Importance of Physical Awareness in Pregnant Women
Gokaraju Rangaraju Institute of Engineering and Technology, Hyderabad, Telangana, India
- *Corresponding Author:
- Sravya I
Gokaraju Rangaraju Institute of Engineering and Technology, Hyderabad, Telangana, India
E-mail: [email protected]
Received date: 15/07/2016; Accepted date: 22/07/2016; Published date: 29/07/2016
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Pregnancy is a stage which almost all the women’s have in their lifetime, it is probably considered as a peculiar or tough stage so women must be very conscious about her health and the changes which are all going to take place further. So to overcome the changes which are taking place in our body we need to be strong enough to face them by having good physical fitness.
Pregnancy, Physical fitness, Exercises, Gynaecologists.
Compared to Indian women most of the other parts of the women [1-5] include exercise as part of their healthy lifestyle.
Physical activity during pregnancy is important for the health of the mother and child and may reduce the risk of adverse maternal [6-12], fetal, and neonatal outcomes. At least 30 minutes of moderate activity is recommended by Obstetricians and Gynaecologists [13-16] for beneficial results.
There has been increasing research interest in interventions which promote physical activity during pregnancy few studies have yielded detailed insights into the views and experiences of overweight and obese pregnant women [17-25] themselves.
Healthy eating was often viewed as being of greater importance for the health of mother and baby than participation in physical activity. A commonly cited motivator for maintaining physical activity during pregnancy is an aid to reducing pregnancyrelated weight gain [26-30]. However, participants often described how they would wait until the postnatal period to try and lose weight. A wide range of barriers to physical activity during pregnancy [31-36] were highlighted including both internal (physical and psychological) and external (work, family, time and environmental).
Interventions to encourage recommended levels of physical activity in pregnancy should be accompanied by accessible and consistent information about the positive effects for mother and baby [37-40]. More research is required to examine how to overcome barriers to physical activity and to understand which interventions could be most effective for overweight/obese pregnant women [41,42]. Midwives should be encouraged to do more to promote activity in pregnancy [43-47].
The principle explanations behind not practicing were tiredness [48-52], feeling unwell, being excessively occupied and, in late pregnancy, activity being uncomfortable. The concern that certain sports might be hazardous to the pregnancy may also affect exercise levels [53-60]. Lack of time, lack of energy, concern for the baby and discomfort caused by activity has also been mentioned as barriers to exercise.
"Being pregnant perhaps is a good trigger, a good motivational point [61-63] to actually maybe take stock of what you are doing, or what you are not doing. And to start making choices which will continue after you're pregnant."
However, awareness of needing to adopt a healthy lifestyle during pregnancy was not always enough to initiate behavioural change [64-68]. "It's not news that you've got to eat well and not smoke and not drink and do activity in pregnancy. I think people are aware and choose to ignore it." Even they what to do and what not to do they opt for the things which are not healthy and might cause nausea [69,70] and dreadful affects.
Form the early stage of pregnancy there will be a lot of involvement of the family members regarding her diet even though she doesn’t like to eat or drink certain things they are forced to do so which might cause them to become obese [71-73] wherein they think of physical fitness to maintain their body structure.
Other internal barriers associated with physical activity in pregnancy included lack of self-confidence and motivation. Most of the women these days they work and they don’t find time to allocate to do any physical activity due to their daily routine life’s and work stress [74-78]. But they are trying to do some sort of physical activities at least for 10-15 min to overcome the stress which they are experiencing during their work.
In some cases women might be carrying their second child wherein they need to take care of their first child and family too [79,80], so they often cited barriers to physical activity which included lack of time, lack of suitable childcare, guilt, and wanting to spend time with their family .
Some women felt that there was a lack of suitable exercise [82-85] classes for pregnant women, due to their work timings they just cannot go and attend the classes.
Pregnant women, who think exercise is effective, do exercise during their pregnancy. Women who do exercise before pregnancy [86,87] also do exercise at their pregnancy. It is very important for the mother and baby to do physical activity before and during pregnancy time. Physical activity awareness should be increased in both pregnant women and women thinking of pregnancy. Primary reasons for exercising during pregnancy were for fitness and enjoyment. Although all women experienced worry about physical activity during pregnancy, most chose to continue to be active. The women opted to modify their physical activity or switch to a new form of exercise [88-90].
Superlatives are prevalent as women relate how they experienced their physical activities during pregnancy. They found it gave more pleasure, well-being, energy and light-heartedness to be physically active. It was described as enjoyable to use one's body , big though it was. It was regarded as a psychological boost to be able to be more active than one anticipated.
