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Exercise During Pregnancy: What Do OB/GYNs Believe and Practice? A Descriptive Analysis.

Rachael K Nelson1, Selina M Hafner1, Alyssa C Cook1

  • 1Division of Exercise and Health Sciences, School of Health Sciences, Central Michigan University, Herbert H. and Grace A. Dow College of Health Professions, Mount Pleasant, Michigan, USA.

Women'S Health Reports (New Rochelle, N.Y.)
|March 9, 2022
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Summary

Most obstetrician-gynecologists (OB/GYNs) advise pregnant patients to exercise, but many do not discuss specific guidelines. This suggests low patient exercise engagement isn't due to lack of physician guidance.

Keywords:
cardiovascular healthexercisegynecologyreproductive health

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Area of Science:

  • Obstetrics and Gynecology
  • Sports Medicine
  • Public Health

Background:

  • Regular exercise during pregnancy is crucial for maternal and fetal health.
  • Despite recommendations, only 15% of pregnant individuals meet exercise guidelines.
  • Physician attitudes and practices regarding exercise in pregnancy may influence patient adherence.

Purpose of the Study:

  • To assess obstetrician-gynecologists' (OB/GYNs) knowledge, attitudes, and clinical practices concerning exercise during pregnancy.
  • To understand how OB/GYN recommendations may impact patient exercise engagement.

Main Methods:

  • A survey was mailed to 950 practicing OB/GYNs in the U.S.
  • The survey included 11 questions on demographics, exercise physiology knowledge, attitudes, and clinical practice.
  • 139 surveys were returned, yielding a 14.6% response rate.

Main Results:

  • 94% of surveyed OB/GYNs believe exercise benefits outweigh risks during pregnancy.
  • 98% routinely advise patients to exercise, but only 46% discuss specific guidelines (frequency, intensity, type).
  • Despite limited formal exercise physiology training (13%), 27% develop personalized exercise prescriptions.

Conclusions:

  • Low exercise engagement in pregnant patients is unlikely due to a lack of physician advice or negative OB/GYN attitudes.
  • The gap may lie in the specificity of exercise guidance provided by OB/GYNs.
  • Further research into optimizing physician communication regarding exercise recommendations is warranted.