Pregnancy Complications Clinical Trial
Official title:
Training During Pregnancy - Effects of Regular Exercise During Pregnancy in Prevention of Pregnancy-related Diseases and Complications During Labour. A Randomised Clinical Trial
There is a great lack of results from randomized clinical trials with high methodological
quality, assessing the effects of exercise during pregnancy. The main aims of this trial is
to study the effects of exercise during pregnancy in the prevention and treatment of disease
and complications which may arise during pregnancy:
- Does regular exercise during pregnancy aid in preventing gestational diabetes?
- Does regular exercise during pregnancy prevent low back and/or pelvic girdle pain?
- Does regular exercise during pregnancy prevent urine and/or fecal incontinence?
- Does regular exercise during pregnancy have an effect on labour and delivery?
- Does regular exercise during pregnancy prevent maternal excessive weight gain and fetal
macrosomatia?
Pregnancy is regarded as a period of high risk when it comes to development of e.g. excessive
weight gain, gestational diabetes and musculoskeletal problems such as low back pain and
pelvic girdle pain, and urinary and fecal incontinence. While pregnancy and labor imply these
and other risks, exercise is regarded as advantageous during pregnancy. Today's knowledge
about the importance of exercise during pregnancy is mainly based on observational data from
epidemiological studies, and the scientific strength of the clinical recommendations given is
open to question. There is a great lack of results from randomized clinical trials with high
methodological quality, assessing the effects of exercise during pregnancy. As a result of
this, many important questions are still not answered. One of these is the effect exercise
during pregnancy has in the prevention and treatment of disease and complications which may
arise during pregnancy. Another question is the consequences that exercise during pregnancy
has for labor and delivery. This study is designed as a randomized clinical trial using
validated measurement tools to find answers to the mentioned questions.
In both national and international literature the importance of physical activity is
highlighted. WHO has recently presented a global strategy for nutrition, physical activity
and health. In Norway physical activity and exercise have been strongly addressed, and is an
issue of high priority also in pregnant and postpartum women (St.meld.nr.16). Nevertheless,
few trials evaluating the effects of regular exercise have been published. There is a need
for evidence based knowledge to be implemented in education of health professionals, and in
the development of health promotion strategies aiming at the general population.
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