Yoga as an activity is perceived as pleasurable, relaxing and meditative for the women who tried it, and is described as a good way to cope with the distended pregnant body. Jogging is described as pleasant work out by most of the women. Strength training [92,93] is described as wonderful. Swimming was found to be the most satisfying form of exercise and was described as pleasant, fantastic and great during pregnancy, even though many of the women did not actually care for swimming prior to their pregnancy.
The pregnant women were happy to be active during pregnancy. Several pushed themselves to increase their heart rate, which was experienced as feeling good. Physical activity  was perceived to reduce weight gain and have a positive impact on aches in the back and lumbar region.
The majority of the women with a physically active lifestyle prior to pregnancy continue this lifestyle into pregnancy, as it is a habit and because of a great desire to maintain it. The challenge facing the woman is that the mind and the body react differently than before pregnancy [95,96]. Pregnancy is a new state in which discomfort, complications, the growing body or uneasiness with physical activity are perceived by the majority of the women as barriers to physical activity. The majority of women overcome these barriers through their own experience, role models, mirroring other pregnant women [97,98] and the counsel of experts (midwives/ physiotherapists) and continue their physical activity, simply at a lower level, through other activities or with other equipment, and derive much pleasure and physical well-being [99-101] from doing so.
- Fatnassi R, et al. Interest of the pelvic packing in post-partum haemorrhage refractory to hysterectomy. GynecolObstet Sunnyvale. 2016;6:370.
- Zenebe K, et al. Prevalence of cultural malpractice and associated factors among women attending mch clinic at debretabor governmental health institutions south Gondar, Amhararegion, North WestEthiopia, 2015. GynecolObstet Sunnyvale. 2016;6:371.
- Saleh HS, et al. Undiagnosed adnexal masses: can be managed by laparoscopy assisted colpotomy? GynecolObstet Sunnyvale. 2016;6:372.
- de Albuquerque Pontes CM, et al. Laparoscopic repair of ureteral injury in gynaecologic surgery. GynecolObstet Sunnyvale. 2016;6:373.
- Di Gregorio M, et al. Female urethral diverticulum: diagnosis, treatment and outcome. GynecolObstet Sunnyvale. 2016;6:374.
- Kovac SR, et al. 28 Years of using hysterectomy guidelines to determine the feasibility of vaginal hysterectomy. GynecolObstet Sunnyvale. 2016;6:375.
- Teixeira A and Machado HS. Who caesarean section rate: relevance and ubiquity at the present day – a review article. J Preg Child Health. 2016;3:233.
- Dufek JS, et al. Effects of active workstation use on walking mechanics and work efficiency. J Nov Physiother. 2016;6:289.
- Mitsuo A, et al. The effects of different force directions and resistance levels during unilateral resistive static contraction of the lower trunk muscles on the ipsilateral soleus h-reflex in the side-lying position.J Nov Physiother. 2016;6:290.
- Kumar C and Ostwal P. Comparison between tasks - oriented training and proprioceptive neuromuscular facilitation exercises on lower extremity function in cerebral palsy-a randomized clinical trial. J Nov Physiother. 2016;6:291.
- Gastaldi AC. Flutter device review: Effects on secretion and pulmonary function. J Nov Physiother. 2016;6:292.
- McSweeney S. First metatarsophalangeal joint osteoarthritis – a clinical review.J Nov Physiother. 2016;6:293.
- Chao YH and Chen YH. Proprioceptive neuromuscular facilitation approach for functioning muscle transfer: a case report. J Nov Physiother. 2016;6:294.
- Romanowski MW, et al. Deep tissue massage and its effect on low back pain and functional capacity of pregnant women - a case study. J Nov Physiother. 2016;6:295.
- Cantero-Téllez R, et al. Physiotherapy and occupational therapy evidence-based intervention after carpal tunnel release: literature review. J Nov Physiother. 2016;6:296.
- Aruin AS. Enhancing anticipatory postural adjustments: A novel approach to balance rehabilitation.J Nov Physiother. 2016;6:e144.
- Kumar C and Pathan N. Effectiveness of manual perturbation exercises in improving balance, function and mobility in stroke patients: A randomized controlled trial. J Nov Physiother. 2016;6:284.
- Scoppa F, et al. Treating balance disorders with ulllt acupuncture stimulation: a further pilot study on normal subjects confirms clinical applicability of treatment. J Nov Physiother. 2016;6:285.
- Trouvin AP, et al. Assessing the benefit of an educational program in a rehabilitation program over a week in 99 patients with chronic low back pain. J Nov Physiother. 2016;6:286.
