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Association of Self-Reported Physical Fitness during Late Pregnancy with Birth Outcomes and Oxytocin Administration during Labour—The GESTAFIT Project

Author

Listed:
  • Laura Baena-García

    (Department of Nursing, Faculty of Health Sciences, University of Granada, 51001 Ceuta, Spain)

  • Nuria Marín-Jiménez

    (Sport and Health University Research Institute (iMUDS), 18007 Granada, Spain
    Department of Physical Education and Sport, Faculty of Sport Sciences, University of Granada, 18071 Granada, Spain)

  • Lidia Romero-Gallardo

    (Sport and Health University Research Institute (iMUDS), 18007 Granada, Spain
    Department of Physical Education and Sport, Faculty of Sport Sciences, University of Granada, 18071 Granada, Spain)

  • Milkana Borges-Cosic

    (Sport and Health University Research Institute (iMUDS), 18007 Granada, Spain
    Department of Physical Education and Sport, Faculty of Sport Sciences, University of Granada, 18071 Granada, Spain)

  • Olga Ocón-Hernández

    (Gynaecology and Obstetrics Unit, ‘San Cecilio’ University Hospital, 18016 Granada, Spain)

  • Marta Flor-Alemany

    (Sport and Health University Research Institute (iMUDS), 18007 Granada, Spain
    Institute of Nutrition and Food Technology (INYTA), Biomedical Research Centre (CIBM), University of Granada, 18016 Granada, Spain
    Department of Physiology, Faculty of Pharmacy, University of Granada, 18011 Granada, Spain)

  • Virginia A. Aparicio

    (Institute of Nutrition and Food Technology (INYTA), Biomedical Research Centre (CIBM), University of Granada, 18016 Granada, Spain
    Department of Physiology, Faculty of Pharmacy, University of Granada, 18011 Granada, Spain)

Abstract

We explored (a) the associations between self-reported maternal physical fitness and birth outcomes; (b) whether self-reported maternal physical fitness (PF) is related to the administration of oxytocin to induce or stimulate labour. Pregnant women from the GESTAFIT project randomized controlled trial (n = 117) participated in this prospective longitudinal study. Maternal physical fitness was assessed through the International Fitness Scale at the 34th gestational week. Maternal and neonatal birth outcomes and oxytocin administration were collected from the obstetric medical records. Umbilical arterial and venous cord blood gas were analysed immediately after birth. Self-reported overall fitness, cardiorespiratory fitness, muscular strength and flexibility were not related to any maternal and neonatal birth outcomes (all p > 0.05). Greater speed-agility was associated with a more alkaline arterial ( p = 0.04) and venous ( p = 0.02) pH in the umbilical cord blood. Women who were administered oxytocin to induce or stimulate labour reported lower cardiorespiratory fitness ( p = 0.013, Cohen’s d = 0.55; 95% confidence interval (CI): 0.14, 0.93) and flexibility ( p = 0.040, Cohen´s d = 0.51; 95% CI: 0.09, 0.89) compared to women who were not administered oxytocin. Greater maternal physical fitness during pregnancy could be associated with better neonatal birth outcomes and lower risk of needing oxytocin administration.

Suggested Citation

  • Laura Baena-García & Nuria Marín-Jiménez & Lidia Romero-Gallardo & Milkana Borges-Cosic & Olga Ocón-Hernández & Marta Flor-Alemany & Virginia A. Aparicio, 2021. "Association of Self-Reported Physical Fitness during Late Pregnancy with Birth Outcomes and Oxytocin Administration during Labour—The GESTAFIT Project," IJERPH, MDPI, vol. 18(15), pages 1-11, August.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:15:p:8201-:d:607271
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    References listed on IDEAS

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    1. Samira Ebrahimzadeh & Nahid Golmakani & Maryam Kabirian & Mohhamad T Shakeri, 2012. "Study of correlation between maternal fatigue and uterine contraction pattern in the active phase of labour," Journal of Clinical Nursing, John Wiley & Sons, vol. 21(11‐12), pages 1563-1569, June.
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