SlideShare a Scribd company logo
How to manage
the pregnant
athlete?
Maita Poli de Araújo – MD, PhD
Professor of Medicine – Laureate International Universities
Head of the Section of Sport Gynecology– UNIFESP
Doctor at Fleury Laboratory
São Paulo - Brazil
Parmigiano TR, Zucchi EV, Araujo MP, Castro RA, Jarmy Di Bella ZYK, Girão MJBC, Sartori MGF. Pre-participation gynecological evaluation of female athletes. Einstein 2014;12:459-66
Health Team
Physiotherapist
Nutritionist
Osteopath
Psychologist
Sport physician
Obstetrician
Who is the pregnant athlete?
How to manage the pregnant athlete?
Sport Team
Team Manage
Head Coach
Fitness trainer
Biomechanical
Media
Sponsors
Train, train, win, TO GIVE BIRTH, train...
How to manage the pregnant athlete?
What does she want?
An example...
How to manage the pregnant athlete?
How to manage the pregnant athlete?
Serena Williams keeping up her intense
workouts up to eight months pregnant
How to manage the pregnant athlete?
How to manage the pregnant athlete?
Serena Williams makes Wimbledon final
10 months after childbirth
Pregnant on Summer Olympic Games
How to manage the pregnant athlete?
Name Year Country Sport Details
Juno Stover-Irwin 1952 USA Diving 3 months
DeAnne Hemmens 1996 USA Rowing 2 months
Cornelia Pohl 2000 GER Archery 7 weeks
Anky Van Grusven 2004 NED Equestrian 5 months
Katerina Kurova 2008 CZE Shooting 1 months
Nur Suryani Mohd Taibi 2012 MAL Shooting 8months
Kerri Walsh 2012 USA Beach volley 1 months
Anna-Maria Johason 2012 SWE Handball 3 months
Anky van Grunsven - 5 months Kerry Walsh - 1 month
How to manage the pregnant athlete?
2004 2012
Pregnant with gold medal !
Athletes with an uncomplicated pregnancy can
continue exercising, although some adjustments
in intensity and sport modality may be required !
How to manage the pregnant athlete?
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
Sports to be
avoided
Risk of
falling
Physiologic risk
Direct trauma
to the
abdominal wall
How to manage the pregnant athlete?
JudoRugby
Ice hockeyBoxing
Direct trauma and risk of falling
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
Wrestling
Taekwondo
How to manage the pregnant athlete?
Physiologic risk
Scuba diving
• The fetus is not
protected from
descompression
problems
• Risk of malformation
and gas embolism
after descompression
disease
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
How to manage the pregnant athlete?
Risk of falling
(mainly during second and third trimester)
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
Exercício na gestação: benefícios e riscos
• Soccer
• Handball
• Basketball
• Volleyball
• Gymnastics artistic
• BMX, mountain cycling
• Freestyle skiing
How to manage the pregnant athlete?
Adjustments
in intensity
How to manage the pregnant athlete?
Moderate intensity aerobic exercise is
safe during pregnancy
Forczek W, Curyło M, Forczek B.Physical Activity Assessment During Gestation and Its Outcomes: A Review.
Obstet Gynecol Surv. 2017;72(7):425-444
How to manage the pregnant athlete?
How to manage the pregnant athlete?
Strength training
• Pay attention to technique and safety
• Caution with Supine position
• Avoid the Valsalva maneuver
• Avoid excessive pressure towards the pelvic floor
How to manage the pregnant athlete?
Supine position
Side-lying Sitting Standing
• Side effects are more likely to occur after 28
weeks of pregnancy
How to manage the pregnant athlete?
Limitations on Sport performance
Alysia Montano – USA - 800 metros
USATF's USA Outdoor Track and Field Championships (06/2014)
How to manage the pregnant athlete?
Estômago
– Cardiac
– Pulmonar
– Muskulosqueletic
Mottola et al,.VO2 peak prediction and exercise
prescription for pregnant women.
MedSci Sports Exerc 2006;38:1389-95.
How to manage the pregnant athlete?
Wolfe LA, Mottola MF. Aerobic exercise in pregnancy: an update. Can J Appl Physiol 1993;18:119-47
London 2012
Nur Suryani Mohamed Taibi – MAL - 8 months- Shooting
Limitations on Sport performance
How to manage the pregnant athlete?
Warning signs to stop exercising
1. Vaginal bleeding
2. Regular painful contractions
3. Amniotic fluid leakage
4. Dyspnoea prior to exertion
5. Syncope
6. Headache
7. Chest pain
8. Muscle weakness
9. Calf pain or swelling
How to manage the pregnant athlete?
Efeito
Take-home Message
How to manage the pregnant athlete?
Take-home Message
• Pregnant athletes should remain active during
pregnancy as long as she modifies her usual
exercise routine
• The goal of exercising in pregnancy is health
maintenance rather than sport performance
How to manage the pregnant athlete?
How to manage the pregnant athlete?