- Katarzyna K, et al. Kinesiology taping in cervical vertigo treatment. J Nov Physiother. 2016;6:287.
- Lioce E, et al. Personalized therapeutic ultrasound in shoulder disease: Multimodal assessment and results. J Nov Physiother. 2016;6:288.
- Cosimo C, et al. Effectiveness of single functional electrical stimulation in neurological patients with ankle-foot orthoses. J Nov Physiother. 2016;6:280.
- Bailey SP, et al. Predictors of health related quality of life in adults 50 years and older. J Nov Physiother. 2016;6:281.
- Taulaniemi RPA, et al. Reliability of musculoskeletal fitness tests and movement control impairment test battery in female health-care personnel with re-current low back pain. J Nov Physiother. 2016;6:282.
- Curtis B, et al. Acute effects of neural mobilization and static hamstring stretching on multi-joint flexibility in a group of young adults. J Nov Physiother. 2016;6:283.
- Nigatu DT and Segni MT. Barriers to contraceptive use among child bearing women in Ambo town, west Shewazone, Oromiaregional state, Ethiopia. GynecolObstet Sunnyvale. 2016;6:352.
- Sahli N, et al. Cervical cancer: prognostic and evolution after radiotherapy results from a single institution. GynecolObstet Sunnyvale. 2016;6:353.
- Sahli N, et al. Impact of treatment duration on cervical cancer outcomes: Results from a single institution. GynecolObstet Sunnyvale. 2016;6:354.
- Denakpo J, et al. Profile, morbidities and symptoms management of menopausal women, in Cotonou. GynecolObstet Sunnyvale. 2016;6:355
- Musa A and Amano A. Determinants of birth preparedness and complication readiness among pregnant woman attending antenatal care at dilchora referral hospital, dire Dawacity, east Ethiopia. GynecolObstet Sunnyvale. 2016;6:356.
- Mika A, et al. Exoskeletons - the new technology in rehabilitation. J Nov Physiother. 2015;5:e142.
- Angoules AG, et al. Suprascapular neuropathy: An overview. J Nov Physiother. 2015;5:e143.
- Piemonte MEP, et al. A comparison between task oriented and client-centred task-oriented approaches to improve upper limb functioning in people with sub-acute stroke. J Nov Physiother. 2015;5:277.
- Cantero-Téllez R, et al. Cross-cultural adaptation, internal consistency and validity of the handwriting proficiency screening questionnaire hpsq for Spanish primary school-age children. J NovPhysiother. 2015;5:278.
- Azam AM. Efficacy of stomatognathic alignment exercise program on mouth opening limitation improvement in spastic myogenic temporomandibular disorder of hemiparetic cerebral palsy children. J Nov Physiother. 2015;5:279.
- Galyfos G, et al. Exercise therapy in patients with intermittent claudication. J Nov Physiother. 2015;5:e140.
- Hoover LD and VanWye RW. Routine abdominal examination: a necessary step for primary care physical therapists. J Nov Physiother. 2015;5:e141.
- Lawson D, et al. Kinesio®tex tape: valuable conservative treatment for plantar fasciitis? J Nov Physiother. 2015;5:271.
- Telegbal VS. Static foot posture - predictor of dynamic foot motion.J Nov Physiother. 2015;5:272.
- Mohamed Hussein NAM, et al. Effect of combined balance and isotonic resistive exercises versus isotonic resistive exercise alone on proprioception and stabilizing reactions of quadriceps and hamstrings and functional capacity of knee osteoarthritis patients. J Nov Physiother. 2015;5:273.
- Imhof K, et al. Examining the association between physical fitness, spinal flexibility, spinal posture and reported back pain in 6 to 8 year old children. J Nov Physiother. 2015;5:274.
- Medina-porqueres I, et al. Prospective, multicenter study protocol to adaptate and validate the simple shoulder test to Spanish population. J Nov Physiother. 2015;5:275.
- Kumar C and Gupta N. A comparison between task oriented and client-centred task-oriented approaches to improve upper limb functioning in people with sub-acute stroke. J Nov Physiother. 2015;5:276.
- Niwald M, et al. Understanding and treating cognitive function deficits in multiple sclerosis. J Nov Physiother. 2015;5:139.
- Borges MCD, et al. Experimental model of suit therapy with traction bands in vertebral bone remodeling in Wistarrats. J Nov Physiother. 2015;5:267.
