在外賓門診經(jīng)常遇到兩類問題，大大咧咧的外國孕婦總是問，醫(yī)生我還能繼續(xù)孕前所喜歡的運動嗎？我還能游泳嗎？而多數(shù)嬌小慎重的中國孕婦經(jīng)常會問，醫(yī)生，我是不是要多休息，多躺著呢？       其實有很多文章都是鼓勵孕婦在妊娠期間積極進行體育鍛煉的，甚至有一些俱樂部把孕婦們組織在一起做運動，例如瑜伽，或者水上健身操，或者游泳課之類的，在網(wǎng)上搜羅一下可謂鋪天蓋地，但是這些文章經(jīng)常會把鍛煉描述的如何如何的好，可是，確切的關(guān)于運動是否能夠給妊娠帶來益處，就拿不出太多有利和具體的證據(jù)來了。       最近讀到一篇發(fā)表在美國流行病學雜志上的文章，因為研究人群巨大，收錄了87232位單胎孕婦的病例資料，我認為比較有說服力，所以推薦給大家，英文好的，自己讀讀，因為時間精力有限，我只能把主要內(nèi)容翻譯給大家分享。

       Danish 國立生育研究中心 從1996年 到 2002年六年間共收集了 87,232 例單胎妊娠孕婦的資料，研究發(fā)現(xiàn)，和很少進行鍛煉的孕婦相比，在妊娠期間積極從事體育鍛煉的孕婦的早產(chǎn)率大約能夠降低40%，而且這種運動的好處不在于具體進行了何種方式，何種形式的鍛煉。簡而言之，“運動好于不運動，具體形式不重要”。北京協(xié)和醫(yī)院婦科張羽

      可見，積極的體育鍛煉還是應該提倡的，但是國人因為身體素質(zhì)不一，每個人的具體情況不一樣，所以還要量力而行，根據(jù)自己的體質(zhì)，體力，身體條件以及興趣愛好進行選擇。而且，一旦出現(xiàn)病理情況，例如先兆早產(chǎn)，胎膜早破，或者其他妊娠合并癥時，還是要根據(jù)醫(yī)生的囑托，盡量休息，甚至有些情況下，例如破水了，是要絕對臥床的。

Physical Exercise During Pregnancy and the Risk of Preterm Birth: A Study Within the Danish National Birth Cohort

Mette Juhl; Per Kragh Andersen; Jørn Olsen; Mia Madsen; Tina Jørgensen; Ellen Aagaard Nøhr; Anne-Marie Nybo Andersen

Abstract

According to many national recommendations, women should be physically active during pregnancy, but empirical evidence to support this recommendation is sparse. The authors' aim in this study was to examine the relation between physical exercise during pregnancy and the risk of preterm birth. Self-reported data on physical exercise during pregnancy were collected prospectively for 87,232 singleton pregnancies included in the Danish National Birth Cohort between 1996 and 2002. Hazard ratios for preterm birth according to hours of exercise per week, type of exercise,and metabolic equivalent-hours per week, respectively, were calculated using Cox regression analysis. Results showed a reduced risk of preterm birth among the almost 40% of women who engaged in some kind of exercise during pregnancy in comparison with nonexercisers (hazard ratio=0.82, 95% confidence interval: 0.76, 0.88), but no dose-response relation was seen. The association was not affected by the type of exercise, and the results were not altered when the degree of preterm birth was taken into account. These findings do not indicate any adverse effects of exercise on the risk of preterm birth and therefore do not contradict current recommendations.