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Pregnancy And Exercise

Judith van der Waerden, Aurelie Nakamura, Laura Pryor, Marie-Aline Charles, Fabienne El-Khoury, Patricia Dargent-Molina
The potential beneficial effects of physical activity during pregnancy on postpartum depressive symptoms (PPD) remain inconclusive. Using data from two prospective French birth cohorts, we aimed to examine the relationship between domain-specific physical activity (including leisure-time sedentary behavior) in pregnancy and the occurrence of PPD. Participants of the ELFE cohort (n = 15,538) completed the Pregnancy Physical Activity Questionnaire (PPAQ), which assesses the following physical activity/sedentary behavior domains: household/caregiving, occupational, sports/exercise, transportation and leisure-time sedentary behavior during the third pregnancy trimester...
February 11, 2019: Preventive Medicine
Yeukai Tm Mangwiro, James Sm Cuffe, Dayana Mahizir, Kristina Anevska, Sogand Gravina, Tania Romano, Karen M Moritz, Jessica F Briffa, Mary E Wlodek
KEY POINTS: Fetal growth is dependent on effective placental nutrient transportation, which is regulated by mTORC1 modulation of nutrient transporter expression. These transporters are dysregulated in pregnancies affected by uteroplacental insufficiency and maternal obesity. Nutrient transporters and mTOR were altered in placentae of mothers born growth restricted compared to normal birth weight dams, with maternal diet- and fetal sex-specific responses. Exercise initiated during pregnancy (PregEx) downregulated MTOR protein expression, despite an increase in mTOR activation in male associated placentae, and reduced nutrient transporter gene abundance, which was also dependent on maternal diet and fetal sex...
February 7, 2019: Journal of Physiology
S Ahmed Hussain, Brendan J O'Shea, Andrew S Thagard
Preeclampsia is a disease of pregnancy classically defined by the development of new-onset hypertension and proteinuria. Serous retinal detachment is a rare complication of severe preeclampsia that is associated with a high incidence of morbidity and mortality. We present the case of a 24-year-old primigravida who was diagnosed with preeclamptic serous retinal detachment at 30 weeks of gestation that occurred in the absence of hypertension. The patient was delivered by cesarean section for fetal malpresentation and she had complete recovery of her vision by three months postpartum...
January 2019: Case Reports in Women's Health
A S Batrak, L S Khodasevich
BACKGROUND: The delivery of the fetus in breech presentation remains one of the most serious challenge for obstetricians. In the cases of pregnancy of more than 29 weeks, it is recommended to carry out the activities aimed at translating breech presentation into cephalic presentation by means of the external preventive rotation of the fetus to the head with the use various complexes of gymnastic exercises as well as other methods applied for the correction of the abnormal fetal presentation including water aerobics...
2019: Voprosy Kurortologii, Fizioterapii, i Lechebnoĭ Fizicheskoĭ Kultury
Muhammad Shabbir Rawala, S Tahira Shah Naqvi, Muhammad Yasin, Syed Bilal Rizvi
BACKGROUND Spontaneous coronary artery dissection (SCAD) is primarily found in females. SCAD can have many precipitating factors such as exercise, trauma, pregnancy, drugs, and connective tissue disease. Prognosis is poor for left main stem, left anterior descending (LAD) artery, and multivessel involvement, especially for females. CASE REPORT We present a case of young African American male with sickle cell disease who presented with chest pain associated with shortness of breath. He was found to have non-ST elevation myocardial infarction (NSTEMI)...
February 6, 2019: American Journal of Case Reports
Xiangyan Ruan, Meng Li, Alfred O Mueck
BACKGROUND: Polycystic ovary syndrome (PCOS) is a frequent female reproductive endocrine disease. It has been associated with numerous severe reproductive and metabolic abnormalities. However, there are still open questions especially regarding the best long-term management. METHODS: We summarized the literature focused on the symptoms and negative long-term consequences of untreated PCOS and the existing options for the treatment. We reviewed the Pubmed and China National Knowledge Infrastructure databases and the relevant literature for the recent 20 years...
January 29, 2019: Current Pharmaceutical Design
Elena Rita Magro Malosso, Gabriele Saccone, Daniele Di Mascio, Vincenzo Berghella
We thank Dr Martin-Arias et al for their interest in our study.1,2 They are leaders on the study of the effect of exercise in pregnancy, contributing with several, large, important randomized controlled trails on this topic. Exercise during pregnancy has been shown to be associated with different benefits,2-6 including a significantly higher incidence of vaginal delivery and a significantly lower incidence of cesarean delivery, gestational diabetes mellitus, hypertensive disorders2-3 and with a reduction in the incidence of preterm birht and gestational diabetes mellitus in overweight and obese pregnant women...
