Does general exercise training before and during pregnancy influence the pelvic floor "opening" and delivery outcome? A 3D/4D ultrasound study following nulliparous pregnant women from mid-pregnancy to childbirth

British Journal of Sports Medicine

Volumn 49, Issue 3, 2015, Pages 196-199

  Bø, Kari ^a,b   Hilde, Gunvor ^a,b   Stær Jensen, Jette ^b   Siafarikas, Franziska ^b   Tennfjord, Merete Kolberg ^a,b   Engh, Marie Ellstrøm ^b  

^a NORWEGIAN SCHOOL OF SPORT SCIENCES   (Norway)

^b AKERSHUS UNIVERSITY HOSPITAL   (Norway)

Author keywords

[No Author keywords available]

Indexed keywords

EXERCISE; FEMALE; FETUS ECHOGRAPHY; HUMAN; MUSCLE CONTRACTION; OBSTETRIC LABOR COMPLICATIONS; PATHOPHYSIOLOGY; PELVIS FLOOR; PHYSIOLOGY; PREGNANCY; PREGNANCY OUTCOME; PROCEDURES; PROSPECTIVE STUDY; SECOND TRIMESTER PREGNANCY; THIRD TRIMESTER PREGNANCY; THREE DIMENSIONAL IMAGING;

EXERCISE; FEMALE; HUMANS; IMAGING, THREE-DIMENSIONAL; MUSCLE CONTRACTION; OBSTETRIC LABOR COMPLICATIONS; PELVIC FLOOR; PREGNANCY; PREGNANCY OUTCOME; PREGNANCY TRIMESTER, SECOND; PREGNANCY TRIMESTER, THIRD; PROSPECTIVE STUDIES; ULTRASONOGRAPHY, PRENATAL;

EID: 84921435990     PISSN: 03063674     EISSN: 14730480     Source Type: Journal    
DOI: 10.1136/bjsports-2014-093548     Document Type: Article

References (32)

