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Women's Health: Exercise in Pregnancy - Coggle Diagram
Women's Health:
Exercise in Pregnancy
White Hat: Facts
Benefits of Exercise
Decreased risk:
Gestational diabetes
Cesarean
Operational vaginal delivery
Improve:
Post-partum recovery time
Core temperature regulation
Reduce:
Lumbar and sciatic pain
Bodily pain
Gestational weight gain
Foetus Response
to exercise
No studies show >50% reduction in
uterine blood flow (this is necessary
before foetus is affected)
Reduced birth weight of 310g in women who exercised
Guidelines
(ACOG)
First Trimester
(>12 weeks)
30-60mins
3-4 times a week
<60% of age-predicted max maternal heart rate
(Not exceeding 140 BPM)
Moderate Intensity
Black Hat: Difficulties
Precautions
Anaemia
Poorly controlled T1DM
Morbid obesity or underweight
Heavy smoker
Contraindications
Restrictive lung disease
Haemodynamically sig heart disease
Incompetent cervix or cerclage
Consider length of cervix
(monitor the ultrasounds)
Stage of pregnancy
Stability of cervix
How long women is on bedrest
PT Management = Bed rest
Circulatory exercises
Gentle NWB ex's in sidelying
NO abdominal exercises
Upper limb exercises
Placenta Previa after 26 weeks
(Bedrest exercises)
Ruptured membranes
Preeclampsia
Cesarean
Preventative exercise started as early as possible
Reduce risk of post-op complications
Postural retraining
Start pelvic floor exercises
Develop abdominal strength
(but do the right exercises!)
Must wait 6-8 weeks before resuming vigorous exercise
Post-Partum
Aerobic exercise after vaginal delivery
Pelvic floor exercises
Gentle abdominal exercises
to reduce inter-rectus distance
Changes to the Views of
Exercising while pregnant
Guidelines published in 1985, 1994, 2002
Each publication shows increase in acceptance for exercise during pregnancy
Future reading: Are these views mirrored by midwives and doctors?