[The analgesic effect of exercise during labor].
OBJECTIVE
The aim of this study was to test for an analgesic effect of exercise during labor.


METHODS
50 women in labor exercised continuously with moderate intensity on a bicycle ergometer for 20 minutes. During rest and exercise, they rated their pain on a visual analogue scale (VAS). Venous blood was sampled for beta-endorphin, cortisol and catecholamines during rest and directly after exercise.


RESULTS
84 percent of the women perceived uterine contractions during exercise as less painful than at rest. 76.2 percent objectified the pain relief by a reduction in VAS units 1.67 +/- 1.01. Beta-endorphin levels were much higher after exercise than at rest (P < 0.001). During exercise the fetal heart rate rose slightly within the reference range. Uterine contractions were more frequent during and after exercise than at rest (P < 0.05).


CONCLUSIONS
Exercising on a bicycle ergometer during labor seems to be safe for the fetus, a stimulus to uterine contractions, and a source of analgesia, possibly due to the release of beta-endorphin.
Hartmann
S
S
Institut für Kreislaufforschung und Sportmedizin, Deutsche Sporthochschule Köln. sabi.hartmann@t-online.de
Bung
P
P
Schlebusch
H
H
Hollmann
W
W
D000698:Analgesia / Q000379:methods*; D001034:Apgar Score; D002086:Butylscopolammonium Bromide / Q000008:administration & dosage; D015148:Cardiotocography; D015444:Exercise / Q000502:physiology*; D005080:Exercise Test; D005260:Female; D006801:Humans; D007231:Infant, Newborn; D048949:Labor Pain / Q000503:physiopathology / Q000628:therapy*; D008297:Male; D010121:Oxytocin / Q000008:administration & dosage; D010147:Pain Measurement; D010276:Parasympatholytics / Q000008:administration & dosage; D011247:Pregnancy; D016896:Treatment Outcome; D001615:beta-Endorphin / Q000097:blood
D010276:Parasympatholytics; D002086:Butylscopolammonium Bromide; D010121:Oxytocin; D001615:beta-Endorphin