Gestational Diabetes, Preeclampsia
Conditions
Keywords
physical exercise, maternal complications, preterm labor, birthweight, Apgar scores
Brief summary
The effects of physical exercise on pregnancy remain to be elucidated. A randomized controlled trial will be conducted to study the impact of exercise on maternal and perinatal outcomes. Our hypothesis is that physical exercise reduces preeclampsia incidence and improves birthweight when started early in pregnancy, with no impact on pregnancy duration, Apgar scores and neonatal complications.
Detailed description
The study will include low risk pregnant women randomized to practice physical exercise beginning at 13 weeks, 20 weeks or no exercise group. The objectives are: 1. To describe and compare biological and obstetrical variables. 2. To study doppler flow velocimetry indexes. 3. To determine the association between physical exercise and maternal complications: preeclampsia, preterm labor, gestational diabetes and weight gain in pregnancy. 4. To determine the association between physical exercise and perinatal outcomes: Apgar scores, birthweight, admission at intensive neonatal care unit, body composition and neonatal complications.
Interventions
Walking 3 times a week during 1 hours (moderate activity)
Sponsors
Study design
Eligibility
Inclusion criteria
* Gestational age \< 13 weeks * Single pregnancy * Alive fetus * No previous practice of physical activity
Exclusion criteria
* Smoking * Chronic maternal diseases * Placenta praevia * History of preterm labor * Bleeding
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Maternal outcome: preterm labor, weight gain, preeclampsia, gestational diabetes Perinatal outcome: birthweight, Apgar scores, body composition, admission at neonatal intensive care unit | nine months |
Secondary
| Measure | Time frame |
|---|---|
| Doppler flow velocimetry indexes: pulsatility, resistance and A/B relation (uterine arteries, fetal middle cerebral artery and umbilical arteries) | 9 months |
Countries
Brazil