Exercise during pregnancy: a comparative review of guidelines

2020 ◽  
Vol 48 (6) ◽  
pp. 519-525
Author(s):  
Ioannis Tsakiridis ◽  
Dimitra Rafailia Bakaloudi ◽  
Artemis Christina Oikonomidou ◽  
Themistoklis Dagklis ◽  
Michail Chourdakis

AbstractExercise during pregnancy may be beneficial provided that there are no contraindications. The aim of this study was to summarize and compare recommendations regarding exercise in pregnancy. Thus, a comparative descriptive review was conducted and included guidelines by the American College of Obstetricians and Gynecologists, the Society of Obstetricians and Gynaecologists of Canada and the Royal Australian and New Zealand College of Obstetricians and Gynaecologists. All compared guidelines recommend that pregnant women without contraindications should undertake physical activities regularly, however, the type of workout performed should be adjusted based on the previous exercise experience and the physical condition of each pregnant woman. A variation among the reviewed guidelines was identified on appropriate and inappropriate activities and on indications to interrupt exercise. To summarize, the adoption of an international up-to-date consensus regarding appropriate exercise during pregnancy may be beneficial in ensuring the safety of the pregnant women while promoting their physical and mental health.

1996 ◽  
Vol 2 (1) ◽  
pp. 48 ◽  
Author(s):  
Robert Kirkby ◽  
Rachael Birmingham

Research findings have indicated that involvement in exercise can be beneficial to a pregnant woman and to the child she is carrying. Despite the apparent importance of this topic, researchers have directed little attention to the behavioural consequences of exercise for pregnant women. Furthermore, most of the investigations in this area have been vulnerable to serious criticisms of design, analysis, or interpretation. Notwithstanding these criticisms, the literature suggests that involvement in exercise during pregnancy is associated with perception of reduced negative symptoms, improvements in general mood, reduced depression, and increased self-esteem. As well, studies of childbirth stress have indicated that women who exercise during pregnancy reported less effort and lowered experience of pain in the birth process. In terms of best clinical practice it was recommended that health professionals should focus on the processes of informing, educating, and encouraging women about exercise in pregnancy, screening at-risk women, and identifying appropriate activities.


2021 ◽  
Vol 7 (2) ◽  
pp. e000967
Author(s):  
Ryan Lee ◽  
Serene Thain ◽  
Lay Kok Tan ◽  
Terry Teo ◽  
Kok Hian Tan

Physical activity and exercise in pregnancy are generally beneficial and enhance the physical and mental health of women. These benefits also prevent excessive weight gain and reduce risks of obesity in pregnancy, such as gestational diabetes, hypertensive disorders, higher rates of caesarean delivery, macrosomia and stillbirth. Thus, there is a need to optimise perinatal exercise and physical activity globally. There is currently no consensus recommendation on the role of physical activity and exercise in pregnancy and the postpartum period in the Asia-Pacific region. In this paper, we present seven key consensus recommendations on physical activity and exercise in pregnancy and the postpartum period by 18 key members representing 10 countries in Asia-Pacific regions during an international workshop of the AsiaDiabetes in Pregnancy Conference in Singapore on 11–12 January 2020. Through these consensus recommendations, we hope to improve the metabolic health of pregnant women living in Asia-Pacific regions by educating the public and guiding healthcare professionals on the safety and importance of physical exercise and activity to benefit pregnant women and after childbirth.


2021 ◽  
Vol 5 (1) ◽  
pp. 734
Author(s):  
Ririn Ariyanti ◽  
Doris Noviani ◽  
Ika Yulianti ◽  
Gusriani Gusriani

ABSTRAKSelama kehamilan pikiran dan tubuh ibu hamil mengalami berbagai perubahan. Perubahan fisik yang muncul mengakibatkan ibu mengalami beberapa keluhan nyeri pada punggung bagian belakang, badan terasa lebih lemas, dan mudah lelah. Prenatal gentle yoga dan relaksasi dapat dilakukan selama kehamilan dapat membantu meningkatkan kesejahteraan ibu. Berdasarkan wawancara dengan kader kesehatan di Wilayah  kelurahan Gunung Lingkas Tarakan ibu hamil sering mengeluhkan badan terasa pegal – pegal, nyeri punggung dan kaku, selain itu ibu hamil di wilayah ini belum pernah mengikuti senam selama hamil.  Kegiatan ini berlangsung di kelurahan Gunung Lingkas Tarakan. Latihan prenatal gentle  yoga dan relaksasi dapat mengurangi keluhan keluhan yang muncul pada kehamilan, serta dapat membantu membuat ibu lebih tenang dan rileks selama kehamilan, serta membantu mempersiapkan ibu dalam menghadapi persalinanya menjadi lebih tenang, mudah dan lancar. Kata kunci: prenatal gentle yoga; rileksasi. ABSTRACTDuring pregnancy, the mind and body of a pregnant woman undergo various changes. The physical changes that appear cause the mother to experience several complaints of pain in the back, the body feels weaker, and gets tired easily. Prenatal gentle yoga and relaxation can be done during pregnancy can help improve the well-being of the mother. Based on interviews with health cadres in the Gunung Lingkas sub-district, Tarakan, pregnant women often complain of body aches, back pain and stiffness, besides that pregnant women in this area have never participated in exercise during pregnancy. This activity took place in the village of Gunung Lingkas, Tarakan. Gentle yoga and relaxation prenatal exercises can reduce complaints that arise in pregnancy, and can help make mothers calmer and more relaxed during pregnancy, and help prepare mothers to face childbirth to be calmer, easier and smoother. Keywords: prenatal gentle yoga; relaxation 