- Tanaka R, et al. Are psychological factors associated with pain worsening in individuals with knee osteoarthritis? A systematic review.J Nov Physiother. 2015;5:268.
- Ishikura F, et al. Effects of citrulline combined with tadalafil on monocrotaline-induced pulmonary hypertension in rats compared with arginine. A systematic review.J Nov Physiother. 2015;5:269.
- Fong SSM, et al. Single-channel electroencephalographic recording in children with developmental coordination disorder: Validity and influence of eye blink artefacts. J Nov Physiother. 2015;5:270.
- Sokunbi OG. Manual therapy and acupuncture in the treatment of patient with cervical spondylosis with radicular pain-case report. J Nov Physiother. 2015;5:263.
- Georgios B, et al. Knee joint mobility during straight and circular gait after acl reconstruction. J Nov Physiother. 2015;5:264.
- De Carvalho TF, et al. The influence of upper limb elevation on balance in elderly women.J Nov Physiother. 2015;5:265.
- Robalo L, et al. Epidemiology of non-specific back pain in children and adolescents: A systematic review of observational studies. J Nov Physiother. 2015;5:266.
- Filis K, et al. Mobilisation after lower limb deep vein thrombosis and post-thrombotic syndrome. J Nov Physiother. 2015;5:e137.
- Angoules AG. Medial tibial stress syndrome in athletes: Diagnostic and therapeutic approach. J Nov Physiother. 2015;5:e138.
- Sahbaz T, et al. A case of glucocorticoid-induced multifocal osteonecrosis.J Nov Physiother. 2015;5:250.
- Wolny T, et al. The influence of physiotherapy on the range of motion and kinesthetic sensation of movement in the radiocarpal articulation in patients with carpal tunnel syndrome.J Nov Physiother. 2015;5:251.
- Samhan AF and Abdelhalim NM. Terbinafine hydrochloride 1% iontophoresis for the treatment of toenail onychomycosis: A randomized placebo controlled study. J Nov Physiother. 2015;5:252.
- Qasem M. Constructivist learning theory in physiotherapy education: a critical evaluation of research. J Nov Physiother. 2015;5:253.
- Al-Abbad H and Al-Howimel A. Translation, adaptation and reliability of modern standard Arabic version of the Roland Morris disability questionnaire. J Nov Physiother. 2015;5:254.
- Angoules AG. Conservative treatment of chronic venous insufficiency.J Nov Physiother. 2015;5:e135.
- Lawson D. Does it need to be new to be novel? J Nov Physiother. 2015;5:e136.
- Aliyu SU, et al. Prevalence of overweight/obesity and undiagnosed hypertension among military personnel in Maiduguri, Nigeria. J Nov Physiother. 2014;4: 237.
- Stasinopoulos D. The effectiveness of isometric contractions combined with eccentric contractions and stretching exercises on pain and disability in lateral elbow tendinopathy. A case report.J Nov Physiother. 2015;5:238.
- Sumchai AP. Chronic low back pain - the exercise prescription. J Nov Physiother. 2015;5:239.
- Brech GC, et al. Conservative treatment for patients with legg-calve-perthes disease: seven years of follow-up. J Nov Physiother. 2015;5:240.
- Jepsen JR. Work-related upper limb disorders: how can we improve prevention and management? J Nov Physiother. 2015;5:241.
- Saif AA. Sensitivity and specificity of the amer dizziness diagnostic scale for detecting vestibular system abnormalities. J Nov Physiother. 2015;5:242.
- Pelullo CP, et al. Self-reported changes in health status in a traditional Chinese medicine centre: an observational study. J Nov Physiother. 2015;5:243.
- Anloague PA, et al. The relationship between femoral nerve tension and hip flexor muscle length.J Nov Physiother. 2015;5:244.
- Lam WK, et al. Reliability and asymmetry profiles of myotonometric measurements in healthy skeletal muscles. J Nov Physiother. 2015;5:245.
- Heck TG, et al. Subclinical processes in the development of type two diabetes. J Nov Physiother. 2015;5:246.
- Tousignant M, et al. Assessment of the feasibility of the nintendowii balance board as an intervention method for balance rehabilitation with lower-limb amputees. J Nov Physiother. 2015;5:247.
- Rosa M. Co-contraction role on human motor control. a neural basis. J Nov Physiother. 2015;5:248.
- Koike Y, et al. Low-frequency, whole body vibration induced neurite outgrowth by pc12m3 cells with impaired nerve growth factor-induced neurite outgrowth. J Nov Physiother. 2015;5:249.
