N^o 129-L'exercice physique pendant la grossesse et le postpartum

Area of Science:

• Obstetrics and Gynecology
• Sports Medicine
• Maternal-Fetal Medicine

Background:

• Pregnancy involves significant physiological changes impacting exercise response.
• Understanding the effects of aerobic and muscle conditioning is crucial for maternal and infant health.
• Existing literature prior to 2002 provided varied evidence on exercise during pregnancy.

Purpose of the Study:

• To establish a Canadian guideline on exercise during pregnancy.
• To inform obstetrical care providers on the maternal, fetal, and neonatal implications of exercise.
• To outline expected outcomes related to maternal morbidity and fitness.

Main Methods:

• Comprehensive literature search of MEDLINE (1966-2002).
• Inclusion of studies on aerobic and muscle conditioning in previously sedentary and active women.
• Review of evidence on early and late pregnancy outcomes and neonatal outcomes.
• Inclusion of review articles and meta-analyses on exercise in pregnancy.

Main Results:

• Evidence suggests that aerobic and muscle conditioning exercise can positively impact maternal fitness.
• The effects on maternal, fetal, and neonatal morbidity require careful consideration and monitoring.
• Specific recommendations are provided for different fitness levels and pregnancy stages.

Conclusions:

• Canadian guideline developed to support evidence-based obstetrical care.
• Highlights the importance of tailored exercise regimens during pregnancy.
• Emphasizes the need for continued research and updated guidelines.