January 30, 2019: Acta Obstetricia et Gynecologica Scandinavica
Mohammad Ansaripour, Mohsen Naseri, Mohammad Mahdi Esfahani, Iraj Nabipour, Fatemeh Rakhshani, Arman Zargaran, Roya Kelishadi
Periconceptional care such as lifestyle plays an important impact role in offspring health. The aim of the present study was to clarify the perspective of Avicenna on periconceptional care. Avicenna (980-1037 A.D.) was one of the outstanding Persian physicians, who made great contributions to the field of medical sciences, in particular, obstetrics. In advance, Avicenna's book, Canon of Medicine, was considered to find his perspectives on periconceptional care. Then, his ideas and theories were compared to the current findings by searching the keywords in main indexing systems including PubMed/MEDLINE, Scopus and Institute for Scientific Information Web of Science as well as the search engine of Google Scholar...
January 11, 2019: Journal of Integrative Medicine
Berthold Koletzko, Monika Cremer, Maria Flothkötter, Christine Graf, Hans Hauner, Claudia Hellmers, Mathilde Kersting, Michael Krawinkel, Hildegard Przyrembel, Marianne Röbl-Mathieu, Ulrich Schiffner, Klaus Vetter, Anke Weißenborn, Achim Wöckel
Diet and exercise before and during pregnancy affect the course of the pregnancy, the child's development and the short- and long-term health of mother and child. The Healthy Start - Young Family Network has updated the recommendations on nutrition in pregnancy that first appeared in 2012 and supplemented them with recommendations on a preconception lifestyle. The recommendations address body weight before conception, weight gain in pregnancy, energy and nutritional requirements and diet (including a vegetarian/vegan diet), the supplements folic acid/folate, iodine, iron and docosahexaenoic acid (DHA), protection against food-borne illnesses, physical activity before and during pregnancy, alcohol, smoking, caffeinated drinks, oral and dental hygiene and the use of medicinal products...
December 2018: Geburtshilfe und Frauenheilkunde
Jhon Freddy Martínez-Paredes, Nathalia Jácome-Pérez
INTRODUCTION: Depression is the most common psychiatric morbidity in pregnancy, affecting more than 13% of pregnant women. Its diagnosis is based on the criteria established by the DSM-5 and the application of validated scales such as the Edinburgh Postnatal Depression Scale. However, there are still errors and shortcomings among healthcare professionals in the recognition, diagnosis and treatment of depression during pregnancy, with the resulting consequences and repercussions on the gestation itself or the foetus...
January 2019: Revista Colombiana de Psiquiatría
Idunn Brekke, Kåre Rønn Richardsen, Anne Karen Jenum
BACKGROUND: Sickness absence in pregnancy accounts for a large part of sickness-related absenteeism among women. Exercise in pregnancy is associated with a lower level of sickness absence, however little is known about how sedentary behaviour is related to sickness absence in pregnancy. In the current study, we hypothesize a positive association between sedentary hours/day and the risk of long-term sickness absence. METHODS: Population-based cohort study of pregnant women attending three Child Health Clinics in Groruddalen, Oslo, 823 Women (74% of those eligible) were included between 2008 and 2010...
January 16, 2019: BMC Public Health
Ilaria Soave, Simona Scarani, Maddalena Mallozzi, Flavia Nobili, Roberto Marci, Donatella Caserta
PURPOSE: During the second and the third trimesters of pregnancy and in the first 3 months following childbirth, about one-third of women experience urinary incontinence (UI). During pregnancy and after delivery, the strength of the pelvic floor muscles may decrease following hormonal and anatomical changes, facilitating musculoskeletal alterations that could lead to UI. Pelvic floor muscle training (PFMT) consists in the repetition of one or more sets of voluntary contractions of the pelvic muscles...
January 16, 2019: Archives of Gynecology and Obstetrics
Y X Wang, B H Mao, J Li, Y M Li, Z R Dai, C H Zhang, L N Chen, Q Liu
Objective: To investigate the influence of occupational stress on recurrent spontaneous abortion (RSA) in women of childbearing age. Methods: From January to December, 2017, 75 working women of childbearing age (25-35 years) who were admitted to a provisional hospital in Lanzhou, China and diagnosed with RSA were assigned into patient group. At a 1∶4 ratio, 300 age-matched working women who had normal first pregnancy were randomly selected as controls. A case-control study was conducted by a self-made questionnaire and the effort-reward imbalance scale...
