目的 探讨生育舞蹈对妊娠期糖尿病（GDM）产妇分娩恐惧、分娩自我效能及分娩结局的影响。方法 对2021年12月至2023年12月于亳州市人民医院就诊的258例GDM产妇，根据是否接受生育舞蹈干预分为干预组（n=115）和非干预组（n=143），另选取150例同期于亳州市人民医院接受检查的健康产妇作为对照组进行研究。所有产妇按1∶1∶1的比例进行倾向性评分匹配，匹配后每组包含115例产妇。比较倾向性评分匹配前后产妇的一般资料，并对倾向性评分匹配后的协变量均衡性进行检验。比较3组产妇的产程时间，干预前后血糖指标、分娩恐惧评分、自我效能感评分，以及分娩结局。广义估计方程比较干预组和非干预组产妇分娩恐惧评分。广义线性混合模型（GLMM）分析生育舞蹈与GDM产妇不良分娩结局的关系。结果 （1）干预组的第一、二、三产程及总产程时间均明显短于非干预组和对照组（P<0.05）。（2）干预后，干预组的空腹血糖、餐后2 h血糖、糖化血红蛋白水平均明显低于非干预组，且较干预前明显降低（P<0.05）。（3）干预后，干预组的医院环境与干预恐惧、新生儿健康恐惧、失去控制恐惧、疼痛伤害恐惧评分均明显低于非干预组，且较干预前明显降低（P<0.05）。（4）干预后，干预组的自我效能感评分明显高于非干预组，且较干预前明显升高（P<0.05）。（5）干预组会阴侧切损伤、胎儿窘迫、新生儿1 min Apgar评分≤7分的发生率明显低于非干预组（P<0.05）。（6）广义估计方程分析结果显示，干预组的新生儿健康恐惧、医院环境与干预恐惧、疼痛伤害恐惧、失去控制恐惧评分改善情况明显优于非干预组（P<0.05）。（7）GLMM模型分析结果显示，调整混杂因素影响后，干预组产妇发生不良分娩结局的风险仍明显低于非干预组（OR=0.721，95%CI 0.419~0.816，P<0.001）。结论 生育舞蹈干预能够明显降低GDM产妇的分娩恐惧，提高分娩自我效能，改善不良分娩结局。

Objective To explore the influence of fertility dance on the fear of childbirth，childbirth self-efficacy and delivery outcomes of pregnant women with gestational diabetes mellitus （GDM）. Methods A total of 258 GDM pregnant women who visited Bozhou People's Hospital from December 2021 to December 2023 were selected for the study. They were divided into the intervention group （n=115） and the no-intervention group （n=143） based on whether they received the fertility dance intervention. Another 150 healthy pregnant women who were examined at the same hospital during the same period were selected as the control group for the study. All pregnant women were matched by propensity score at a ratio of 1：1：1. After matching，each group consisted of 115 pregnant women. The general data of the pregnant women before and after propensity score matching were compared，and the balance of covariates after propensity score matching was tested. The duration of labor，blood glucose indicators before and after intervention，fear scores before and after intervention，self-efficacy scores before and after intervention，and delivery outcomes of the three groups of pregnant women were compared. The generalized estimating equation was used to compare the fear scores of pregnant women in the intervention group and the no-intervention group. The generalized linear mixed model （GLMM） was used to analyze the relationship between fertility dance and adverse delivery outcomes in GDM pregnant women. Results （1）The duration of the first，second，and third stages of labor as well as the total labor duration in the intervention group was significantly shorter than that in the no-intervention group and the control group （P<0.05）.（2）After the intervention，the fasting blood glucose，2-hour post-meal blood glucose，and glycosylated hemoglobin levels in the intervention group were significantly lower than those in the no-intervention group，and they were also significantly lower than those before the intervention （P<0.05）.（3）After the intervention，the scores of hospital environment and intervention fear，fear of newborn health，fear of losing control，and fear of pain and injury in the intervention group were significantly lower than those in the no-intervention group，and were significantly lower than those before the intervention （P<0.05）.（4）After the intervention，the self-efficacy scores of the intervention group were significantly higher than those of the no-intervention group，and they also showed a significant increase compared to those before the intervention （P<0.05）.（5）The incidence of perineal lateral incision injury，fetal distress，and neonatal 1-minute Apgar score≤7 points in the intervention group was significantly lower than that in the no-intervention group（P<0.05）.（6）The results of the generalized estimating equation analysis showed that the scores for neonatal health fear，fear of hospital environment and intervention，fear of pain and injury，and fear of losing control in the intervention group improved significantly more than those in the no-intervention group （P<0.05）. （7）The results of the GLMM model analysis showed that after adjusting for confounding factors，the risk of adverse delivery outcomes for the intervention group was still significantly lower than that for the no-intervention group （OR=0.721，95% CI 0.419-0.816，P<0.001）. Conclusion The fertility dance intervention can significantly reduce the fear of childbirth in women with gestational diabetes，enhance their self-efficacy during childbirth，and improve adverse delivery outcomes.