Pregnancy
Conditions
Keywords
Pregnancy, Exercise, Excessive weight gain, Outcomes, Urinary incontinence
Brief summary
The purpose of this study was to assess the effectiveness of a moderated physical exercise program called Blooming Exercise Program (BEP) developed during pregnancy in order to control excessive maternal weight gain and its consequences. Additionally, other objectives of the study were to analyse the influence of BEP on urinary incontinence, on the other pregnancy outcomes and on the perception of the pregnant's health
Detailed description
BACKROUND: Pregnancy and delivery can condition significantly women's health. In particular, an excessive gain of weight during pregnancy constitutes a risk factor which may lead to (i) different alterations during pregnancy such as gestational diabetes or hypertension, (ii) foetus health problems (macrosomia), (iii) delivery complications (dystocia, prolonged labour and increased number of caesareans) and (iv) future health disorders for the woman (overweight, obesity and cardiovascular alterations). Furthermore, during pregnancy pelvic floor health problems, such as urinary incontinence (IU) may arise or worsen. OBJECTIVES: The main aim of this study was to assess the effectiveness of a moderate physical exercise program called Blooming Exercise Program (BEP) developed during pregnancy in order to control excessive maternal weight gain and its consequences. Additionally, other objectives of the study were to analyse the influence of BEP on urinary incontinence, on the other pregnancy outcomes (maternal and foetal) and on the perception of the pregnant's health. DESIGN: A randomized, controlled trial called has been conducted. 300 healthy pregnant women were recruited and divided into an intervention group (IG, n=100) and a control group (CG, n=200). The IG participated in BEP as from week 10-12 of gestation (at least 56 sessions through 22 weeks. 3 sessions per week). The CG did not participate in any supervised program addressed to pregnant women but received regular health care. Pregnancy outcomes regarding the mother and the new born, urinary incontinence and women's habits data were obtained and registered through initial interviews, medical records and two specific questionnaires on health and urinary incontinency (ICIQ-SF and King's).
Interventions
BEHAVIORALSupervised exercise program
Intervention group participated in Blooming Exercise Program as from week 10-12 of gestation. At least 56 sessions through 22 weeks. 3 sessions per week
Sponsors
Universidad Politecnica de Madrid
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
FEMALE
Age
18 Years to 50 Years
Healthy volunteers
Yes
Inclusion criteria
* Healthy pregnant women * Delivering in Hospital Universitario de Fuenlabrada * At week 10-14 of gestation * Able to attend 3 sessions per week until the end of the pregnancy
Exclusion criteria
* Contraindications appointed by ACOG * Less than 56 sessions
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Maternal weight gain | week 36-38 of gestation | Maternal weight gain and proportion of participants exceeding weight gain above IOM (2009) recommendations |
Secondary
| Measure | Time frame |
|---|---|
| Excessive weight gain related risks (gestational diabetes, macrosomia, type of delivery) | week 36-38 of gestation |
| Urinary incontinence | week 36-38 of gestation |
| Other pregnancy outcomes (maternal and foetal) | week 36-38 of gestation |
Countries
Spain
Outcome results
None listed