Healthy, Pregnancy
Conditions
Keywords
fetal heart, cesarean section, exercise, pregnancy
Brief summary
Effect of Physical Exercise Program on fetoplacental circulation and perinatal outcome.
Detailed description
The aim of this study is to examine the effect of a supervised physical exercise program during pregnancy on fetoplacental circulation, fetal heart echocardiogram parameters and perinatal outcome.
Interventions
BEHAVIORALExercise
Supervised physical conditioning program of three 55-60 minute sessions per week during whole pregnancy (from week 9 to 38). Each session consists of 25-30 minutes of cardiovascular exercise,10 minutes of specific exercises (strength and balance exercises), and 10 minutes of pelvic floor muscles training. Aerobic activity was prescribed at light to moderate intensity, aiming for 55-60% of heart rate reserve. All subjects wore a heart rate (HR) monitor (Polar FT7) during the training sessions to ensure that exercise intensity was light to moderate.
Sponsors
Universidad Politecnica de Madrid
University Hospital of Torrejon
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
NONE
Eligibility
Sex/Gender
FEMALE
Age
18 Years to 45 Years
Healthy volunteers
Yes
Inclusion criteria
* Healthy and able to exercise following American College of Obstetricians and Gynecologists (ACOG) guidelines * Able to communicate in spanish * Giving birth at Torrejon Universitary Hospital
Exclusion criteria
* Medical or obstetric complication excluding exercise ( ACOG guideline) * Interested in the study after 18 weeks or pregnancy * Not availability to attend to the physical exercise program
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Maternal weight gain during pregnancy | From the beginning of the pregnancy to 1 month postdelivery |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Gestational Diabetes | Birth | — |
| Preeclampsia | birth | — |
| Fetal TAPSE | up to 36 weeks of pregnancy | Tricuspid Annular Plane Systolic Excursion meassured by echocardiogram |
| Fetal Tei Index | up to 36 weeks of pregnancy | Myocardial Performance Index meassured by echocardiogram |
| Cesarean Section Rate | Birth | — |
| Aortic Isthmus PI | up to 36 weeks | Aortic Isthmus Pulsatility Index meassured by echocardiogram |
| Fetal Heart Rate Variability | birth | Fetal Heart Rate Variability meassured by cardiotocogram |
| Newborn weight | birth | birth |
| Placental weight | birth | — |
| Ductus Arteriosus PI | up to 36 weeks | Ductus Arteriosus Pulsatility Index meassured by echocardiogram |
Countries
Spain
Outcome results
None listed