Abstract
BackgroundPregnant supports have been designed to prevent structural deviations but may impair blood circulation of the lower limbs, in particular during the last trimester. In this study, we evaluate the effect of different pregnant supports on hemodynamics responses during postural changes and daily physical activities.MethodsTwelve last-trimester healthy pregnant women participated in this study. With randomized supports of casual wear (CW), pelvic band (PB), and pregnant pants (PP), subjects performed postural changes (standing and side lying using sitting as control), daily physical activities (climbing up and down stairs, lifting, sit-to-stand, and 10 min walking), and routine pregnant exercises. Hemodynamic responses including heart rate, blood pressure, stroke volume, cardiac output, local blood flow, and perfusion around the ankle were measured at the end of the 1st and 3rd minute after wearing pregnant supports.ResultsStanding position in CW group showed hemodynamic compensations via increasing diastolic blood pressure (DBP, 1st minute) and heart rate (HR, 3rd minute), whereas there were no significant changes in the PB and PP groups. Side lying position lowered cardiac responses in all groups, with higher blood perfusion in CW and PB, but not in PP. Cardiac variables, blood flows, and perfusions showed no significant difference among pregnant supports during daily physical activities, and routine pregnant exercises. The satisfaction evaluation on daily activities and routine exercises showed no difference among pregnant supports but the preferential pregnant support is PB.ConclusionIt can be concluded that PB offers similar hemodynamic adjustments during postural changes as casual wear. PB support is recommended for pregnant women for daily physical activities, as well as routine exercises. Trial registration: The trial is retrospectively registered in http://www.clinicaltrials.in.th (01/02/2021) with trial no: TCTR20210201003.