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Influence of fertility dance on fear of childbirth，childbirth self-efficacy and delivery outcomes of pregnant women with gestational diabetes mellitus
CAO Qi, NIU San-qiang, QIN Feng-yuan, ZHOU Li-hua
Chinese Journal of Practical Gynecology and Obstetrics ›› 2026, Vol. 42 ›› Issue (2) : 218-224.
PDF(1239 KB)
PDF(1239 KB)
Influence of fertility dance on fear of childbirth，childbirth self-efficacy and delivery outcomes of pregnant women with gestational diabetes mellitus
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.
fertility dance / gestational diabetes / fear of childbirth / birth self-efficacy / delivery outcome
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Gestational diabetes mellitus (GDM) is the most common complication during pregnancy and is defined as any degree of glucose intolerance with onset or first recognition during pregnancy. GDM is associated with adverse pregnancy outcomes and long-term offspring and maternal complications. For GDM screening and diagnosis, a two-step approach (1-hour 50 g glucose challenge test followed by 3-hour 100 g oral glucose tolerance test) has been widely used. After the Hyperglycemia and Adverse Pregnancy Outcome study implemented a 75 g oral glucose tolerance test in all pregnant women, a one-step approach was recommended as an option for the diagnosis of GDM after 2010. The one-step approach has more than doubled the incidence of GDM, but its clinical benefit in reducing adverse pregnancy outcomes remains controversial. Long-term complications of mothers with GDM include type 2 diabetes mellitus and cardiovascular disease, and complications of their offspring include childhood obesity and glucose intolerance. The diagnostic criteria of GDM should properly classify women at risk for adverse pregnancy outcomes and long-term complications. The present review summarizes the strengths and weaknesses of the one-step and two-step approaches for the diagnosis of GDM based on recent randomized controlled trials and observational studies. We also describe the long-term maternal and offspring complications of GDM.
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Gestational diabetes mellitus (GDM) is defined as hyperglycaemia with blood glucose values above normal, but below those diagnostic of diabetes, and is the most common metabolic disease in pregnancy [...]
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To explore the recent literature concerning the effect of gestational diabetes (GDM) on adverse pregnancy outcomes (APO).
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Gestational diabetes mellitus (GDM) has historically been perceived as a medical complication of pregnancy that also serves as a harbinger of maternal risk of developing type 2 diabetes mellitus (T2DM) in the future. In recent decades, a growing body of evidence has detailed additional lifelong implications that extend beyond T2DM, including an elevated risk of ultimately developing cardiovascular disease. Furthermore, the risk factors that mediate this lifetime cardiovascular risk are evident not only after delivery but are present even before the pregnancy in which GDM is first diagnosed. The concept thus emerging from these data is that the diagnosis of GDM enables the identification of women who are already on an enhanced track of cardiometabolic risk that starts early in life. Studies of the offspring of pregnancies complicated by diabetes now suggest that the earliest underpinnings of this cardiometabolic risk profile may be determined in utero and may first manifest clinically in childhood. Accordingly, from this perspective, GDM is now seen as a chronic metabolic disorder that holds implications across the life span of both mother and child.
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This study aims to evaluate the effect of labor dance on traumatic childbirth perception and comfort. This is a randomized controlled experimental study. The study was conducted with 120 primiparous pregnant women (60 in experiment group, 60 in control group). The pregnant women in the experiment group performed labor dance with the researcher midwife during the active phase of labor. The researcher implemented the Childbirth Comfort Questionnaire (CCQ) when the cervical dilation was 8 cm. The Postpartum Comfort Scale (PCS) and Traumatic Childbirth Perception Scale (TCPS) were implemented almost 2 hours after giving birth. The scores of the women in the experiment group in TCPS were significantly lower than those in the control group while their mean scores in CCQ and PCS were significantly higher. Labor dance contributed to the women’s more positive childbirth experiences, perceptions of childbirth as less traumatic, and increased their comfort levels.
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Antenatal education provides parents with strategies for pregnancy, childbirth, and parenthood. There is not enough evidence of the positive effect of prenatal education on childbirth and maternal outcomes. The present scoping review using a systematic approach, evaluates the effectiveness of prenatal education on fear of childbirth, pain intensity during labour, childbirth experience, and postpartum psychological health.
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