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Exercise and Pregnancy

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Michelle Gontko

on 7 April 2016

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Transcript of Exercise and Pregnancy

Diagnostics and Labs
Exercise Interventions
Physiology of Exercise
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1. during exercise blood flow shifts from the viscera to the muscles leading to a reduction in uterine-ovarian blood flow (to cause harm it would have to decrease over 50% which would only occur with prolonged strenuous exercise.)
2. Compensatory mechanisms ensure that adequate blood supply to the placenta is provided even when there is reduced supply to the uterus.
3. Maternal hematocrit increases during exercise, which increases maternal oxygen carrying capacity, and helps maintain stable uterine O2 levels
4. The Left Ventricle adapts by increasing contractile reserve and later by increasing its preload reserve.
5. Increase in coronary blood flow during exercise from an increase in perfusion pressure of the coronary artery and from coronary vasodilation.
6. Increase in sympathetic nervous system stimulation leads to an increase in circulating catecholamines.

•Urinalysis •Iron
•Pulmonary Functions Tests
Nursing Diagnosis
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•Swimming: best – and safest – exercise for pregnant women. Works large muscle groups, provides cardiovascular benefits, reduces swelling, and allows expectant women to feel weightless despite the extra pounds of pregnancy.
•Walking: one of the best cardiovascular exercises for pregnant women. Easy to do almost anywhere and is safe to do throughout your pregnancy.
•Yoga: Yoga maintains muscle tone and keeps you flexible with little or no impact on your joints.
Stretching: Prevent muscle strain while keeping your body limber and relaxed. Add stretching to your cardio routine for a complete workout.
Weight training: If you're careful and use good technique (meaning slow, controlled movements), Tone and strengthen.
•Risk for injury, maternal r/t strenuous physical exertion
•Knowledge deficit, risks and benefits of exercise
•Heart disease •Multiple Gestation
•Restrictive lung disease •Hx of Pre-term birth
•Incompetent cervix •Anemia
•Premature ruptured membranes
•Pre-eclampsia/pregnancy-induced hypertension;
•Persistent second or third trimester bleeding
•Placenta praevia
Possible Complications
•Premature contractions
•Increased glucose consumption-->fetal hypoglycemia
•Hypotension-->loss of balance, risk for falls, fainting
•Temporary ↓ blood circulation to uterus
•Sprains/Strains (Relaxation of Tendons/Ligaments)
For healthy pregnant and postpartum women, the guidelines recommend at least 150 minutes per week of moderate-intensity aerobic activity (ACOG)
•Risk for injury, fetal r/t decreased uterine profusion 2' prolonged physical exertion of mother
Disturbed body image r/t physiologic changes
•Anxiety r/t change in health status, knowledge deficit
•Alteration in comfort; back pain, edema, hemorrhoids 2' physiologic changes of pregnancy
•Risk for fluid and electrolytes imbalance r/t vasodilation, diaphoresis 2' exercise
•Ineffective thermoregulation r/t increased body temperature 2' prolonged physical exertion.
Exercise and Pregnancy

Benefits of Exercise
•Increased cardiovascular and muscular fitness and strength
•Improved posture due to increased abdominal and upper body strength
•Improved circulation which reduces the incidence of varicose veins and deep vein thrombosis
•Reduced constipation, bloating and swelling
•Lower incidence of back pain
•↓ Risk of developing preeclampsia
•Lower risk of gestational diabetes
•Reduced edema in lower extremities
•Develop support system (working out with other moms)
•Reduce feelings of depression or anxiety
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