1. 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;37:6-12.
2. Wolfe LA, Davies G. Canadian guidelines for exercise in pregnancy. Clin Obstet Gynecol 2003;46:488-95.
3. Kramer MS, McDonald SW. Aerobic exercise for women during pregnancy. Cochrane Database Syst Rev 2006;(3):CD000180.
4. ACOG Practice Bulletin. Dystocia and augmentation of labor. Clin Manag Guidel Obstetrician Gynecologists 2003;49:1445-54.
5. Kruger J, Murphy B, Thompson S. Childbirth and sportswomen: the perceptions of obstetrics caregivers. Vision 2007a;14:7-15.
6. Li X, Kruger JA, Chung J-H, et al. Modelling childbirth: comparing athlete and non-athlete pelvic floor mechanics. Ultrasound Obstet Gynecol 2007;30:81-5.
7. Bø K. Urinary incontinence, pelvic floor dysfunction, exercise and sport. Sports Med 2004;34:451-64.
8. Kruger JA, Murphy BA, Heap SW. Alterations in levator ani morphology in elite nulliparous athletes: a pilot study. Aust N Z J Obstet Gynaecol 2005;45:42-7.
9. Kruger JA, Dietz HP, Murphy BA. Pelvic floor function in elite nulliparous athletes. Ultrasound Obstet Gynecol 2007b;30:81-5.
10. Brækken IH, Majida M, Engh ME, et al. Morphological changes after pelvic floor muscle training measured by 3D ultrasound. Obstet Gynecol 2010;115(2Part 1):317-24.
11. Bø K, Kvarstein B, Hagen R, et al. Pelvic floor muscle exercise for the treatment of female stress urinary incontinence: II. Validity of vaginal pressure measurements of pelvic floor muscle strength and the necessity of supplementary methods for control of correct contraction. Neurourol Urodyn 1990a;9:479-87.
12. Siafarikas F, Stær-Jensen J, Brækken IH, et al. Learning process for performing and analyzing 3D/4D transperineal ultrasound imaging and interobserver reliability study. Utrasound Obstet Gynecol 2013;41:312-17.
13. Stær-Jensen J, Siafarikas F, Hilde G, et al. Ultrasonographic evaluation of pelvic organ support during pregnancy. Obstet Gynecol 2013;122:329-36.
14. Haakstad LAH, Voldner N, Henriksen T, et al. Physical activity level and weight gain in a cohort of pregnant Norwegian women. Acta Obstet Gynecol Scand 2007;86:559-64.
15. Owe KM, Nystad W, Bø K. Correlates of physical activity before and during pregnancy. Scand J Med Sci Sports 2009;19:637-45.
16. Melzer K, Schutz Y, Boulvain M, et al. Physical activity and pregnancy. Cardiovascular adaptations, recommendations and pregnancy outcomes. Sports Med 2010;40:493-507.
17. Boyle R, Hay-Smith EJ, Cody JD, et al. Pelvic floor muscle training for prevention and treatment of urinary and faecal incontinence in antenatal and postnatal women. Cochrane Database Syst Rev 2012;10:CD007471.
18. Agur W, Steggles P, Waterfield M, et al. Does antenatal pelvic floor muscle training affect the outcome of labour? A randomized controlled trial. Int Urogyencol J 2008;19:85-8.
19. Salvesen KÅ, Mørkved S. Randomised controlled trial of pelvic floor muscle training during pregnancy. BMJ 2004;329:378-80.
20. Dias LAR, Driusso P, Cavalcanti DLC, et al. Effect of pelvic floor muscle training on labour and newborn outcomes: a randomized controlled trial. Rev Bras Fisioter 2011;15:487-93.
21. Bø K, Fleten AC, Nystad W. Effect of antenatal pelvic floor muscle training on labor and birth. Obstet Gynecol 2009;113:1279-84.
22. Stafne SN, Salvesen KÅ, Romundstad PR, et al. Regular exercise during pregnancy to prevent gestational diabetes. Obstet Gynecol 2012;119:29-36.
23. Barakat R, Cordero Y, Coteron J, et al. Exercise during pregnancy improves maternal glucose screen at 24-28 weeks: a randomised controlled trial. Br J Sports Med 2012;46:656-61.
24. Ferraro Z, Gruslin A, Adamo KB. An active pregnancy for fetal well-being? The value of active living for most women and their babies. Br J Sports Med 2013;47:813-14.
25. Gjestland K, Bø K, Owe KM, et al. Do pregnant women follow exercise guidelines?Prevalence data among 3482 women, and prediction of low back pain, pelvic girdle pain and depression. Br J Sports Med 2013;47:515-20.
26. Zavorsky GS, Longo LD. Exercise guidelines in pregnancy. Sports Med 2011;41:345-60.
27. Shephard RJ. Limits to the measurement of habitual physical activity by questionnaires. Br J Sports Med 2003;37:197-206.
28. Evenson KR, Chasan-Taber L, Downs DS, et al. Review of self-reported physical activity assessments for pregnancy: summary of the evidence for validity and reliability. Paediatr Perinat Epidemiol 2012;5:479-94.
29. Goldstick O, Constantini N. Urinary incontinence in physically active women and female athletes. Br J Sports Med 2014;48:296-8.
30. Mørkved S, Bø K. Effect of pelvic floor muscle training during pregnancy and after childbirth on prevention and treatment of urinary incontinence: a systematic review. Br J Sports Med 2014;48:299-310.
31. Barakat R, Ruiz JR, Stirling JR, et al. Type of delivery is not affected by light resistance and toning exercise training during pregnancy: a randomized controlled trial. Am J Obstet Gynecol 2009;201:509e.
32. Barakat R, Pelaez M, Lopez C, et al. Exercise during pregnancy reduces the rate of cesarean and instrumental deliveries: results of a randomized controlled trial. J Matern Fetal Neonatal Med 2012;25:2372-6.