November 20, 2018: Chinese Journal of Industrial Hygiene and Occupational Diseases
Carolina de Vargas Nunes Coll, Marlos Rodrigues Domingues, Alan Stein, Bruna Gonçalves Cordeiro da Silva, Diego Garcia Bassani, Fernando Pires Hartwig, Inácio Crochemore Mohnsan da Silva, Mariângela Freitas da Silveira, Shana Ginar da Silva, Andréa Dâmaso Bertoldi
Importance: Interventions to reduce postpartum depression have mainly focused on enhancing screening to increase treatment rates among women. Preventive approaches are timely from a population health perspective, particularly in low- and middle-income countries where access to mental health services is limited. Objective: To assess the efficacy of regular exercise during pregnancy on the prevention of postpartum depression. Design, Setting, and Participants: This randomized clinical trial examines a prespecified secondary outcome of the Physical Activity for Mothers Enrolled in Longitudinal Analysis (PAMELA) Study, a parallel-group, randomized clinical trial...
January 4, 2019: JAMA network open
N Di Biase, S Balducci, C Lencioni, A Bertolotto, A Tumminia, A R Dodesini, B Pintaudi, T Marcone, E Vitacolonna, A Napoli
The aim of this review is to provide general suggestions on physical activity (PA) in pre-gestational and gestational diabetes mellitus (GDM) and encourage women to take part in safe and effective activities throughout pregnancy, in the absence of other contraindications. PA before and during pregnancy and in postpartum has many positive effects on the mother, as it could reduce the risk of GDM, excessive weight gain and lower back pain and also prevents, in the postpartum, diabetes mellitus. It may also reduce the duration of labour and complications at childbirth, fatigue, stress, anxiety and depression, thereby leading to an improved sense of wellbeing...
November 8, 2018: Nutrition, Metabolism, and Cardiovascular Diseases: NMCD
Gwendolyn Patience Mensah, Dalena R M van Rooyen, Wilma Ten Ham-Baloyi
BACKGROUND: Gestational diabetes mellitus (GDM) is defined as any degree of glucose intolerance that is observed in the beginning of, or first acknowledged during pregnancy. The prevalence of GDM is estimated to be approximately 15% globally and is expected to increase due to growing numbers of overweight and obesity in women in their reproductive age. The nursing management of GDM in terms of lifestyle modifications (exercise, diet and nutrition) and the taking of diabetes medication, if required, and adherence thereto is crucial to prevent maternal and neonatal-perinatal complications...
January 4, 2019: Midwifery
Yeukai Tm Mangwiro, Jessica F Briffa, Sogand Gravina, Dayana Mahizir, Kristina Anevska, Tania Romano, Karen M Moritz, James Sm Cuffe, Mary E Wlodek
Fetal growth and development are dependent on adequate placental nutrient transfer. The surface area of the placental villous network is a key determinant of nutrient exchange, which is regulated by vasculogenic and angiogenic factors. These factors are altered by intrauterine growth restriction (IUGR) and maternal obesity in both the first (F1) and second (F2) generations. We investigated the impact of endurance exercise in IUGR dams fed a High-fat diet on placental vasculogenesis and angiogenesis. Uteroplacental insufficiency (Restricted) or sham (Control) surgery was induced on embryonic day (E) 18 in Wistar-Kyoto rats...
December 15, 2018: Placenta
Eric N Bowman, Rami Elshaar, Heather Milligan, Gregory Jue, Karen Mohr, Patty Brown, Drew M Watanabe, Orr Limpisvasti
BACKGROUND: Blood flow restriction (BFR) training involves low-weight exercises performed under vascular occlusion via an inflatable cuff. For patients who cannot tolerate high-load exercises, BFR training reportedly provides the benefits of high-load regimens, with the advantage of less tissue and joint stress. HYPOTHESIS: Low-load BFR training is safe and efficacious for strengthening muscle groups proximal, distal, and contralateral to tourniquet placement in the lower extremities...
January 14, 2019: Sports Health
Adriana Medeiros
This article is the outcome of a project to photographically document the David Capistrano Filho Birthing House (Casa de Parto David Capistrano Filho) continuously for 12 years from 2005 to 2017. The photographs narrate daily life in the institution: its regular activities with families, celebrations, its domestic, therapeutic, and community activities, and activities involving the exercise of citizenship for the right to autonomy and quality in reproductive health care. The birthing house is a public health institution that serves women with low-risk pregnancies in Realengo, a district in the west zone of Rio de Janeiro...
October 2018: História, Ciências, Saúde—Manguinhos
Samantha McDonald, Nichelle A Satterfield, Linda E May, Edward R Newton, Jeffrey Livingston, Xiangming Fang
Objectives: The purpose of this study was to determine if prenatal exercise alters the maternal and fetal heart responses during labor and delivery. We hypothesized that fetuses of exercising mothers would exhibit a lower baseline heart rate (HR), increased HR variability (HRV), and no differences in fetal heart accelerations and decelerations. Design: This study employed a cross-sectional design. Methods: The Modifiable Physical Activity Questionnaire was used for group classification...
October 2018: Health science reports
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