Impact of Physical Stretching Exercise on Feto-Maternal Outcomes Among Mild Preeclamptic Pregnant Women in Egypt
American Journal of Nursing Science
Volume 5, Issue 3, June 2016, Pages: 114-121
Received: May 13, 2016; Accepted: May 26, 2016; Published: Jun. 14, 2016
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Sahar M. Yakout, Department of Obstetric and Gynecological Nursing, Alexandria University, Faculty of Nursing, Alexandria, Egypt
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Preeclampsia is a disorder of widespread vascular endothelial malfunction and vasospasm that occurs after 20 weeks' gestation. It accounts for 22% of maternal deaths, 18% of all pre-mature births worldwide. Recently, recommendations about exercise in pregnant women with hypertension or at risk of pre-eclampsia (PE) development have been studied with the objective of trying to reduce the deleterious effects of hypertensive disorders in pregnancy, including the reduction of the incidence of PE. This study aimed to evaluate the impact of practicing self-independent physical stretching exercise by pregnant women with mild preeclampsia on their feto - maternal outcomes. Setting: The study was conducted in antenatal as well as labor units at El-Shatby Maternity University Hospital in Alexandria a purposive sample of 64 pregnant women participated in the study. Three tools were used to collect the necessary data and apply: Structured Interviewing Questionnaire to collect data regarding mothers socio-demographic variables, an observational check list which includes information related to fetomaternal outcomes and an instruction guideline which includes the importance and different types of stretching physical exercise. Results of the current study illustrated that the mean systolic and diastolic blood pressure before and after practice of stretching physical exercise had a significant difference (P=0.001). The practice of stretching physical exercise during pregnancy have ranged from not practice 100% before instruction to as high as 70.3% after interventions. As regards to fetomaternal outcomes, (55.6%) of studied subjects who practice exercise delivered vaginal and majority (89.7%) of them who not practice exercise delivered cesarean section and the reason for C.S.; fetal distress (52.6%). All (100%) of the study subject who practice exercise not suffer from complications while about one half (42.1%) who not practice exercise suffer from severe preeclampsia. physical exercise did not represent a risk of the neonatal outcomes studied: low birth weight (1500-2500 g) was 4.4%, adequacy of weight (95.6%), prematurity was (8.9%) and no birth defect was (89%). It was concluded that, practice of stretching physical exercise with mild preeclampsia promote mothers feto-maternal outcomes and not produce maternal or neonatal risk than who do not practice. The physical exercise was safe and it was not harmful to mother and newborn. So, it was recommended that low risk women should be adherence to physical exercise and lifestyle changes.
Mild Preeclampsia, Physical Stretching Exercise, Fetomaternal Outcomes, Cesarean Section, Normal Delivery
To cite this article
Sahar M. Yakout, Impact of Physical Stretching Exercise on Feto-Maternal Outcomes Among Mild Preeclamptic Pregnant Women in Egypt, American Journal of Nursing Science. Vol. 5, No. 3, 2016, pp. 114-121. doi: 10.11648/j.ajns.20160503.16
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Ray J, Diamond P., Singh G. Bell CM. Brief overview of maternal triglycerides as a risk factor for preeclampsia. Br J Obstet Gynaecol. 2006; 113: 379–386.
WHO recommendations for prevention and treatment of pre-eclampsia and eclampsia. 2011. ISBN 978-92-4-154833-5.
Arulkumaran, N.; Lightstone, L. (December 2013). "Severe pre-eclampsia and hypertensive crises". Best Practice & Research Clinical Obstetrics & Gynaecology 27 (6): 877–884.
GBD 2013 Mortality and Causes of Death, Collaborators (17 December 2014). "Global, regional, and national age-sex specific all-cause and cause-specific mortality for 240 causes of death, 1990-2013: a systematic analysis for the Global Burden of Disease Study 2013". Lancet 385: 117–71.
Statistics by country p/preeclampsia/ stats-country.htm (03-12-2013).
Steegers E, Dadelszen P, Duvekot, J, Pijnenborg R. "Pre-eclampsia". The Lancet (August 2010). 376 (9741): 631–644.
American College of Obstetricians and Gynecologists, Task Force on Hypertension in Pregnancy. Hypertension in pregnancy. Report of the American College of Obstetricians and Gynecologists’ Task Force on Hypertension in Pregnancy. Obstet Gynecol. 2013 Nov. 122 (5): 1122-31.
American College of Obstetricians and Gynecologists. Hypertension in pregnancy. ACOG Technical Bulletin No. 219. Washington DC: 1996.
Yeo S. Prenatal Stretching Exercise and Autonomic Responses: Preliminary Data and a Model for Reducing Preeclampsia, J Nurs Scholarsh. 2010 Jun 1; 42 (2): 113–121.
Rousham EK, Clarke PE, Gross H. Significant changes in physical activity among pregnant women in the UK as assessed by accelerometry and self-reported activity. European Journal of Clinical Nutrition. 2006; 60: 393–400.
Domingues MR, Barros AJ. Leisure-time physical activity during pregnancy in the 2004 Pelotas Birth Cohort Study. Revista de Saúde Pública. 2007; 41: 173–180.
