Is ACOG Guideline Helpful for Encouraging Pregnant Women to Do Exercise During Pregnancy?


To evaluate physical activity of pregnant women before and after ACOG guideline study. Four hundred and eighty-five pregnant women enrolled in this before-after study. They were asked to study ACOG guideline. A structured questionnaire filled by women at first visit and the last visit in the prenatal clinic.Type, frequency, duration and anxiety about doing exercises during pregnancy period. Before education, 411 did exercises before pregnancy onset, among them, 346 were walking out and 65 did light exercises such as aerobics. After studying the protocol, 434 (89.4%) did walking during pregnancy period in comparison to 71% who did walking before pregnancy (P<0.001). Forty two (56.7%) out of 74 who had not done sport before, went for walking after the protocol reading, and nine continued not doing exercise. Among 74 participants who had not done exercise before the protocol reading, 16 (21%) were doing exercise three times a week and 11 (14%) changed their habit to daily exercise practice (P<0.001). Forty percent (195 women) were anxious about doing exercise during pregnancy before guideline study, while 116 reported that after the protocol reading, they had no anxiety about doing exercises during pregnancy (P<0.001). Guidelines providing information about physical activity during pregnancy will help pregnant women to do exercise during pregnancy with convenience and less anxiety.

Barakat R, Stirling JR, Lucia A. Does exercise training during pregnancy affect gestational age? A randomised controlled trial. Br J Sports Med 2008;42(8):674-8.

Hatoum N, Clapp JF, Neuman MR, et al. Effects of maternal exercise on fetal activity late in gestation. J Matern-Fetal Med 1997;6(3):134-9.

Schramm W, Stockbauer J, Hoffman H. Exercise, employment, other daily activities, and adverse pregnancy outcome. Am J Epidemiol 1996;143(3):211-8.

ACOG Committee Obstetric Practice. ACOG Committee Opinion. Number267, January 2002: exercise during pregnancy and the postpartum period. Obstet Gynecol 2002; 99(1):171-3.

Artal R, O’Toole M. Guidelines of the American College of Obstetricians and Gynecologists for exercise during pregnancy and the postpartum period. Br J Sports Med 2003;37(1):6-12.

Ribeiro CP, Milanez H. Knowledge, attitude and practice of women in Campinas, São Paulo, Brazil with respect to physical exercise in pregnancy: a descriptive study. Reprod Health 2011;8(1):31.

Wolfe L, Weissgerber T. Clinical physiology of exercise in pregnancy: a literature review. J Obstet Gynaecol Can 2003;25(6):473-83.

Ferraro ZM, Gaudet L, Adamo KB. The potential impact of physical activity during pregnancy on maternal and neonatal outcomes. Obstet Gynecol Surv 2012;67(2):99-110.

Wolfe LA, Ohtake PJ, Mottola MF, et al. Physiological interactions between pregnancy and aerobic exercise. Exerc Sport Sci Rev 1989;17(1):295-351.

Pillai M, James D. The development of fetal heart rate patterns during normal pregnancy. Obstet Gynecol 1990;76(5 Pt 1):812-6. 11. May LE, Glaros A, Yeh HW, et al. Aerobic exercise during pregnancy influences fetal cardiac autonomic control of heart rate and heart rate variability. Early Hum Dev 2010;86(4):213-7.

Clapp JF 3rd, Little KD, Appleby-Wineberg SK, et al. The effect of regular maternal exercise on erythropoietin in cord blood and amniotic fluid. Am J Obstet Gynecol 1995;172(5):1445-51

Clapp JF 3rd. Exercise during pregnancy: a clinical update. Clin Sports Med 2000;19(2):273-86.

Pennick VE, Young G. Interventions for preventing and treating pelvic and back pain in pregnancy. Cochrane Database Syst Rev 2007;(8):CD001139.

Davies GA, Wolfe LA, Mottola MF, et al. SOGC Clinical Practice Obstetrics Committee. Joint SOGC/CSEP clinical practice guideline: exercise in pregnancy and the postpartum period. Can J Appl Physiol 2003;28(3):330-41.

Duncombe D, Wertheim EH, Skouteris H, et al. Factors related to exercise over the course of pregnancy including women’s beliefs about the safety of exercise during pregnancy. Midwifery 2009;25(4):430-8.

Schramm WF, Stockbauer JW, Hoffman HJ. Exercise, employment, other daily activities, and adverse pregnancy outcomes. Am J Epidemiol 1996;143(3):211-8.

Snyder S, Pendergraph B. Exercise during pregnancy: what do we really know? Am Fam Physician 2004;69(5):1053-6.

Klebanoff MA, Shiono PH, Carey JC. The effect of physical activity during pregnancy on preterm delivery and birth weight. Am J Obstet Gynecol 1990;163(5 Pt 1):1450-6.

Jarrett JC, Spellacy WN. Jogging during pregnancy: an improved outcome? Obstet Gynecol 1983;61(6):705-9.

Horns PN, Ratcliffe LP, Leggett JC, et al. Pregnancy outcomes among active and sedentary primiparous women. J Obstet Gynecol Neonatal Nurs 1996;25(1):49-54.

Rabkin CS, Anderson HR, Bland JM, et al. Maternal activity and birth weight: a prospective, population-based study. Am J Epidemiol 1990;131(1):522-31.

IssueVol 52, No 6 (2014) QRcode
Physical activity Pregnant women ACOG guideline Exercise

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How to Cite
Davari Tanha F, Ghajarzadeh M, Mohseni M, Shariat M, Ranjbar M. Is ACOG Guideline Helpful for Encouraging Pregnant Women to Do Exercise During Pregnancy?. Acta Med Iran. 1;52(6):458-461.