- Rath TS, et al. The unchartered waters of obstetrics - rupture of non-communicating rudimentary horn pregnancy rnhp in a bicornuate uterus. GynecolObstet Sunnyvale. 2016;6:347.
- Zilberlicht A, et al. Gullian- barre syndrome in pregnancy – a case report and review of the literature. GynecolObstet Sunnyvale. 2016;6:348.
- Pyra K, et al. Embolisation in the therapy of post-partum haemorrhage in a patient with a massive myoma. GynecolObstet Sunnyvale. 2016;6:349.
- Bizjak T, et al. Prevalence and risk factors of uterine fibroids in north-east Slovenia. GynecolObstet Sunnyvale. 2016;6:350.
- Wu Q, et al. Detection of copy number variants by next-generation sequencing in fetuses with congenital heart disease. GynecolObstet Sunnyvale. 2016;6:351.
- Zeng Y, et al. Symptom profiles, work productivity and quality of life among Chinese female cancer survivors. GynecolObstet Sunnyvale. 2016;6:357.
- Vijaylakshmi AR and Rai S. A prolapsed longitudinal vaginal septum with invaginating cystocele and rectocele: A rare presentation with a unique management. GynecolObstet Sunnyvale. 2016;6:358.
- Lee BN, et al. Leiomyosarcoma of the ovary mimicking gastrointestinal stromal tumor originating from small bowel: A case report and literature review. GynecolObstet Sunnyvale. 2016;6:359.
- Di H, et al. The role of inflammatory cytokines in the pathogenesis of cerebral palsy.GynecolObstetSunnyvale. 2016;6:360.
- Swasti. Evolution of cytoreductive surgery for ovarian cancer – ‘A walk down the memory lane’.GynecolObstet Sunnyvale. 2016;6:e113.
- Bouzid A, et al. Osteoid metaplasia of the endometrium: A case report and literature review. GynecolObstet Sunnyvale. 2016;6:361.
- Latheef R and Bali A. Ewing’s sarcoma of uterus – case report and review of literature. GynecolObstet Sunnyvale. 2016;6:362.
- Rao S and Patibandla A. A study to find out the prevalence of hypothyroidism among pregnant women visiting ESI hospital Sanathnagar, Hyderabad.GynecolObstet Sunnyvale. 2016;6:363.
- Groen RS, et al. Association between shoulder dystocia maneuvers and cervical laceration requiring repair. GynecolObstet Sunnyvale. 2016;6:364.
- Rai S. Impact of co-existent infections on surgical site in caesarean deliveries. GynecolObstet Sunnyvale. 2016;6:365.
- Lee MH, et al. Prognosis predictors of pelvic inflammatory disease among the hospitalized patients. GynecolObstet Sunnyvale. 2016;6:366.
- Tulsiani DRP. New approaches to male contraception.GynecolObstet Sunnyvale. 2016;6:e114.
- Waheed K, et al. Quality of life after menopause in Pakistani women. GynecolObstet Sunnyvale. 2016;6:367.
- Segni MT, et al. Breast self-examination: knowledge, attitude and practice among female health science students at adama science and technology university, Ethiopia. GynecolObstet Sunnyvale. 2016;6:368.
- Corticelli A, et al. Taekwondo and myoinositol supplementation on regularization of menstrual cycle in adolescent athletes: one year follow up observational study. GynecolObstet Sunnyvale. 2016;6:369.
- Stray LL, et al. Neuromuscular regulation problems in attention deficit hyperactivity disorder assessed by the motor function neurological assessment. J Nov Physiother. 2015;5:255.
- Sokunbi OG, et al. Influence of lumbar disc herniation on chronaxie and rheobase in patients with chronic low back pain-a quasi-experimental pilot study. J Nov Physiother. 2015;5:256.
- Uddin Z and MacDermid JC.A knowledge translation perspective on the two quantitative sensory tests and their usability with clinicians.J Nov Physiother. 2015;5:257
- Meshram S. Constructive learning theory: exploring the possibilities for this interactive teaching learning method in physiotherapy education. J Nov Physiother. 2015;5:258.
- Arnulfo RJ, et al. Effectiveness of electro-stimulation as a treatment for Bell ’s palsy: An update review. J Nov Physiother. 2015;5:260.
- Beaulieu-Boire L, et al. Balance rehabilitation using xboxkinect® among an elderly population: a pilot study. J Nov Physiother. 2015;5:261.
- Punnoose A, et al. Rehabilitation of a national taekwondo player following arthroscopic hip surgery: successfully achieving a return to gold medal winning performance levels. J Nov Physiother. 2015;5:262.