on Ebscohost including: Medline, CINAHL, and health source: nursing edition Keywords used: pregnancy, maternal/fetal well being, exercise, and health benefits Majority of articles found were from the last five years Synthesis of Findings This PICO question is significant to nursing practice because nurses play a vital role in education for pregnant women in relation to their overall well being and the benefits of exercise (Bungam, Peaslee, Jackson, & Perez, 2000) Levels of evidence included: 3 level I- all meta analyses, 1 level II- a RCT, 3 level III- all perspective longitudinal cohort studies, 1 level IV- a non experimental trial and 1 level VI- a qualitative systemic review The purpose of this research was to examine the best available evidence on aerobic exercise and maternal weight gain during pregnancy in relation to: gestational weight gain, hyperglycemia, postpartum depression, and cesarean delivery rates (Lamina et al., 2013; Streuling et al., 2011; Deierlein et al., 2012; Downs et al., 2008; Barakat et al., 2012) Review of Literature Research indicates if women have no health concerns or contraindications they should exercise throughout the course of their pregnancy. Benefits include, but are not limited to: reduced rates of pre-eclampsia, gestational diabetes, cesarean deliveries, low back pain, anxiety, leg cramps, and control of excessive weight gain (Lamina and Agbanusi, 2013) Those who expend the most calories had a lower chance of developing gestational diabetes, compared to those with low energy expenditure (Putnam, 2013) Maternal weight gain was found to be statistically lower in women who exercised compared to the control group; however, minimal effects were found on the cesarean delivery rates between the experimental and control group (Baraket, Pelaez, Lopez, Montejo, & Coteron, 2012) Women who participated in moderate to vigorous physical activity with a body mass index below 25 kg/m2 have a lower risk of hyperglycemia (Deierlein, Siega-riz, & Evenson, 2012) Body image satisfaction and depressive symptoms both before and during pregnancy played a vital role in determining whether or not a mother would develop depression later in pregnancy or even postpartum. Exercise behavior has been shown to improve body image satisfaction and decrease depressive symptoms which in turn could possibly help prevent mothers from later developing postpartum depression (Downs, Dinallo, & Kirner, 2008)
Recommendations and Discussion Pregnant women should participate in aerobic exercise during the course of their pregnancy, unless contraindicated Due to the results from research, recommendations would be graded as a C according to The United States Preventive Services Task Force (2012) Grade C consists of implementing exercise during pregnancy to specific patients because research showed that the benefit of exercise on women during pregnancy was small and circumstantial Overall, the benefits found from research have shown to greatly outweigh risks, which is why it is recommended for women to be active during the course of their pregnancy Further research needs to be done with more control of confounding variables to determine direct effects of exercise on pregnant women
Una Comparación de Una Solución de Hidróxido de Potasio Al 5 % Con A5 - Fluorouracilo y La Combinación de Ácido Salicílico en Los Pacientes Treatmentof Con Verrugas Anogenitales
Ensayo controlado aleatorio que prueba la viabilidad de una intervención de ejercicio y nutrición para pacientes con cáncer de ovario durante y después de la quimioterapia de primera línea (estudio BENITA)