More Related Content

What's hot

Women & Sports Injuries (Including ACL Tears in Female Athletes)
Women & Sports Injuries (Including ACL Tears in Female Athletes)Women & Sports Injuries (Including ACL Tears in Female Athletes)
Women & Sports Injuries (Including ACL Tears in Female Athletes)
Dr. William Sterett, MD
 
SPORTS INJURY I Dr.RAJAT JANGIR JAIPUR
SPORTS INJURY  I Dr.RAJAT JANGIR JAIPURSPORTS INJURY  I Dr.RAJAT JANGIR JAIPUR
SPORTS INJURY I Dr.RAJAT JANGIR JAIPUR
Dr.RAJAT JANGIR Orthopaedic surgeon Jaipur
 
Athletes nutrition
Athletes nutritionAthletes nutrition
Athletes nutrition
Renad88
 
RED-S Syndrome in Men and Women
RED-S Syndrome in Men and WomenRED-S Syndrome in Men and Women
RED-S Syndrome in Men and Women
HannaPanch
 
Sports medicine
Sports medicineSports medicine
Sports medicine
Pracheta Raval
 
Sport injuries
Sport injuriesSport injuries
Eating disorders in athletes
Eating disorders in athletes Eating disorders in athletes
Eating disorders in athletes
Dr Nishank Verma
 
An Introduction To Basic Sports Nutrition
An Introduction To Basic Sports Nutrition An Introduction To Basic Sports Nutrition
An Introduction To Basic Sports Nutrition
Simon Byrne
 
Exercise And Immune Function
Exercise And Immune FunctionExercise And Immune Function
Exercise And Immune Function
Jbruno22
 
SHOULDER SPORT INJURIES
SHOULDER SPORT INJURIES SHOULDER SPORT INJURIES
SHOULDER SPORT INJURIES
hanisahwarrior
 
Ergogenic Aids in Sport Nutrition
Ergogenic Aids in Sport Nutrition Ergogenic Aids in Sport Nutrition
Ergogenic Aids in Sport Nutrition
Pongpun Bouphet
 
Rehabilitation technique
Rehabilitation  techniqueRehabilitation  technique
Rehabilitation technique
Associate professor
 
Major sports injuries and classification of injuries
Major sports injuries and classification  of injuries Major sports injuries and classification  of injuries
Major sports injuries and classification of injuries
arul paul
 
Sports injuries
Sports injuriesSports injuries
Sports injuries
Muhammad Fayyaz Saleemi
 
Aerobic and anaerobic tests
Aerobic and anaerobic testsAerobic and anaerobic tests
Aerobic and anaerobic tests
Hadi Rohani
 
Cross training
Cross trainingCross training
Sports injuries.pptx
Sports injuries.pptxSports injuries.pptx
Sports injuries.pptx
Sagar Kulkarni
 
Strength Exercises for Sport Performance
Strength Exercises for Sport PerformanceStrength Exercises for Sport Performance
Strength Exercises for Sport Performance
Joel Smith
 
Femoral neck fractures
Femoral neck fracturesFemoral neck fractures
Femoral neck fracturesYasser Alwabli
 

What's hot (20)

Women & Sports Injuries (Including ACL Tears in Female Athletes)
Women & Sports Injuries (Including ACL Tears in Female Athletes)Women & Sports Injuries (Including ACL Tears in Female Athletes)
Women & Sports Injuries (Including ACL Tears in Female Athletes)
 
SPORTS INJURY I Dr.RAJAT JANGIR JAIPUR
SPORTS INJURY  I Dr.RAJAT JANGIR JAIPURSPORTS INJURY  I Dr.RAJAT JANGIR JAIPUR
SPORTS INJURY I Dr.RAJAT JANGIR JAIPUR
 
Introduction to Sports Physical Therapy
 Introduction to Sports Physical Therapy  Introduction to Sports Physical Therapy
Introduction to Sports Physical Therapy
 
Athletes nutrition
Athletes nutritionAthletes nutrition
Athletes nutrition
 
RED-S Syndrome in Men and Women
RED-S Syndrome in Men and WomenRED-S Syndrome in Men and Women
RED-S Syndrome in Men and Women
 
Sports medicine
Sports medicineSports medicine
Sports medicine
 
Sport injuries
Sport injuriesSport injuries
Sport injuries
 
Eating disorders in athletes
Eating disorders in athletes Eating disorders in athletes
Eating disorders in athletes
 
An Introduction To Basic Sports Nutrition
An Introduction To Basic Sports Nutrition An Introduction To Basic Sports Nutrition
An Introduction To Basic Sports Nutrition
 
Exercise And Immune Function
Exercise And Immune FunctionExercise And Immune Function
Exercise And Immune Function
 
SHOULDER SPORT INJURIES
SHOULDER SPORT INJURIES SHOULDER SPORT INJURIES
SHOULDER SPORT INJURIES
 
Ergogenic Aids in Sport Nutrition
Ergogenic Aids in Sport Nutrition Ergogenic Aids in Sport Nutrition
Ergogenic Aids in Sport Nutrition
 