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Thilini Chanchala Agampodi ◽  
Nuwan Darshana Wickramasinghe ◽  
Hemali Gayathri Jayakodi ◽  
Gayani Shashikala Amarasinghe ◽  
Janith Niwanthaka Warnasekara ◽  
...  

Abstract Background Adolescent fertility is a main indicator of the Sustainable Developmental Goal (SGD) three. Although Sri Lanka is exemplary in maternal health, the utilization of Sexual and Reproductive Health services (SRH) by adolescents is less documented. We describe the hidden burden, associated biological and psychosocial factors and utilization patterns of pre-conceptional services among pregnant adolescents in rural Sri Lanka. Methods The study is based on the baseline assessment of the Rajarata Pregnancy Cohort (RaPCo) in Anuradhapura. Pregnant women newly registered from July to September 2019 were recruited to the study. The period of gestation was confirmed during the second follow-up visit (around 25–28 weeks of gestation) using ultra sound scan data. A history, clinical examination, anthropometric measurements, blood investigations were conducted. Mental health status was assessed using the Edinburgh Postpartum Depression Scale (EPDS). Results Baseline data on gestation was completed by 3,367 pregnant women. Of them, 254 (7.5%) were adolescent pregnancies. Among the primigravida mothers (n = 1037), 22.4% (n = 233) were adolescent pregnancies. Maternal and paternal low education level, being unmarried, and less time since marriage were statistically significant factors associated with adolescent pregnancies (p < 0.05). Contraceptive usage before pregnancy, utilization of pre-conceptional health care services, planning pregnancy and consuming folic acid was significantly low among adolescents (p < 0.001). They also had low body mass index (p < 0.001) and low hemoglobin levels (p = 0.03). Adolescent mothers were less happy of being pregnant (p = 0.006) and had significantly higher levels of anxiety (p = 0.009). Conclusion One fifth of women in their first pregnancy in this study population are adolescents. Nulli-parous adolescents exert poor social stability and compromised physical and mental health effects. The underutilization and/or unavailability of SRH services is clearly associated with adolescent pregnancies.


2021 ◽  
pp. 1-13
Author(s):  
André Plamondon ◽  
Nicole Racine ◽  
Sheila McDonald ◽  
Suzanne Tough ◽  
Sheri Madigan

Abstract Research on the effects of adversity has led to mounting interest in examining the differential impact of adversity as a function of its timing and type. The current study examines whether the effects of different types (i.e., physical, sexual, and emotional abuse) and timing (i.e., early, middle childhood, adolescence, or adulthood) of adversity on maternal mental and physical health outcomes in pregnancy, are best accounted for by a cumulative model or independent effects model. Women from a prospective pregnancy cohort (N =3,362) reported retrospectively on their experiences of adversity (i.e., physical, sexual, and emotional abuse) in early childhood (0–5 years], middle childhood (6–12 years], adolescence (13–18 years], and adulthood (19+ years]. Measures of overall health, stress, anxiety, and depression were gathered in pregnancy. Results showed that a cumulative formative latent model was selected as more parsimonious than a direct effects model. Results also supported a model where the strength of the effect of adversity did not vary across abuse timing or type. Thus, cumulative adversity resulted in greater physical and mental health difficulties. In conclusion, cumulative adversity is a more parsimonious predictor of maternal physical and mental health outcomes than adversity at any one specific adversity timing or subtype.


Author(s):  
Jennifer Matthews ◽  
Jennifer L. Huberty ◽  
Jenn A. Leiferman ◽  
Darya McClain ◽  
Linda K. Larkey

Depression affects up to 23% of pregnant women and is associated with adverse physical/mental health outcomes for both the mother and baby. Depressed pregnant women may be more likely to engage in unhealthy lifestyle behaviors that contribute to an increased risk for chronic disease. Little is known regarding depressed pregnant women’s perceptions, uses of, and interests in complementary health approaches. Study participants (mean age 28.7 ± 6.8; n = 1032) included pregnant women ≥8 weeks gestation who responded to a survey assessing physical and mental health and wellness practices. Of those completing the survey, depressed pregnant women (n = 272) had significantly higher levels of anxiety ( P < .001) and stress ( P < .001) and had poorer sleep quality ( P < .001), mindfulness ( P < .001), and social support ( P < .001) compared to nondepressed pregnant women (n = 760). A majority (84%) of depressed pregnant women would consider using a complementary health approach for weight and/or stress management during pregnancy, and more than 50% were interested in yoga.