Yeo S. Adherence to walking or stretching, and risk of preeclampsia in sedentary pregnant women. Research in Nursing & Health. 2009; 32: 379–390.
Carnethon MR, Craft LL. Autonomic regulation of the association between exercise and diabetes. Exercise and Sport Sciences Reviews. 2008; 36: 12–18.
Cohen J. Statistical power analysis for the behavioral sciences. 2nd ed Erlbaum; Hillsdale, NJ: 1988.
Cox KL, Burke V, Gorely TJ, Beilin LJ, Puddey IB. Controlled comparison of retention and adherence in home- vs center-initiated exercise interventions in women ages 40-65 years: The S. W. E. A. T. Study (Sedentary Women Exercise Adherence Trial) Preventive Medicine. 2003; 36: 17–29.
Evenson KR, Savitz DA, Huston SL. Leisure-time physical activity among pregnant women in the US. Paediatric & Perinatal Epidemiology. 2004; 18: 400–407.
Fagard RH. Effects of exercise, diet and their combination on blood pressure. Journal of Human Hypertension. 2005; 19 (Suppl.): S20–S24.
Felton GM, Tudor-Locke C, Burkett L. Reliability of pedometer-determined free-living physical activity data in college women. Research Quarterly for Exercise & Sport. 2006; 77: 304–308.
Gavard JA, Artal R. Effect of exercise on pregnancy outcome. Clinical Obstetrics and Gynecology. 2008; 51: 467–480.
Hinton PS, Olson CM. Predictors of pregnancy-associated change in physical activity in a rural white population. Maternal and Child Health Journal. 2001; 5: 7–14.
Institute of Medicine. Food and Nutrition Board, Committee on Nutritional Status During Pregnancy, Part I: Nutritional status and weight gain. National Academy Press; Washington, DC: 1990.
Kiel DW, Dodson EA, Artal R, Boehmer TK, Lee TL. Gestational weight gain and pregnancy outcomes in obese women. Obstetrics & Gynecology. 2007; 110: 752–758.
Ahmed, A. (2011) New insights into the etiology of preeclampsia: identification of key elusive factors for the vascular complications. Thromb. Res. 127 (Suppl. 3), S72–S75.
Bivalacqua, T. J., Usta, M. F., Champion, H. C., Kadowitz, P. J. and Hellstrom, W. J. Endothelial dysfunction in erectile dysfunction: role of the endothelium in erectile physiology and disease. J. Androl. (2003) 24, S17–S37.
Jallo N., Bourguignon C., Taylor AG, Utz SW. Stress management during pregnancy: Designing and evaluating a mind-body intervention. Family & Community Health. 2008; 31: 190–203.
Yeo S, Davidge ST, Ronis DL, Antonakos CL, Hayashi R, O'Leary S. A comparison of walking versus stretching exercise to reduce the incidence of preeclampsia: A randomized clinical trial. Hypertension in Pregnancy. 2008; 27 (2): 113–130.
Yeo S. A randomized comparative trial of the efficacy and safety of exercise during pregnancy: design and methods. Contemp Clin Trials. 2006 Dec; 27 (6): 531-40.
Bob Anderson, Jean Anderson, Shelter Publications, Inc., 2002 Stretching in the Office detailed instruction on how to do each stretch 18-38.
Noble E. Essential Exercises for the Childbearing Years. Boston, Houghton Mifflin, 1995.
Bhattacharya S, Paney US, Verma NS. Improvement in oxidative status with yogic breathing in young healthy males. Indian Journal of Physiology and Pharmacology. 2002; 46: 349–354.
Rogers MS, Wang CC, Tam WH, Li CY, Chu KO, Chu CY. Oxidative stress in midpregnancy as a predictor of gestational hyptertension and pre-eclampsia. British Journal of Obstetrics and Gynecology. 2006; 113: 1053–1059.
Seligman LC, Duncan BB, Branchtein L, Miranda Gaio DS, Mengue SS, Schmidt MI. Obesity and gestational weight gain: cesarean delivery and labor complications. Revista de Saude Publica. 2006; 40 (3): 457–465.
Chu SY, Kim SY, Schmid CH, et al. Maternal obesity and risk of cesarean delivery: a meta-analysis. Obesity Reviews. 2007; 8 (5): 385–394.
Clapp JF, III, Kim H, Burciu B, Lopez B. Beginning regular exercise in early pregnancy: effect on fetoplacental growth. The American Journal of Obstetrics and Gynecology. 2000; 183 (6): 1484–1488.
Magann EF, Evans SF, Weitz B, Newnham J. Antepartum, intrapartum, and neonatal significance of exercise on healthy low-risk pregnant working women. Obstetrics and Gynecology. 2002; 99 (3): 466–472.
Croteau A, Marcoux S, Brisson C. Work activity in pregnancy, preventive measures, and the risk of delivering a small-for-gestational-age infant. The American Journal of Public Health. 2006; 96 (5): 846–855.
Kasawara KT, Nascimento SL, Costa ML, Surita FG, Pinto e Silva JL. Exercise and physical activity in the prevention of pre-eclampsia: systematic review. Acta Obstetricia et Gynecologica Scandinavica. 2012; 91: 1147–1157.
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