Rehabilitation technique
Rehabilitation  techniqueRehabilitation  technique
Rehabilitation technique
 
Major sports injuries and classification of injuries
Major sports injuries and classification  of injuries Major sports injuries and classification  of injuries
Major sports injuries and classification of injuries
 
Sports injuries
Sports injuriesSports injuries
Sports injuries
 
Aerobic and anaerobic tests
Aerobic and anaerobic testsAerobic and anaerobic tests
Aerobic and anaerobic tests
 
Cross training
Cross trainingCross training
Cross training
 
Sports injuries.pptx
Sports injuries.pptxSports injuries.pptx
Sports injuries.pptx
 
Strength Exercises for Sport Performance
Strength Exercises for Sport PerformanceStrength Exercises for Sport Performance
Strength Exercises for Sport Performance
 
Femoral neck fractures
Femoral neck fracturesFemoral neck fractures
Femoral neck fractures
 

Similar to Pregnant athlete

Exercise and Pregnancy
Exercise  and PregnancyExercise  and Pregnancy
Exercise and Pregnancy
gregory_maness
 
Diabetes Asia
Diabetes AsiaDiabetes Asia
Diabetes Asia
diab123
 
Exercise in Gestational Diabetes information provided by diabetesasia.org
Exercise in Gestational Diabetes information provided by diabetesasia.orgExercise in Gestational Diabetes information provided by diabetesasia.org
Exercise in Gestational Diabetes information provided by diabetesasia.org
Diabetes Asia
 
Diabetes Care solution in india
Diabetes Care solution in indiaDiabetes Care solution in india
Diabetes Care solution in india
Jain hospital,Mahavir Sikshan Sansthan
 
Exercise during Pregnancy
Exercise during PregnancyExercise during Pregnancy
Exercise during Pregnancy
guthe mahaedhie, MPH
 
Exercise During Pregnancy
Exercise During PregnancyExercise During Pregnancy
Exercise During Pregnancy
Dokka Srinivasu
 
SPORTS PSYCHOLOGY IN SPORTS MEDICINE
SPORTS PSYCHOLOGY IN SPORTS MEDICINESPORTS PSYCHOLOGY IN SPORTS MEDICINE
SPORTS PSYCHOLOGY IN SPORTS MEDICINESharon Chirban
 
physical activity and pregnancy
physical activity and pregnancyphysical activity and pregnancy
physical activity and pregnancy
msimoes29
 
Seminar presentation 2
Seminar presentation 2Seminar presentation 2
Seminar presentation 2
DrPurnimaKushwaha
 
Community Nutrition Assesment final draft of paper
Community Nutrition Assesment final draft of paperCommunity Nutrition Assesment final draft of paper
Community Nutrition Assesment final draft of paperJessica Elliott
 
(마더세이프 라운드) exercise in pregnancy
(마더세이프 라운드)  exercise in pregnancy (마더세이프 라운드)  exercise in pregnancy
(마더세이프 라운드) exercise in pregnancy mothersafe
 
Dynapenia, Sarcopenia and Obesity: Clinical Impacts and Treatments
Dynapenia, Sarcopenia and Obesity: Clinical Impacts and TreatmentsDynapenia, Sarcopenia and Obesity: Clinical Impacts and Treatments
Dynapenia, Sarcopenia and Obesity: Clinical Impacts and Treatments
Champlain Regional Coordination Centre
 
Reilly_Erinn_Eating Disorders Research Action Plan
Reilly_Erinn_Eating Disorders Research Action PlanReilly_Erinn_Eating Disorders Research Action Plan
Reilly_Erinn_Eating Disorders Research Action PlanErinn Reilly
 
Physical Activity during Pregnancy and the Effect on Mothers and Fet.docx
Physical Activity during Pregnancy and the Effect on Mothers and Fet.docxPhysical Activity during Pregnancy and the Effect on Mothers and Fet.docx
Physical Activity during Pregnancy and the Effect on Mothers and Fet.docx
mattjtoni51554
 
pre post natal.pptx
pre post natal.pptxpre post natal.pptx
pre post natal.pptx
RoudyKhoury3
 
Female Athlete Triad
Female Athlete TriadFemale Athlete Triad
Female Athlete Triadsammie1091
 
Dr.S.Akila fitness trends & healthy life style
Dr.S.Akila   fitness trends & healthy life styleDr.S.Akila   fitness trends & healthy life style
Dr.S.Akila fitness trends & healthy life style
AKILA SHANMUGA SUNDARAM
 
OBESITY IN PREGNANCY.pptx
OBESITY IN PREGNANCY.pptxOBESITY IN PREGNANCY.pptx
OBESITY IN PREGNANCY.pptx
NidaKhan779411
 
Women's health antenatal post natal
Women's health antenatal post natalWomen's health antenatal post natal
Women's health antenatal post natal
Thangamani Ramalingam
 
Session 1 range of clients
Session 1 range of clientsSession 1 range of clients
Session 1 range of clientslisamckay
 

Similar to Pregnant athlete (20)

