng Effect of aerobic water exercise during pregnancy on epidural use and pain: A multi-centre, randomised, controlled trial research article