Impact of physical activity and sleep duration on caesarean
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According to this study, lower physical activity and longer sleep duration during pregnancy increase the possibility of cesarean delivery.

The study aimed to investigate the effects of physical activity, sleep duration, and their interactions on the risk of cesarean delivery for medical reasons and non-medical reasons.

A prospective population-based cohort of 13,015 pregnant women was established. Pregnancy outcomes were retrieved from an electronic database and cesarean delivery was divided into cesarean delivery for medical reasons and cesarean delivery for non-medical reasons. Physical activity and sleep status were collected at 24–28 weeks of gestation using self-reported questionnaires. In the cohort, 5692 and 2641 women had cesarean delivery for medical reasons and non-medical reasons, respectively.

--Low physical activity increased the risk of cesarean delivery for medical reasons but not for non-medical reasons.

--Sleep duration <7 h/day and poor sleep quality were not associated with cesarean delivery. Sleep duration ≥9 h/day increased the risk of cesarean delivery for medical reasons and cesarean delivery for non-medical reasons.

--Co-presence of low physical activity and sleep duration ≥9 h/day increased risk of cesarean delivery, and their additive interaction was statistically significant for cesarean delivery for medical reasons but not for non-medical reasons.

Conclusively, low physical activity and excessive sleep duration during pregnancy each increased the risk of cesarean delivery, and they had an interactive effect on the risk of cesarean delivery for medical reasons but not on the risk of cesarean delivery for non-medical reasons.

BMC Pregnancy and Childbirth
Source: https://doi.org/10.1186/s12884-021-03788-4
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