Publication:

婦女身體活動與產程進展速度之相關研究

中文摘要

本研究旨在探討婦女於未懷孕前及懷孕期間之身體活動狀況與產程進展速度之間的關係，本研究採問卷調查法，問卷內容主要調查：人口特徵、運動狀況及分娩過程，研究對象為台北縣財團法人恩主公醫院經陰道分娩並由醫師診斷無妊娠疾病的健康產婦，研究結果可供婦女於計劃生育時的運動參考。調查期間共發出問卷280份，有效問卷238份，有效問卷率為85%。回收之有效樣本依研究目的分別採用描述性統計、獨立樣本t檢定、單因子變異數分析、Duncan事後比較等統計方式進行資料處理，結果發現：

一、未懷孕及懷孕期間的運動狀況各有不同，其中以懷孕後期運動頻率最高，所從事的運動種類則以「散步或逛街」最多。

二、身體活動與其產程進展速度並無顯著差異，就經產婦而言，「家庭主婦」第一產程進展速度快於「職業婦女」。

三、就初產婦而言，懷孕前、中、後期的運動頻率與第二產程進展速度皆有顯著差異，且「有運動」組快於「沒運動」組。

四、就整體產婦、初產婦及經產婦而言，未懷孕時的BMI與第二產程進展速度有顯著差異，且BMI「高」者其生產速度較BMI於「正常」範圍者產程進展速度慢。

Abstract

The purpose of this study was to research if women's physical activities before she got pregnant, and after being pregnant will have any impacts on her birth delivery while she was giving birth. This study was to use questionnaire to targeting on demography, physical activities and the process of birth delivery. People are investigated are those who had virginal delivery without any illness, healthy ladies checked by physicians from the En-Chu-Kong Hospital. All the results can be useful for those women who plan to be pregnant in the future. The total numbers of questionnaires were giving to two hundred and eighty people to answer. And the valid ones were two hundred and thirty-eight with eighty-five percent accurate ratio. All the data of the valid samples were analyzed by descriptive statistics, independent t test, one-way ANOVA and Docan posthoc. The findings were as following:

1. Women’s physical activities got changed the patten before she got pregnant and after she got pregnant. Usually women tend to exercise more often after they were pregnant. The most popular activities that pregnant women do were "taking a walk" and "shopping" in this study.

2. Physical activities did not have any impacts on birth delivery. However, the multigravida for the first stage of birth delivery process, a housewife can do quicker than a professional, working lady.

3. As the second stage of birth delivery, the primipara will have major difference on delivery speed depending on her physically exercise between her 3 stages of pregnancy. The women who do exercise frequency can give birth delivery quickly than those who do not exercise at all.

4. BMI plays an important role on pregnancy. When the pregnant women's BMI was "higher", the women's delivery will slow down than those who have "normal" ones.