Guidelines of the American College of Obstetricians and Gynecologists for exercise during pregnancy and the postpartum period

Artal, Raúl; O’Toole, Mary L.

doi:10.1136/bjsm.37.1.6

Cited by 572 publications

(566 citation statements)

References 63 publications

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“…Participation in physical activity is lower among pregnant women than non-pregnant women, with most women decreasing their level of physical activity within the first 20 weeks of pregnancy (25) . This is despite the recommendations for pregnant women who have uncomplicated pregnancies to be physically active for 30 minutes or more on most, if not all days of the week (26) .…”

Section: Introductionmentioning

confidence: 49%

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Women’s reported health behaviours before and during pregnancy: A retrospective study

Smedley

Jancey

Dhaliwal

et al. 2013

Health Education Journal

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Objective: This study aimed to determine women"s reported health behaviours (physical activity, diet, weight management) before and during the pregnancy; and to identify sources of health information. Design:Retrospective study incorporating quantitative (a self-completed survey) and qualitative (one-on-one interviews) methods. Methodology:Participants were women aged 18 or over; had no pre-existing medical condition that might be exacerbated during pregnancy (e.g. diabetes, heart condition); and had given birth in the last 12 months. Nineteen women agreed to one-on-one interviews and 100 women agreed to complete a mailed questionnaire. Qualitative data and quantitative data were analysed using a descriptive qualitative methodology and by using McNemar"s test for correlated proportions, respectively. Results:Participants reported a significant reduction in their level of physical activity during pregnancy; a significant increase in consumption of fruit, vegetables and fibre, and a decrease in fast food consumption (all p<0.05). Medical practitioners are the preferred source of health information but seem to provide insufficient information about health behaviours during pregnancy, in relation to physical activity, diet and weight management. Conclusion:Women reported eating a healthier diet and reducing their level of physical activity during the antenatal period, compared to pre-pregnancy. There is a need to improve the provision of health information on physical activity, diet and weight management in the antenatal period.

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Section: Introductionmentioning

confidence: 49%

“…More specifically, 35 per cent of Australian women of child-bearing age (ages [25][26][27][28][29][30][31][32][33][34][35] are overweight or obese (9) .…”

Section: Introductionmentioning

confidence: 99%

Women’s reported health behaviours before and during pregnancy: A retrospective study

Smedley

Jancey

Dhaliwal

et al. 2013

Health Education Journal

View full text Add to dashboard Cite

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“…Pregnancy, a unique phase of life, induces numerous changes in the female organism. In addition to various cardiovascular, metabolic and respiratory changes modifications occur to the musculoskeletal system and adaptions of endocrinological and mental processes are observed [2,3]. An active lifestyle before and during pregnancy contributes to the maintenance of general fitness, improved basic fitness levels having been shown even when physical exercise is only commenced during pregnancy [4].…”

Section: Introductionmentioning

confidence: 99%

“…Moreover, mostly on the basis of preclinical data, positive effects on the newborn in terms of longterm risk of chronic metabolic, cardiovascular and oncological diseases are discussed [11]. The American College of Obstetricians and Gynecologists (ACOG) therefore now recommends regular, moderate intensity exercise for 30 minutes at least 3 days a week [2]. There is however only a limited number of substantively very heterogenous controlled trials on the actual influences of exercise on maternal and fetal health.…”

Section: Introductionmentioning

confidence: 99%

“…In a metaanalysis of 11 clinical studies Choi et al described significant effects of exercise and nutrition on gestation-associated weight gain in overweight and obese pregnant women [12]. The prevalence of gestational diabetes in particular is higher among physically inactive and overweight women, and this is associated with increased perinatal morbidity and mortality and birth-related complications [2,13,14]. Excessive weight gain in obese pregnant women also increases the risk of premature birth [15].…”

Section: Introductionmentioning

confidence: 99%

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Physical Exercise During Pregnancy – How Active Are Pregnant Women in Germany and How Well Informed?

Schmidt

Heilmann

Savelsberg

et al. 2017

Geburtshilfe Frauenheilkd

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ABSTR AC TIntroduction There is sufficient evidence showing the positive effects of physical exercise on various aspects of pregnancy. This study evaluates knowledge and status of physical exercise among pregnant women. MethodsThe standardised paper-pencil questionnaire "Pregnancy Physical Activity Questionnaire" (PPAQ) as well as general demographic questions were used to assess the exercise behaviour of study participants. 83 questionnaires completed by women presenting to the Kiel University Hospital for antenatal assessment were included in the analysis.Results At the time of questionnaire completion 10 women were in the first trimester of pregnancy, 64 in the second, and 9 in the third. Just less than 90 % of participants felt they had been informed "sufficiently" on the topic physical exercise during pregnancy, over 50 % felt they were "well" or "very well" informed. Just less than half of participants received their information from a doctor (either their gynaecologist or general practitioner) and none of these felt "insufficiently" informed. Almost 80 % of participants reported still doing no sport or less exercise than before falling pregnant. The maximum proportional energy expenditure for recreational activity -just under 20 % -was in the third trimester. Women who felt they had been well counselled tended to have higher activity levels.Conclusion Study participants demonstrated a clear decline in physical exercise during pregnancy despite clear evidence of the benefits of regular exercise for pregnant women, and despite participants feeling they were well informed. Detailed information on the recommendations for physical exertion in pregnancy should form an integral part of antenatal counselling. ZUSAMMENFASSUNGEinleitung Die positiven Effekte einer körperlichen Aktivität

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Physical Activity Promotion Through Primary Care

Estabrooks

Glasgow

Dzewaltowski³

2003

JAMA

143

117

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Guidelines of the American College of Obstetricians and Gynecologists for exercise during pregnancy and the postpartum period

Cited by 572 publications

References 63 publications

Women’s reported health behaviours before and during pregnancy: A retrospective study

Women’s reported health behaviours before and during pregnancy: A retrospective study

Physical Exercise During Pregnancy – How Active Are Pregnant Women in Germany and How Well Informed?

Physical Activity Promotion Through Primary Care

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