在外賓門診經(jīng)常遇到兩類問題，大大咧咧的外國(guó)孕婦總是問，醫(yī)生我還能繼續(xù)孕前所喜歡的運(yùn)動(dòng)嗎？我還能游泳嗎？而多數(shù)嬌小慎重的中國(guó)孕婦經(jīng)常會(huì)問，醫(yī)生，我是不是要多休息，多躺著呢？       其實(shí)有很多文章都是鼓勵(lì)孕婦在妊娠期間積極進(jìn)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(yùn)動(dòng)，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(huì)把鍛煉描述的如何如何的好，可是，確切的關(guān)于運(yùn)動(dòng)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(guó)流行病學(xué)雜志上的文章，因?yàn)檠芯咳巳壕薮?，收錄?7232位單胎孕婦的病例資料，我認(rèn)為比較有說服力，所以推薦給大家，英文好的，自己讀讀，因?yàn)闀r(shí)間精力有限，我只能把主要內(nèi)容翻譯給大家分享。

       Danish 國(guó)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(jìn)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(yùn)動(dòng)的好處不在于具體進(jìn)行了何種方式，何種形式的鍛煉。簡(jiǎn)而言之，“運(yùn)動(dòng)好于不運(yùn)動(dòng)，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(yīng)該提倡的，但是國(guó)人因?yàn)樯眢w素質(zhì)不一，每個(gè)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(jìn)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(shí)，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(duì)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.