Influence of Physical Activity during Pregnancy on Type and Duration of Delivery, and Epidural Use: Systematic Review and Meta-Analysis

Dingfeng Zhang; Stephanie-May Ruchat; Cristina Silva-Jose; Javier Gil-Ares; Ruben Barakat; Miguel Sánchez-Polán

doi:10.3390/jcm12155139

journal article Open Access Aug 05, 2023

Influence of Physical Activity during Pregnancy on Type and Duration of Delivery, and Epidural Use: Systematic Review and Meta-Analysis

Dingfeng Zhang

Journal of Clinical Medicine Vol. 12 No. 15 pp. 5139 · MDPI AG

View at Publisher Save 10.3390/jcm12155139

Abstract

Cesarean delivery may increase the need for anesthesia administration, thereby causing potential risks to both maternal and fetal health. This article aimed to investigate the effect of physical activity during pregnancy on the type of delivery, the duration of labor, and the use of epidurals (registration No.: CRD42022370646). Furthermore, 57 RCTs (n = 15301) were included showing that physical activity could decrease the risk of cesarean section (z = 3.22, p = 0.001; RR = 0.87, 95% CI = 0.79, 0.95, I2 = 37%, Pheterogeneity = 0.004), and 32 RCTs (n = 9468) showed significant decreases in instrumental delivery through performing physical activity (z = 3.48, p < 0.001; RR = 0.84, 95% CI = 0.76, 0.93, I2 = 0%, Pheterogeneity = 0.63). A significant decrease in the 15 RCTs’ (n = 4797) duration of first stage labor was found in physically active pregnant women (z = 2.09, p = 0.04; MD = −62.26, 95% CI = −120.66, −3.85, I2 = 93%, Pheterogeneity < 0.001) compared to those not active. Prenatal physical activity could decrease the risk of cesarean section and instrumental delivery and the duration of first stage labor.

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Published: Aug 05, 2023
Vol/Issue: 12(15)
Pages: 5139
License: View

Authors

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Dingfeng Zhang