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CPG Infobase: Clinical Practice Guidelines

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Record Id:
4220
Title:
Exercise in pregnancy and the postpartum period
Fulltext:
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Author
Davies GAL, Wolfe LA, Mottola MF, MacKinnon C
Publication/Review date:
2003-June (Reviewed 2018-Feb)
Producers:
Canadian Society for Exercise Physiology
Society of Obstetricians and Gynaecologists of Canada

Bibliographic Source

Journal Citation:
J Obstet Gynaecol Can 2018;40(2):e58-e65.
Pages/Size:
7  Page(s)
References:
62
Notes:
Joint SOGC/CSEP clinical practice guideline no. 129 - reaffirmed 2018

Subject Information

Specialties:
Obstetrics and gynecology,
Conditions:
Pregnancy;
Domains:
Preventive
Target Populations:
Pregnant or Nursing Mother
Target Gender:
Female
MeSH:
Lactation; Breast Feeding; Pregnancy; Exercise;

Structured Abstract:

Objective:
To design Canadian guidelines advising obstetric care providers of the maternal, fetal, and neonatal implications of aerobic and strength-conditioning exercises in pregnancy.
Outcomes:
Knowledge of the impact of exercise on maternal, fetal, and neonatal morbidity, and of the maternal measures of fitness
Evidence
MEDLINE search from 1966 to 2002 for English language articles related to studies of maternal aerobic and strength conditioning in a previously sedentary population, maternal aerobic and strength conditioning in a previously active population, impact of aerobic and strength conditioning on early and late pregnancy outcomes, and impact of aerobic and strength conditioning on neonatal outcomes, as well as for review articles and meta-analyses related to exercise in pregnancy.
Values:
The evidence collected was reviewed by the Society of Obstetricians and Gynaecologists of Canada (SOGC Clinical Practice Obstetrics Committee) with representation from the Canadian Society for Exercise Physiology, and quantified using the evaluation of evidence guidelines developed by the Canadian Task Force on the Periodic Health Exam.
Recommendations:
1. All women without contraindications should be encouraged to participate in aerobic and strength-conditioning exercises as part of a healthy lifestyle during their pregnancy. (II-1,2B)

2. Reasonable goals of aerobic conditioning in pregnancy should be to maintain a good fitness level throughout pregnancy without trying to reach peak fitness or train for an athletic competition. (II-1,2C)

3. Women should choose activities that will minimize the risk of loss of balance and fetal trauma. (III-C)

4. Women should be advised that adverse pregnancy or neonatal outcomes are not increased for exercising women. (II-1,2B)

5. Initiation of pelvic floor exercises in the immediate postpartum period may reduce the risk of future urinary incontinence. (II-1C)

6. Women should be advised that moderate exercise during lactation does not affect the quantity or composition of breast milk or impact infant growth. (I-A)
Validation:
This guideline has been approved by the SOGC Clinical Practice Obstetrics Committee, the Executive and Council of SOGC, and the Board of Directors of the Canadian Society for Exercise Physiology.
Sponsors:
This guideline has been jointly sponsored by the Society of Obstetricians and Gynaecologists of Canada and the Canadian Society for Exercise Physiology.

Copyright:

The copyright of this guideline and its companion documents belongs to: Society of Obstetricians and Gynaecologists of Canada

Disclaimer:
All content is provided for information and education and not as a substitute for the advice of a physician. Joule assumes no responsibility or liability arising from any error or omission or from the use of any information contained herein.

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