Exercise and Pregnancy
Exercise  and PregnancyExercise  and Pregnancy
Exercise and Pregnancy
 
Diabetes Asia
Diabetes AsiaDiabetes Asia
Diabetes Asia
 
Exercise in Gestational Diabetes information provided by diabetesasia.org
Exercise in Gestational Diabetes information provided by diabetesasia.orgExercise in Gestational Diabetes information provided by diabetesasia.org
Exercise in Gestational Diabetes information provided by diabetesasia.org
 
Diabetes Care solution in india
Diabetes Care solution in indiaDiabetes Care solution in india
Diabetes Care solution in india
 
Exercise during Pregnancy
Exercise during PregnancyExercise during Pregnancy
Exercise during Pregnancy
 
Exercise During Pregnancy
Exercise During PregnancyExercise During Pregnancy
Exercise During Pregnancy
 
SPORTS PSYCHOLOGY IN SPORTS MEDICINE
SPORTS PSYCHOLOGY IN SPORTS MEDICINESPORTS PSYCHOLOGY IN SPORTS MEDICINE
SPORTS PSYCHOLOGY IN SPORTS MEDICINE
 
physical activity and pregnancy
physical activity and pregnancyphysical activity and pregnancy
physical activity and pregnancy
 
Seminar presentation 2
Seminar presentation 2Seminar presentation 2
Seminar presentation 2
 
Community Nutrition Assesment final draft of paper
Community Nutrition Assesment final draft of paperCommunity Nutrition Assesment final draft of paper
Community Nutrition Assesment final draft of paper
 
(마더세이프 라운드) exercise in pregnancy
(마더세이프 라운드)  exercise in pregnancy (마더세이프 라운드)  exercise in pregnancy
(마더세이프 라운드) exercise in pregnancy
 
Dynapenia, Sarcopenia and Obesity: Clinical Impacts and Treatments
Dynapenia, Sarcopenia and Obesity: Clinical Impacts and TreatmentsDynapenia, Sarcopenia and Obesity: Clinical Impacts and Treatments
Dynapenia, Sarcopenia and Obesity: Clinical Impacts and Treatments
 
Reilly_Erinn_Eating Disorders Research Action Plan
Reilly_Erinn_Eating Disorders Research Action PlanReilly_Erinn_Eating Disorders Research Action Plan
Reilly_Erinn_Eating Disorders Research Action Plan
 
Physical Activity during Pregnancy and the Effect on Mothers and Fet.docx
Physical Activity during Pregnancy and the Effect on Mothers and Fet.docxPhysical Activity during Pregnancy and the Effect on Mothers and Fet.docx
Physical Activity during Pregnancy and the Effect on Mothers and Fet.docx
 
pre post natal.pptx
pre post natal.pptxpre post natal.pptx
pre post natal.pptx
 
Female Athlete Triad
Female Athlete TriadFemale Athlete Triad
Female Athlete Triad
 
Dr.S.Akila fitness trends & healthy life style
Dr.S.Akila   fitness trends & healthy life styleDr.S.Akila   fitness trends & healthy life style
Dr.S.Akila fitness trends & healthy life style
 
OBESITY IN PREGNANCY.pptx
OBESITY IN PREGNANCY.pptxOBESITY IN PREGNANCY.pptx
OBESITY IN PREGNANCY.pptx
 
Women's health antenatal post natal
Women's health antenatal post natalWomen's health antenatal post natal
Women's health antenatal post natal
 
Session 1 range of clients
Session 1 range of clientsSession 1 range of clients
Session 1 range of clients
 

More from Maita Araujo

CANCER DE MAMA CPB 2022.pdf
CANCER DE MAMA CPB 2022.pdfCANCER DE MAMA CPB 2022.pdf
CANCER DE MAMA CPB 2022.pdf
Maita Araujo
 
ATIVIDADE FISICA NO CLIMATERIO 2022.pdf
ATIVIDADE FISICA NO CLIMATERIO 2022.pdfATIVIDADE FISICA NO CLIMATERIO 2022.pdf
ATIVIDADE FISICA NO CLIMATERIO 2022.pdf
Maita Araujo
 
Tríade Atleta e RED-S para ortopedistas
Tríade Atleta e RED-S para ortopedistasTríade Atleta e RED-S para ortopedistas
Tríade Atleta e RED-S para ortopedistas
Maita Araujo
 
O ensino do esporte para Ginecologistas: onde estamos e para onde vamos?
O ensino do esporte para Ginecologistas: onde estamos e para onde vamos?O ensino do esporte para Ginecologistas: onde estamos e para onde vamos?
O ensino do esporte para Ginecologistas: onde estamos e para onde vamos?
Maita Araujo
 
Recomendações de Atividade Física no Climatério
Recomendações de Atividade Física no ClimatérioRecomendações de Atividade Física no Climatério
Recomendações de Atividade Física no Climatério
Maita Araujo
 
Triade da Mulher Atleta
Triade da Mulher AtletaTriade da Mulher Atleta
Triade da Mulher Atleta
Maita Araujo
 
