Women's research.key
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Women's research.key Presentation Transcript

  • 1. LOWERING THE RISKS FOR PREECLAMPSIA Exercising through pregnancy
  • 2. PREECLAMPSIAApproximately 1/4 of all maternal deaths20 % of all pre-term birthsIncreases risk of developing cardiovascular diseaseCause is not fully known
  • 3. PATHOPHYSIOLOGYPlacentaEndothelial dysfunctionHypertensionProteinuria
  • 4. RISK FACTORSGenetic FactorsObesityDiabetesHypertensionNulliparous WomenSedentary Lifestyle
  • 5. EXERCISE = LOWER RISK?Studies show a 35% reduction in risk in women whoexerciseMany pregnant women do not engage in exercise24% of pregnant women are obeseObesity triples the risk of preeclampsia
  • 6. CREATED EQUAL?Obesity and inactivity are significant risk factorsVigorous exercise not as beneficial for obese womenWhat exercise can safely reduce the risk ofpreeclampsia in obese women?
  • 7. THE STUDYWALKING VS. STRETCHING
  • 8. PARTICIPANTSHealthy pregnant women who had preeclampsia in aprevious pregnancyPregnant women who had lower than averagecardiovascular fitness levelsSedentary lifestyle
  • 9. THE PROGRAMFive days a weekWalkers walked atmoderate intensityStretchers followed avideo program
  • 10. RESULTSWalkers: Walked 2-3 times/week throughoutpregnancyStretchers 3-4 times/week16% of walkers developed preeclampsia5% of stretchers
  • 11. 22% preterm births in walking group11% in stretchingMore than twice as many preterm births amongwalkers
  • 12. WHY STRETCHING?Sympathetic activity isincreased throughoutpregnancyPreeclampsia developswhen vasodilation failsPrenatal stretchingexercise may increasevagal tone andprevent/inhibitpreeclampsia
  • 13. FOR OUR PATIENTSPrenatal stretchingexercise lowers risk ofpreeclampsiaPromotes healthEasily adhered to bypregnant women in alltrimesters