I told you in the previous post that practicing physical exercise in pregnancy is more than advisable. However, there are a number of contraindications that you should know and list below. With this I intend to make you aware of the importance of exercising under the supervision of your doctor and with the help of a professional Physical Activity and Sport.
Whatever the physical state of a pregnant woman, there are a number of contraindications listed by the American College of Obstetricians and Gynecologists (2002) that should be taken into account.
Absolute contraindications (invalidate any type of physical practice because of the risk they pose to maternal fetal health)
Contraindications of relative nature (require the permission and control of a doctor)
|– Active myocardial disease- Heart failure|
– Rheumatic heart disease (class II or higher)
– Recent pulmonary embolism
– Acute infectious disease
– Cervical Incompetence
– Multiple pregnancy
– Genital bleeding
– Premature rupture of ovary membranes
– Delayed intrauterine growth
– Fetal macrosomia
– Severe Iso-Immunization
– Severe hypertensive disease
– Absence of prenatal control
– Suspected fetal suffering
– Risk of preterm birth
|– Essential arterial hypertension- Cardiac arrhythmias or palpitations|
– History of retarded intrauterine growth
– History of premature birth
– History of previous abortions
– Anemia or other haematological disorders Thyroid disease
– Mellitus diabetes
– Chronic Bronchitis
– Breech presentation in the last trimester of gestation
– Excessive Obesity
– Extreme thinness
– Orthopedic Limitations
– Problems of apoplexy
It should be noted that although hypertension and gestational diabetes are part of the relative contraindications, recent studies recommend physical exercise in pregnancy as part of treatment for these diseases.
Physical exercise in pregnancy
Finally, tell you that there are certain symptoms that if they appear you must automatically suspend the physical exercise that you are performing and consult your doctor. Following the American College of Obstetricians and Gynecologists (2002) these symptoms are:
- Pain of some kind: back, pubis, retrosternal (chest area, behind the sternum).
- Bleeding or minimal vaginal bleeding.
- Dyspnea prior to exercise.
- Short of breath.
- Muscular weakness.
- Pain or inflammation in the calves (for the purpose of ruling out a thrombophlebitis).
- Difficulty walking.
- Decreased fetal movements.
With all this said I say goodbye until the next post remembering that doing physical exercise in pregnancy under medical prescription and controlled by a sports professional during pregnancy will be good for you and your baby.