Atividade fisica ecancer de mama 2019
Atividade fisica ecancer de mama 2019Atividade fisica ecancer de mama 2019
Atividade fisica ecancer de mama 2019
Maita Araujo
 

More from Maita Araujo (7)

CANCER DE MAMA CPB 2022.pdf
CANCER DE MAMA CPB 2022.pdfCANCER DE MAMA CPB 2022.pdf
CANCER DE MAMA CPB 2022.pdf
 
ATIVIDADE FISICA NO CLIMATERIO 2022.pdf
ATIVIDADE FISICA NO CLIMATERIO 2022.pdfATIVIDADE FISICA NO CLIMATERIO 2022.pdf
ATIVIDADE FISICA NO CLIMATERIO 2022.pdf
 
Tríade Atleta e RED-S para ortopedistas
Tríade Atleta e RED-S para ortopedistasTríade Atleta e RED-S para ortopedistas
Tríade Atleta e RED-S para ortopedistas
 
O ensino do esporte para Ginecologistas: onde estamos e para onde vamos?
O ensino do esporte para Ginecologistas: onde estamos e para onde vamos?O ensino do esporte para Ginecologistas: onde estamos e para onde vamos?
O ensino do esporte para Ginecologistas: onde estamos e para onde vamos?
 
Recomendações de Atividade Física no Climatério
Recomendações de Atividade Física no ClimatérioRecomendações de Atividade Física no Climatério
Recomendações de Atividade Física no Climatério
 
Triade da Mulher Atleta
Triade da Mulher AtletaTriade da Mulher Atleta
Triade da Mulher Atleta
 
Atividade fisica ecancer de mama 2019
Atividade fisica ecancer de mama 2019Atividade fisica ecancer de mama 2019
Atividade fisica ecancer de mama 2019
 

Recently uploaded

Haridwar ❤CALL Girls 🔝 89011★83002 🔝 ❤ℂall Girls IN Haridwar ESCORT SERVICE❤
Haridwar ❤CALL Girls 🔝 89011★83002 🔝 ❤ℂall Girls IN Haridwar ESCORT SERVICE❤Haridwar ❤CALL Girls 🔝 89011★83002 🔝 ❤ℂall Girls IN Haridwar ESCORT SERVICE❤
Haridwar ❤CALL Girls 🔝 89011★83002 🔝 ❤ℂall Girls IN Haridwar ESCORT SERVICE❤
ranishasharma67
 
Neuro Saphirex Cranial Brochure
Neuro Saphirex Cranial BrochureNeuro Saphirex Cranial Brochure
Neuro Saphirex Cranial Brochure
RXOOM Healthcare Pvt. Ltd. ​
 
Myopia Management & Control Strategies.pptx
Myopia Management & Control Strategies.pptxMyopia Management & Control Strategies.pptx
Myopia Management & Control Strategies.pptx
RitonDeb1
 
VVIP Dehradun Girls 9719300533 Heat-bake { Dehradun } Genteel ℂall Serviℂe By...
VVIP Dehradun Girls 9719300533 Heat-bake { Dehradun } Genteel ℂall Serviℂe By...VVIP Dehradun Girls 9719300533 Heat-bake { Dehradun } Genteel ℂall Serviℂe By...
VVIP Dehradun Girls 9719300533 Heat-bake { Dehradun } Genteel ℂall Serviℂe By...
rajkumar669520
 
.Metabolic.disordersYYSSSFFSSSSSSSSSSDDD
.Metabolic.disordersYYSSSFFSSSSSSSSSSDDD.Metabolic.disordersYYSSSFFSSSSSSSSSSDDD
.Metabolic.disordersYYSSSFFSSSSSSSSSSDDD
samahesh1
 
CHAPTER 1 SEMESTER V PREVENTIVE-PEDIATRICS.pdf
CHAPTER 1 SEMESTER V PREVENTIVE-PEDIATRICS.pdfCHAPTER 1 SEMESTER V PREVENTIVE-PEDIATRICS.pdf
CHAPTER 1 SEMESTER V PREVENTIVE-PEDIATRICS.pdf
Sachin Sharma
 
Antibiotic Stewardship by Anushri Srivastava.pptx
Antibiotic Stewardship by Anushri Srivastava.pptxAntibiotic Stewardship by Anushri Srivastava.pptx
Antibiotic Stewardship by Anushri Srivastava.pptx
AnushriSrivastav
 
Medical Technology Tackles New Health Care Demand - Research Report - March 2...
Medical Technology Tackles New Health Care Demand - Research Report - March 2...Medical Technology Tackles New Health Care Demand - Research Report - March 2...
Medical Technology Tackles New Health Care Demand - Research Report - March 2...
pchutichetpong
 
ABDOMINAL COMPARTMENT SYSNDROME
ABDOMINAL COMPARTMENT SYSNDROMEABDOMINAL COMPARTMENT SYSNDROME
ABDOMINAL COMPARTMENT SYSNDROME
Rommel Luis III Israel
 
