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Exercise Rx for Pregnancy
Notes on physiology of pregancy and exercise prescription.
19
Physiology
Undergraduate 4
12/03/2009

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Term
list the stages of pregnancy
Definition
Early pregnancy = < 12 weeks
Mid pregnancy = > 13 weeks, < 27 weeks
Late pregnancy = > 28 weeks
Term pregnancy = > 37 weeks
Term
how long is the gestation period?
Definition
38-40 weeks
Term
what happens to VO2 in pregnant women?

what about rest and submax VO2?
Definition
no change!

resting and submax increase up to 30%
Term
what happens to resting and submax HR in pregnant women?
Definition
increase (about 1-15 beats above normal - due to decrease in vagal tone and to meet the metabolic demands of the body)
Term
what happens to stroke volume in pregnant women?
Definition
increases

cardiac output also increases by up to 50% for adequate blood supply to all tissues including the placenta. This places extra burden on the heart which sometimes responds by growing slightly larger than normal.
Term
what happens to A-VO2 diff. in pregnant women?
Definition
increases
Term
what happens to peripheral resistance in pregnant women?
Definition
decreases (vasodilation in uterus, skin, breasts, GI tract, and kidneys)
Term
what happens to blood volume in pregnant women?
Definition
increases (RBC count increases and salt and water are retained)
Term
what happens to tidal volume and respiratory frequency in pregnant women?
Definition
TV increases at rest and decreases during submax exercise

Resp. frequency - increased at rest and decreased during submax exercise

women will also notice SOB with mild exertion (diaphragm cannot fully contract)
Term
how does progesterone play a role in respiratory rate in pregnant women?
Definition
progesterone causes an increased sensitivity to CO2, so the respiratory rate increases from baseline.
Term
If all variables of the oxygen transport system increase, then why is exercise so difficult during pregnancy!?
Definition
1. heart is already working harder to pump increased blood volume, so there is less cardiac reserve.

2. more weight due to fetus, so greater oxygen cost.
Term
what are metabolic/thermoregulation changes with pregnancy? (BMR, metabolic rate during ex, heat production, skin blood supply, sweating threshold, core temp)
Definition
BMR - increased
metabolic rate during exercise - increase
heat production - increased
blood supply to skin - increased
sweating threshold - decreased
core temp - increased
Term
is the fetus at danger or overheating?
Definition
NO! the mother's body is very efficient at ridding the body of heat produced during the exercise and keeps the fetus out of danger
Term
list 5 changes of the musculo-skeletal system.
Definition
1. weight gain (uterus grows and baby grows)
2. center of gravity moves up and forward
3. increased joint laxity (increase in hormone relaxin)
4. increased back pain
5. increased lordodic curve/anterior pelvic tilt
Term
describe 2 functions of Relaxin and one possible danger of too much of this hormone.
Definition
1. allows for pelvic girdle relaxation
2. increases joint laxity among other joints as well

increased joint mobility can lead to an increased risk for injury.
Term
Name 5 changes that occur during the first trimester.
Definition
1.hormone levels fluctuate dramatically leading to nausea.
2.fatigue increases
3.body weight increases
4.metabolic rate increases
5.fetus enlarges, puts pressure on bladder
Term
why is the 1st trimester referred to as a critical period?
Definition
because rapid cell division and growth occur within an organ system. women need to take extra care and avoid harmful behaviors to ensure optimal fetus development.
Term
list some changes that occur during the second trimester.
Definition
1.body adjusts to hormones, nausea subsides
2.fatigue MAY decrease
3.nasal congestion may appear (breathing is difficult due to high levels of estrogen and progesterone)
4.fetus enlarges leading to back pain and more pressure on bladder. (change in center of balance)
5.joints become less stable (increased relaxin)
6.edema increases
Term
what trimester is considered glory time of pregancy?
Definition
second
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