Question: - The BMJ
Question
What information is available on exercise as a lifestyle intervention, during and after pregnancy to assist with weight loss?
Summary answer
NICE guidelines (CG62) for antenatal care recommend BMI is calculated at booking (10 weeks). 38% of women surveyed thought they needed to lose weight. However, half of these were unaware of their BMI. This highlights a need for better education of pregnant women about ideal body weight and the need for better access to and clearer guidelines about activities which are safe during the ante-natal and post-natal periods.
What is known and what this paper adds
Obesity in pregnancy is associated with adverse maternal outcomes and has a significant impact on health economics.
The aim of the study is to define the information about interventions available for weight loss in pregnancy. To our knowledge, this is the first survey of pregnant women with regards to exercise, their views on access, details of exercised-based interventions for pregnancy and the post-natal period.
Participants and setting
Acute hospital trust in North East London. Women attending ante-natal clinic were given a questionnaire. On-going data collection.
Primary outcome
Women who were pregnant who sought information about exercise felt de-motivated by the barriers to access to this information and the poor quality with regards to; onset (during and after pregnancy), type, duration, frequency and modification based on their physiological changes.
Main results
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Examples of free text responses
|Advice given |
|gentle exercise (walking, swimming) |
|normal exercises |
|pelvic floor exercises |
|simple exercises |
|light exercise |
|meditation |
|exercise good to keep core muscles strong, careful not to overheat, 30 mins per day |
|Exercises NOT to do during pregnancy |
|table tennis |
|heavy endurance |
|weight-lifting |
|trampolining |
|white water rafting |
|martial arts |
|push-ups/press-ups |
|running |
|anything too strenuous that increases HR |
|sit ups |
Generalisability
This is an on-going study as an initiative to make patient advice from sources a real world experience.
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