R3 Stem Cells and Kidney Repair A New Horizon in Nephrology.pptx
R3 Stem Cells and Kidney Repair A New Horizon in Nephrology.pptxR3 Stem Cells and Kidney Repair A New Horizon in Nephrology.pptx
R3 Stem Cells and Kidney Repair A New Horizon in Nephrology.pptx
R3 Stem Cell
 
Artificial Intelligence to Optimize Cardiovascular Therapy
Artificial Intelligence to Optimize Cardiovascular TherapyArtificial Intelligence to Optimize Cardiovascular Therapy
Artificial Intelligence to Optimize Cardiovascular Therapy
Iris Thiele Isip-Tan
 
Jaipur ❤cALL gIRLS 89O1183002 ❤ℂall Girls IN JaiPuR ESCORT SERVICE
Jaipur ❤cALL gIRLS 89O1183002 ❤ℂall Girls IN JaiPuR ESCORT SERVICEJaipur ❤cALL gIRLS 89O1183002 ❤ℂall Girls IN JaiPuR ESCORT SERVICE
Jaipur ❤cALL gIRLS 89O1183002 ❤ℂall Girls IN JaiPuR ESCORT SERVICE
ranishasharma67
 
ICH Guidelines for Pharmacovigilance.pdf
ICH Guidelines for Pharmacovigilance.pdfICH Guidelines for Pharmacovigilance.pdf
ICH Guidelines for Pharmacovigilance.pdf
NEHA GUPTA
 
Navigating Challenges: Mental Health, Legislation, and the Prison System in B...
Navigating Challenges: Mental Health, Legislation, and the Prison System in B...Navigating Challenges: Mental Health, Legislation, and the Prison System in B...
Navigating Challenges: Mental Health, Legislation, and the Prison System in B...
Guillermo Rivera
 
The Importance of Community Nursing Care.pdf
The Importance of Community Nursing Care.pdfThe Importance of Community Nursing Care.pdf
The Importance of Community Nursing Care.pdf
AD Healthcare
 
Telehealth Psychology Building Trust with Clients.pptx
Telehealth Psychology Building Trust with Clients.pptxTelehealth Psychology Building Trust with Clients.pptx
Telehealth Psychology Building Trust with Clients.pptx
The Harvest Clinic
 
Health Education on prevention of hypertension
Health Education on prevention of hypertensionHealth Education on prevention of hypertension
Health Education on prevention of hypertension
Radhika kulvi
 
The Docs PPG - 30.05.2024.pptx..........
The Docs PPG - 30.05.2024.pptx..........The Docs PPG - 30.05.2024.pptx..........
The Docs PPG - 30.05.2024.pptx..........
TheDocs
 
💘Ludhiana ℂall Girls 📞]][89011★83002][[ 📱 ❤ESCORTS service in Ludhiana💃💦Ludhi...
💘Ludhiana ℂall Girls 📞]][89011★83002][[ 📱 ❤ESCORTS service in Ludhiana💃💦Ludhi...💘Ludhiana ℂall Girls 📞]][89011★83002][[ 📱 ❤ESCORTS service in Ludhiana💃💦Ludhi...
💘Ludhiana ℂall Girls 📞]][89011★83002][[ 📱 ❤ESCORTS service in Ludhiana💃💦Ludhi...
ranishasharma67
 
India Clinical Trials Market: Industry Size and Growth Trends [2030] Analyzed...
India Clinical Trials Market: Industry Size and Growth Trends [2030] Analyzed...India Clinical Trials Market: Industry Size and Growth Trends [2030] Analyzed...
India Clinical Trials Market: Industry Size and Growth Trends [2030] Analyzed...
Kumar Satyam
 

Recently uploaded (20)

Haridwar ❤CALL Girls 🔝 89011★83002 🔝 ❤ℂall Girls IN Haridwar ESCORT SERVICE❤
Haridwar ❤CALL Girls 🔝 89011★83002 🔝 ❤ℂall Girls IN Haridwar ESCORT SERVICE❤Haridwar ❤CALL Girls 🔝 89011★83002 🔝 ❤ℂall Girls IN Haridwar ESCORT SERVICE❤
Haridwar ❤CALL Girls 🔝 89011★83002 🔝 ❤ℂall Girls IN Haridwar ESCORT SERVICE❤
 
Neuro Saphirex Cranial Brochure
Neuro Saphirex Cranial BrochureNeuro Saphirex Cranial Brochure
Neuro Saphirex Cranial Brochure
 
Myopia Management & Control Strategies.pptx
Myopia Management & Control Strategies.pptxMyopia Management & Control Strategies.pptx
Myopia Management & Control Strategies.pptx
 
VVIP Dehradun Girls 9719300533 Heat-bake { Dehradun } Genteel ℂall Serviℂe By...
VVIP Dehradun Girls 9719300533 Heat-bake { Dehradun } Genteel ℂall Serviℂe By...VVIP Dehradun Girls 9719300533 Heat-bake { Dehradun } Genteel ℂall Serviℂe By...
VVIP Dehradun Girls 9719300533 Heat-bake { Dehradun } Genteel ℂall Serviℂe By...
 
