G.K. SADYKOVA¹, A.A. OLINA^1–3

¹Perm State Medical University named after Acad. E.A. Wagner, Perm

²Research Institute of Obstetrics, Gynecology and Reproductology named after D.O. Ott, Saint Petersburg

³North-Western State Medical University named after I.I. Mechnikov, Saint Petersburg

Contact details:

Sadykova G.K. — PhD (Medicine), Associate Professor of the Department of Obstetrics and Gynecology No. 1

Address: 85 Pushkin St., 614000 Perm, Russian Federation, tel.: +7-902-479-87-42, e-mail: gulnara-sadykova@mail.ru

The purpose — to assess the impact of physical activity on the course of pregnancy, childbirth and the health of newborns.

Material and methods. The course of pregnancy, childbirth and the health of newborns in two groups of pregnant women were analyzed. Group I consisted of 417 patients whose physical activity was assessed in the first trimester (8–10 weeks). An individual pregnancy management program was proposed to them based on the assessment, which included recommendations on physical activity. Group II consisted of 394 women undergoing dispensary observation in antenatal clinics in Perm and managed according to “Normal Pregnancy-2023” clinical recommendations.

Results. We found that 257 people (61.6%) had a low level and 111 patients (26.6%) — an intermediate level of physical activity. A high level of physical activity was determined in 47 women (11.8%). Next, the relative risk of obstetric complications with a low level of physical activity during pregnancy was calculated. It turned out that in this case the risk of miscarriage increases twofold (OR = 1.966; 95% CI: 1.042–3.709), gestational diabetes mellitus — one and a half times (OR = 1.684; 95% CI: 1.006–2.819), preeclampsia — four and a half times (OR = 4.763; 95% CI: 1.035—21.907), fetal growth retardation — twofold (OR = 1.823; 95% CI: 1.037–3.205), and of intrahepatic cholestasis — more than fourfold (OR = 4.234; 95% CI: 1.204–14.890).

Conclusion. The study demonstrates that more than half of women have a low level of physical activity during pregnancy (257 people/61.6%). Compliance with recommendations for prenatal physical activity requires minimal resources of both patients and the state healthcare system in general. Close cooperation between the patient, obstetrician-gynecologist and physical activity specialists is necessary to ensure an adequate level of physical activity during pregnancy.

Key words: physical activity during pregnancy, dispensary observation, obstetric complications.

REFERENCES

1. Physical activity and exercise during pregnancy and the postpartum period: ACOG Committee Opinion, number 804. Obstet. Gynecol, 2020, vol. 135 (4), pp. 178–188. DOI: 10.1097/AOG.0000000000003772
2. Tuncalp Ö., Rogers L.M., Lawrie T.A. et al. WHO recommendations on antenatal nutrition: an update on multiple micronutrient supplements. BMJ Global Health, 2020, vol. 7 (5), pp. 3375–3379. DOI: 10.1136/bmjgh-2020-003375
3. Ribeiro M.M., Andrade A., Nunes I. Physical exercise in pregnancy: benefits, risks and prescription. J. Perinat. Med, 2021, vol. 50 (1), pp. 4–17. DOI: 10.1515/jpm-2021-0315
4. Cooper D.B. Pregnancy and Exercise. Treasure Island (FL), 2022. Pp. 1–8.
5. Laredo-Aguilera J.A., Gallardo-Bravo M., Rabanales-Sotos J.A., Cobo-Cuenca A.I., Carmona-Torres J.M. Physical activity programs during pregnancy are effective for the control of gestational diabetes mellitus. Int. J. Environ Res. Public Health, 2020, vol. 17 (17), p. 6151. DOI: 10.3390/ijerph17176151
6. Rasmussen L., Poulsen C.W., Kampmann U., Smedegaard S.B., Ovesen P.G., Fuglsang J. Diet and healthy lifestyle in the management of gestational diabetes mellitus. Nutrients, 2020, vol. 10 (12), p. 3050. DOI: 10.3390/nu12103050
7. Xie Y., Zhao H., Zhao M., Huang H., Liu C., Huang F., Wu J. Effects of resistance exercise on blood glucose level and pregnancy outcome in patients with gestational diabetes mellitus: a randomized controlled trial. BMJ Open Diabetes Res. Care, 2022, vol. 2 (10), p. 002622. DOI: 10.1136/bmjdrc-2021-002622
8. Gallo-Galán L.M., Gallo-Vallejo M.A., Gallo-Vallejo J.L. Ejercicio físico y embarazo. Medicina basada en la evidencia (MBE) [Physical exercise and pregnancy. Evidence based medicine (EBM)]. Semergen, 2022, vol. 6 (48), pp. 423–430. DOI: 10.1016/j.semerg.2022.02.008
9. Tsakiridis I., Bakaloudi D.R., Oikonomidou A.C., Dagklis T., Chourdakis M. Exercise during pregnancy: a comparative review of guidelines. J. Perinat. Med, 2020, vol. 6 (48), pp. 519–525. DOI: 10.1515/jpm-2019-0419
10. Ye W., Luo C., Huang J., Li C., Liu Z., Liu F. Gestational diabetes mellitus and adverse pregnancy outcomes: systematic review and meta-analysis. BMJ, 2022, vol. 25 (377), pp. 067946. DOI: 10.1136/bmj-2021-067946
11. Normal’naya beremennost’. Klinicheskie rekomendatsii [Normal pregnancy. Clinical guidelines, 2023], 2023.
12. Wardinger J.E., Ambati S. Placental Insufficiency, 2022. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing. PMID: 33085318.