Effect During Pregnancy and Intrapartum Health

Study Overview
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Brief Summary
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Assessing the role of moderate exercise in newborn intrapartum variables have showed to be crucial not only on prescribing exercise safely, but also on understanding its impact on the prevention of some cardio-metabolic diseases after labor. Clarify this concept will be essential on reducing human risk for some chronic diseases through implementing supervised exercise programs during such a critical period.

Detailed Description
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The aim of this randomized controlled trial was to evaluate the effect of combined exercise (aerobic and strength exercise) on maternal and newborn intrapartum variables.

Official Title
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Effect of Supervised Exercise During Pregnancy on Maternal and Newborn Intrapartum Health

Conditions
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Pregnancy

Intervention / Treatment
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* Behavioral: Exercise pregnant women


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Being healthy and able to exercise following American College of Obstetricians and Gynecologists (ACOG) guidelines. Being able to communicate in spanish Giving birth at Hospital Universitario de Puerta de Hierro (Majadahonda); Hospital Universitario Severo Ochoa (Leganés). Exclusion Criteria: Multiparity Obstetrician complications Being interested in the study after 18 weeks Not being regular in physical exercise program Younger than 18 years old

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 45 Years

Sexes Eligible for Study
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Female

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Prevention
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| No Intervention: Sedentary pregnant women<br>Pregnant women who do not exercise regularly during pregnancy | |
| Experimental: Exercise pregnant women<br>Pregnant women who participate in a supervised exercise program | Behavioral: Exercise pregnant women<br>* A supervised physical conditioning program of three 55-60 minute sessions per week during whole pregnancy (from week 10 to 39) was conducted. Each session consisted of 25-30 minutes of cardiovascular exercise,10 minutes of specific exercises (strength and balance exercises), and 10 minutes of pelvic floor muscles training. Aerobic activity was prescribed at light to moderate intensity, aiming for 55-60 of maximal heart rate. All subjects wore a heart rate (HR) monitor during the training sessions to control the intensity.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Stage of labor | Duration stages of labor (min) | At the moment of delivery | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Maternal gestational weight gain | Change from baseline in maternal gestational weight gain (g) | 40-42 weeks of gestation | 
| Glucose state | Maternal glucose state (O´Sullivan test) | 24-26 weeks of gestation | 
| Blood pressure | Maternal blood pressure during pregnancy (mmHg) | 12, 20 and 34 weeks of gestation | 
| Gestational age | Gestational age (weeks) | At the moment of delivery | 
| Birth weight | Newborn weight (g) | At the moment of delivery | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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exercise, intrapartum, aerobic exercise, resistance exercise, wellbeing