.Metabolic.disordersYYSSSFFSSSSSSSSSSDDD
.Metabolic.disordersYYSSSFFSSSSSSSSSSDDD.Metabolic.disordersYYSSSFFSSSSSSSSSSDDD
.Metabolic.disordersYYSSSFFSSSSSSSSSSDDD
 
CHAPTER 1 SEMESTER V PREVENTIVE-PEDIATRICS.pdf
CHAPTER 1 SEMESTER V PREVENTIVE-PEDIATRICS.pdfCHAPTER 1 SEMESTER V PREVENTIVE-PEDIATRICS.pdf
CHAPTER 1 SEMESTER V PREVENTIVE-PEDIATRICS.pdf
 
Antibiotic Stewardship by Anushri Srivastava.pptx
Antibiotic Stewardship by Anushri Srivastava.pptxAntibiotic Stewardship by Anushri Srivastava.pptx
Antibiotic Stewardship by Anushri Srivastava.pptx
 
Medical Technology Tackles New Health Care Demand - Research Report - March 2...
Medical Technology Tackles New Health Care Demand - Research Report - March 2...Medical Technology Tackles New Health Care Demand - Research Report - March 2...
Medical Technology Tackles New Health Care Demand - Research Report - March 2...
 
ABDOMINAL COMPARTMENT SYSNDROME
ABDOMINAL COMPARTMENT SYSNDROMEABDOMINAL COMPARTMENT SYSNDROME
ABDOMINAL COMPARTMENT SYSNDROME
 
R3 Stem Cells and Kidney Repair A New Horizon in Nephrology.pptx
R3 Stem Cells and Kidney Repair A New Horizon in Nephrology.pptxR3 Stem Cells and Kidney Repair A New Horizon in Nephrology.pptx
R3 Stem Cells and Kidney Repair A New Horizon in Nephrology.pptx
 
Artificial Intelligence to Optimize Cardiovascular Therapy
Artificial Intelligence to Optimize Cardiovascular TherapyArtificial Intelligence to Optimize Cardiovascular Therapy
Artificial Intelligence to Optimize Cardiovascular Therapy
 
Jaipur ❤cALL gIRLS 89O1183002 ❤ℂall Girls IN JaiPuR ESCORT SERVICE
Jaipur ❤cALL gIRLS 89O1183002 ❤ℂall Girls IN JaiPuR ESCORT SERVICEJaipur ❤cALL gIRLS 89O1183002 ❤ℂall Girls IN JaiPuR ESCORT SERVICE
Jaipur ❤cALL gIRLS 89O1183002 ❤ℂall Girls IN JaiPuR ESCORT SERVICE
 
ICH Guidelines for Pharmacovigilance.pdf
ICH Guidelines for Pharmacovigilance.pdfICH Guidelines for Pharmacovigilance.pdf
ICH Guidelines for Pharmacovigilance.pdf
 
Navigating Challenges: Mental Health, Legislation, and the Prison System in B...
Navigating Challenges: Mental Health, Legislation, and the Prison System in B...Navigating Challenges: Mental Health, Legislation, and the Prison System in B...
Navigating Challenges: Mental Health, Legislation, and the Prison System in B...
 
The Importance of Community Nursing Care.pdf
The Importance of Community Nursing Care.pdfThe Importance of Community Nursing Care.pdf
The Importance of Community Nursing Care.pdf
 
Telehealth Psychology Building Trust with Clients.pptx
Telehealth Psychology Building Trust with Clients.pptxTelehealth Psychology Building Trust with Clients.pptx
Telehealth Psychology Building Trust with Clients.pptx
 
Health Education on prevention of hypertension
Health Education on prevention of hypertensionHealth Education on prevention of hypertension
Health Education on prevention of hypertension
 
The Docs PPG - 30.05.2024.pptx..........
The Docs PPG - 30.05.2024.pptx..........The Docs PPG - 30.05.2024.pptx..........
The Docs PPG - 30.05.2024.pptx..........
 
💘Ludhiana ℂall Girls 📞]][89011★83002][[ 📱 ❤ESCORTS service in Ludhiana💃💦Ludhi...
💘Ludhiana ℂall Girls 📞]][89011★83002][[ 📱 ❤ESCORTS service in Ludhiana💃💦Ludhi...💘Ludhiana ℂall Girls 📞]][89011★83002][[ 📱 ❤ESCORTS service in Ludhiana💃💦Ludhi...
💘Ludhiana ℂall Girls 📞]][89011★83002][[ 📱 ❤ESCORTS service in Ludhiana💃💦Ludhi...
 
India Clinical Trials Market: Industry Size and Growth Trends [2030] Analyzed...
India Clinical Trials Market: Industry Size and Growth Trends [2030] Analyzed...India Clinical Trials Market: Industry Size and Growth Trends [2030] Analyzed...
India Clinical Trials Market: Industry Size and Growth Trends [2030] Analyzed...
 

