産科周産期のリハビリテーション—切迫流早産を起こした妊婦の運動療法

Rehabilitation for Patients Recovering from Threatened Abortion and Premature Labor : During Pregnancy and the Postpartum Period

要旨：切迫流早産に対する安静療法により廃用症候群が生じるが，その対応法は明らかでない．切迫流早産への適切なリハビリテーションを明らかにするため，当院にてリハビリテーションを行った産科周産期の患者について，診療録を後方視的に調査・検討した．3年間で11人の切迫流早産の患者にリハビリテーションを施行し，8人は入院中に分娩，3人はADLが自立し妊娠を継続し自宅退院した．入院中に分娩に至った8人も，分娩後速やかにADLは自立し，母体の予後は良好であった．リハビリテーション介入と切迫流早産の進行に明らかな関係はなかった．個々の患者毎に適切なリハビリテーションを行うことで，切迫流早産の進行に影響を与えずに廃用症候群を改善できる可能性がある．

Abstract : Bed rest for pregnant women recovering from threatened abortion and premature labor to prevent abortion can cause deconditioning syndrome, but it is not clear what kind of physical exercise should be provided for these patients. To better provide appropriate rehabilitation for threatened abortion and premature labor patients, we investigated patient clinical records retrospectively. In 11 patients who were provided rehabilitation within the past three years, eight delivered during hospitalization and three became independent in ADLs and were discharged while still pregnant. All patients who delivered during their hospitalization became independent in ADLs immediately after delivery, and as a result, the maternal prognosis was good. Choosing an appropriate rehabilitation approach for patients with threatened premature labor may help alleviate their deconditioning during pregnancy without any adverse impact.