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(Reference retrieved automatically from Web of Science through information on FAPESP grant and its corresponding number as mentioned in the publication by the authors.)

Maternal blood pressure and heart rate response to pelvic floor muscle training during pregnancy

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Author(s):
Ferreira, Cristine H. [1] ; Naldoni, Luciane M. V. [2] ; Ribeiro, Juliana dos Santos [2] ; Meirelles, Maria Cristina C. C. [3] ; Cavalli, Ricardo de Carvalho [4] ; Bo, Kari [5]
Total Authors: 6
Affiliation:
[1] Univ Sao Paulo, Physiotherapy Course, Dept Biomech Med & Rehabil, Ribeirao Preto Med Sch, Sao Paulo - Brazil
[2] Univ Sao Paulo, Fac Med Ribeirao Preto, Rehabil & Funct Performance Program, Sao Paulo - Brazil
[3] Fed Univ Minas Triangle, Uberaba - Brazil
[4] Univ Sao Paulo, Dept Gynecol & Obstet, Ribeirao Preto Med Sch, Sao Paulo - Brazil
[5] Norwegian Sch Sport Sci, Dept Sports Med, Oslo - Norway
Total Affiliations: 5
Document type: Journal article
Source: ACTA OBSTETRICIA ET GYNECOLOGICA SCANDINAVICA; v. 93, n. 7, p. 678-683, JUL 2014.
Web of Science Citations: 3
Abstract

Objectives. To assess whether maternal blood pressure (BP) and heart rate (HR) change significantly in response to pelvic floor muscle training during pregnancy. Design. Longitudinal exploratory study with repeated measurements. Sample. Twenty-seven nulliparous healthy women of mean age 23.3 years (range 18-36) and mean body mass index 23.4 (range 23.1-29.5). Methods. Individual supervised pelvic floor muscle training from gestational week 20 till 36 with assessment of BP and HR at gestational weeks 20, 24, 28, 32 and 36. Main outcome measures. Systolic and diastolic BP was measured before and after each training session and HR was monitored during each session. Results. Pelvic floor muscle training did not change BP. 77% (n = 21) of participants exceeded 70% of estimated maximum HR during at least one session. The time for exceeding 70% of estimated maximum HR was between 2.2 and 3.2 % of the total exercise session. Increases in BP and HR from gestational weeks 20 till 36 were within normal limits for pregnant women. Conclusions. Pelvic floor muscle training in nulliparous sedentary pregnant women does not increase BP. It significantly increases HR during the exercise sessions, but only for a limited period of time and with no negative long-term effect on BP or HR. (AU)