Pregnant athlete

  • 1. How to manage the pregnant athlete? Maita Poli de Araújo – MD, PhD Professor of Medicine – Laureate International Universities Head of the Section of Sport Gynecology– UNIFESP Doctor at Fleury Laboratory São Paulo - Brazil
  • 2. Parmigiano TR, Zucchi EV, Araujo MP, Castro RA, Jarmy Di Bella ZYK, Girão MJBC, Sartori MGF. Pre-participation gynecological evaluation of female athletes. Einstein 2014;12:459-66 Health Team Physiotherapist Nutritionist Osteopath Psychologist Sport physician Obstetrician Who is the pregnant athlete? How to manage the pregnant athlete? Sport Team Team Manage Head Coach Fitness trainer Biomechanical Media Sponsors
  • 3. Train, train, win, TO GIVE BIRTH, train... How to manage the pregnant athlete? What does she want?
  • 4. An example... How to manage the pregnant athlete?
  • 5. How to manage the pregnant athlete? Serena Williams keeping up her intense workouts up to eight months pregnant
  • 6. How to manage the pregnant athlete?
  • 7. How to manage the pregnant athlete? Serena Williams makes Wimbledon final 10 months after childbirth
  • 8. Pregnant on Summer Olympic Games How to manage the pregnant athlete? Name Year Country Sport Details Juno Stover-Irwin 1952 USA Diving 3 months DeAnne Hemmens 1996 USA Rowing 2 months Cornelia Pohl 2000 GER Archery 7 weeks Anky Van Grusven 2004 NED Equestrian 5 months Katerina Kurova 2008 CZE Shooting 1 months Nur Suryani Mohd Taibi 2012 MAL Shooting 8months Kerri Walsh 2012 USA Beach volley 1 months Anna-Maria Johason 2012 SWE Handball 3 months
  • 9. Anky van Grunsven - 5 months Kerry Walsh - 1 month How to manage the pregnant athlete? 2004 2012 Pregnant with gold medal !
  • 10. Athletes with an uncomplicated pregnancy can continue exercising, although some adjustments in intensity and sport modality may be required ! How to manage the pregnant athlete?
  • 11. 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 Sports to be avoided Risk of falling Physiologic risk Direct trauma to the abdominal wall How to manage the pregnant athlete?
  • 12. JudoRugby Ice hockeyBoxing Direct trauma and risk of falling 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 Wrestling Taekwondo How to manage the pregnant athlete?
  • 13. Physiologic risk Scuba diving • The fetus is not protected from descompression problems • Risk of malformation and gas embolism after descompression disease 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 How to manage the pregnant athlete?
  • 14. Risk of falling (mainly during second and third trimester) 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 Exercício na gestação: benefícios e riscos • Soccer • Handball • Basketball • Volleyball • Gymnastics artistic • BMX, mountain cycling • Freestyle skiing How to manage the pregnant athlete?
  • 15. Adjustments in intensity How to manage the pregnant athlete?
  • 16. Moderate intensity aerobic exercise is safe during pregnancy Forczek W, Curyło M, Forczek B.Physical Activity Assessment During Gestation and Its Outcomes: A Review. Obstet Gynecol Surv. 2017;72(7):425-444 How to manage the pregnant athlete?
  • 17. How to manage the pregnant athlete?
  • 18. Strength training • Pay attention to technique and safety • Caution with Supine position • Avoid the Valsalva maneuver • Avoid excessive pressure towards the pelvic floor How to manage the pregnant athlete?
  • 19. Supine position Side-lying Sitting Standing • Side effects are more likely to occur after 28 weeks of pregnancy How to manage the pregnant athlete?
  • 20. Limitations on Sport performance Alysia Montano – USA - 800 metros USATF's USA Outdoor Track and Field Championships (06/2014) How to manage the pregnant athlete?
  • 21. Estômago – Cardiac – Pulmonar – Muskulosqueletic Mottola et al,.VO2 peak prediction and exercise prescription for pregnant women. MedSci Sports Exerc 2006;38:1389-95. How to manage the pregnant athlete?
  • 22. Wolfe LA, Mottola MF. Aerobic exercise in pregnancy: an update. Can J Appl Physiol 1993;18:119-47 London 2012 Nur Suryani Mohamed Taibi – MAL - 8 months- Shooting Limitations on Sport performance How to manage the pregnant athlete?
  • 23. Warning signs to stop exercising 1. Vaginal bleeding 2. Regular painful contractions 3. Amniotic fluid leakage 4. Dyspnoea prior to exertion 5. Syncope 6. Headache 7. Chest pain 8. Muscle weakness 9. Calf pain or swelling How to manage the pregnant athlete?
  • 24. Efeito Take-home Message How to manage the pregnant athlete?
  • 25. Take-home Message • Pregnant athletes should remain active during pregnancy as long as she modifies her usual exercise routine • The goal of exercising in pregnancy is health maintenance rather than sport performance How to manage the pregnant athlete?
  • 26. How to manage the pregnant athlete?