孕产期身心整合干预对臀位矫正及围产结局的临床效应研究OA

Objective:To explore the clinical value of integrated intervention protocols based on the biopsychosocial medical model for correcting breech presentation in late pregnancy,and to analyze their potential impact on maternal comfort and perinatal outcomes.Method:A prospective cohort study was conducted from August 2021 to December 2023,enrolling 74 singleton breech presentation pregnant women undergoing prenatal check-ups at the Maternal and Child Health Care Hospital of Xiangtan City.Participants were divided into an intervention group(n=40)and a control group(n=34).The study group received a structured intervention program comprising positional correction(modified breech adjustment technique),birthing dance(designed based on biomechanical principles),prenatal yoga(incorporating pelvic floor muscle training),and mindfulness meditation(12 min/day).The control group received conventional knee-chest positioning.The fetoposition conversion rates,intervention adherence(measured using a 5-point Likert scale),perinatal outcome parameters,and neonatal prognosis indicators were compared and evaluated between the two groups.Result:After intervention,the fetal position reversal rate in the study group was significantly higher than that in the control group,with a statistically significant difference(P<0.05).The comfort level in the study group was significantly superior to that in the control group,with a statistically significant difference(P<0.05).The natural delivery rate in the study group was significantly higher than that in the control group,and the weight gain during pregnancy was also higher than that in the control group,with statistically significant differences(P<0.05).There were no statistically significant differences between the study group and the control group in terms of neonatal asphyxia rates and postpartum hemorrhage rates(P>0.05).Conclusion:Integrated interventions combining biomechanical adjustments and mind-body regulation can effectively enhance the efficacy of breech version.The underlying mechanism likely involves multidimensional synergistic effects,including optimization of fetal movement space,maternal pelvic structural adaptation,and sympathetic-parasympathetic nervous system balance.This model offers a novel clinical pathway for obstetric positional correction.