2018 ◽  
Vol 6 (4) ◽  
pp. 535
Author(s):  
Jay-Sheree Allen ◽  
Brooke Meade ◽  
Matthew R Meunier ◽  
Sarah Jenkins ◽  
Kristi Borowski ◽  
...  

Background: Exercise during pregnancy has minimal risks and has been shown to benefit most women, including reduction in cesarean section rates, appropriate maternal and fetal weight gain managing gestational diabetes as well as preventing and treating antenatal depression. There are, however, multiple factors that may influence an expectant mother’s decision to engage in physical activity, including concerns for potentially harming the baby or the pregnancy. We designed a study to determine whether or not a prior pregnancy loss or pre-term delivery would increase an expectant mother’s concern about exercise during a current pregnancy.Methods: Our prospective survey study consisted of 572 obstetric patients, 173 (30.2%) had a history of prior pregnancy loss or pre-term delivery (PPLPT) compared to 399 (69.8%) with no history of a prior pregnancy loss (NPL).Results: Logistic regression modeling was performed, including the following variables: history of abortion, miscarriage, or pregnancy loss, age, pre-pregnancy BMI, typical weekly pre-pregnancy exercise minutes, physical wellbeing and emotional wellbeing. Patients in the PPLPT group were more likely to express a fear of hurting the baby as a barrier to exercise during pregnancy, with an adjusted odds ratio of 2.358 (95% CI 1.111-3.852, p<0.001).Conclusions: Pregnant women who have experienced prior pregnancy loss or pre-term delivery were associated with a significantly higher endorsement of concern that exercise could harm their current pregnancy. This was despite their acknowledgement that exercise is considered safe and encouraged for pregnancies. An awareness of this concern will allow the clinicians who care for these patients to consider additional discussion regarding exercise in pregnancy.


2013 ◽  
Vol 2 (2) ◽  
pp. 67
Author(s):  
Feby Andammori ◽  
Nur Indrawaty Lipoeto ◽  
Yusrawati Yusrawati

AbstrakTinggi rendahnya tekanan darah sistolik dan diastolik dalam kehamilan mempunyai pengaruh terhadap berat badan lahir. Penelitian ini bertujuan untuk mengidentifikasi hubungan tekanan darah ibu hamil aterm dengan berat badan lahir di RSUP dr M. Djamil Padang. Metode penelitian : Penelitian yang dilakukan merupakan survei analitik dengan menggunakan studi komparatif dengan design penelitian Cross Sectional Study. Penelitian menggunakan data sekunder yang diambil dari sub bagian Rekam Medik (Medical Record) RSUP dr. M. Djamil Padang bulan Januari 2010 – Desember 2012 dengan jumlah sampel 34 orang ibu hamil yang tidak hipertensi dan 34 orang ibu hamil yang mengalami hipertensi dalam kehamilannya. Hasil penelitian : Ditemukan rata-rata berat badan lahir bayi yang dilahirkan oleh kelompok ibu yang tidak mengalami hipertensi pada kehamilannya adalah 3.408 (SD 307) gram dan rata-rata berat badan lahir bayi yang dilahirkan oleh kelompok ibu yang mengalami hipertensi pada kehamilannya adalah 2.799 (SD 413) gram. Dari hasil uji analisis Independent Sample T-test diperoleh hasil ditemukan adanya hubungan tekanan darah ibu hamil dengan berat badan lahir di RSUP dr. M. Djamil Padang p = 0,00 (p < 0,05). Kesimpulan : Pemeriksaan kehamilan secara teratur penting untuk mengantisipasi adanya peningkatan tekanan darah ibu hamil yang dapat berpengaruh terhadap berat bayi lahir.Kata kunci: tekanan darah, berat badan lahir, ibu hamilAbstractHigh and low level of systolic and diastolic blood pressure in pregnancy has impact to birth weight. This research is purposed to identify the relation between aterm pregnant blood pressure and birth weight.Methods : This research is analytical survey which used comparative study with Cross Sectional Study design. This research used secondary data taken from Medical Record in RSUP dr. M. Djamil Padang since Januari 2010 until December 2012 with number of samples are 34 pregnant women who have not hypertension and 34 pregnant women who have hypertension in pregnancy.The results: Research found that average of birth weight from non-hypertension pregnant woman is about 3,408 (SD 307) gr and average of birth weight from hypertension pregnant woman is about 2,799 (SD 413) gr. The result from Independent sample T-test analysis found that there is a relation between blood pressure in pregnancy with birth weight at RSUP dr. M.Djamil Padang p = 0.00 (p<0.05).Conclusion: Regular antenatal care is important to anticipate an increase in maternal blood pressure can affect birth weight.Keywords: blood pressure, birth weight, pregnant women


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