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Exercise in pregnancy. Part 2: Recommendations for individuals

L Stevenson1

  • 1Women's College Hospital, Toronto.

Canadian Family Physician Medecin De Famille Canadien
|January 1, 1997
PubMed
Summary

Moderate exercise during pregnancy is generally safe for healthy women and their fetuses when monitored and modified. Family physicians can provide practical guidelines for safe exercise in pregnancy.

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Area of Science:

  • Obstetrics and Gynecology
  • Sports Medicine
  • Family Medicine

Background:

  • Exercise during pregnancy is a common consideration for many women.
  • Guidelines for advising pregnant patients on exercise are needed for family physicians.

Purpose of the Study:

  • To offer practical guidelines for family physicians regarding exercise advice for pregnant women.
  • To synthesize current evidence on exercise in pregnancy for clinical application.

Main Methods:

  • Literature search of MEDLINE (1987-1995) using keywords 'exercise' and 'pregnancy'.
  • Inclusion of data from the Sports and Fitness Database (1991-1995).
  • Manual search for relevant articles to supplement database findings.

Main Results:

  • Exercise prescription for pregnancy is individualized, considering maternal fitness, gestational stage, and exercise parameters (mode, intensity, duration, frequency).
  • Close monitoring is essential, especially for women engaged in vigorous exercise programs.
  • Contraindications to exercise must be identified and excluded.

Conclusions:

  • Moderate exercise poses minimal risk to healthy pregnant women and their fetuses.
  • Essential conditions for safe exercise include good maternal health, proper pregnancy monitoring, and necessary modifications to the exercise program.

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