ACOG COMPENDIUM 2013 PDF

The Compendium of Selected Publication USB Drive includes all College Committee Opinions, Patient Safety Checklists, Technology Assessments. The Compendium of Selected Publication CD-ROM includes all College Committee American College of Obstetricians and Gynecologists, Acog. 30 May Compendium of Selected Publications CD-ROM by Acog, , available at Book Depository with free delivery worldwide.

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Support Center Support Center. Preventing excessive gestational weight gain: Future recommendations should incorporate previous and future findings of improved pregnancy outcomes with specific volumes of physical activity. Smith and Christina G. Sufficient, insufficient, and no activity are defined for each of the six guidelines in Table 1.

Physical activity and public health: Exercise during pregnancy among US women. This amount of activity was not specifically selected as the recommended amount of weekly activity during pregnancy because of its association with particular health outcomes in pregnant women.

Data were evaluated for the second and third trimesters to demonstrate the impact of these guidelines across pregnancy. Average total daily activity was drastically reduced by 66 minutes per day when only the activity that lasted for at least a minute bout was counted. Thus, it is important to note that while these studies may not all be directly comparable to one another, the current study provides evidence to explain some of the inconsistencies in the literature and demonstrates the need for health outcomes research to provide pregnancy-specific guidelines for particular maternal and fetal outcomes.

American College of Sports Medicine. Introduction Views on physical activity and exercise during pregnancy have taken on new meanings and implications throughout history. As described, multiple guidelines have been used to assess levels of physical activity and exercise throughout pregnancy.

Paediatric and Perinatal Epidemiology. Lastly, cojpendium activity was defined in the current study by any activity of at least moderate intensity. Validation of compendiim SenseWear armband to predict energy expenditure in pregnant women.

Compendium of Selected Publications CD-ROM by Acog (Hardcover): : Books

Furthermore, it is imperative to use an assessment tool, whether it be subjective or objective, which has been validated for use in pregnant women. It also provided the advantage to capture all accumulated, shorter bouts of at least moderate intensity rather than just longer sustained bouts of activity.

Conflict of Interests None of the authors report any conflict of interests with any of the companies listed in this paper. Views on physical activity and exercise during pregnancy have taken on new meanings and implications throughout history. Table 3 Distribution of pregnant women meeting physical activity guidelines.

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For example, McParlin et al. The SWA uses these sensors via the use of proprietary algorithms to predict the energy expenditure.

Practice Bulletins – ACOG

Canadian Journal of Applied Physiology. Members of the task force met three times over 9 months during and at the College headquarters in Washington, DC. For many years maternal, exercise was thought to harm the fetus or promote adverse pregnancy outcomes such as preterm delivery and fetal growth restriction or small for gestational age infants [ 23 ]. One potential reason for the inconsistencies in defining physical activity during pregnancy and the prevalence of women meeting physical activity guidelines in the literature is the subtle differences in the wording of the ACOG exercise guideline [ 2 ].

Acknowledgments A special recognition is given to the women that participated in this study and the undergraduate and graduate students of Dr.

To evaluate the remaining nonwear time, it was assumed that nearly 1 hour of self-care per day would result in approximately minutes of nonwear time per week; thus files with more than minutes per week of off-body time were deemed as noncompliant and excluded from the analysis for that data collection period.

Measuring energy expenditure in habitually active and sedentary pregnant women. A limitation of the current study is the differing number of women analyzed at week 18 compendum week 35 of pregnancy.

Women already doing compendiium activity compendjum vigorous intensity may continue provided that they remain healthy and discuss their activity with their healthcare provider over time [ 8 ]. Physical Activity Guideline The armband data files were processed and evaluated using six different physical activity guidelines.

Four of these guidelines included the use of a minimum bout of activity, 10 guideline 2 and 3 or 30 minutes guideline 4 and 5. Hypertensive disorders and severe obstetric morbidity in the United States. Journal of the American Medical Association.

This allowed all physical activity of at least moderate intensity to be detected by an objective monitor and eliminated the potential for the recall bias or the incomplete reporting of the physical activity in the physical activity record. Further research is warranted to clearly identify the patterns of activity that are associated with healthy pregnancy outcomes. Percentage of pregnant women meeting physical activity guidelines. French Pregnancy Physical Activity Questionnaire compared with compenxium accelerometer cut point to classify physical activity among pregnant obese women.

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It is possible that a lack of understanding regarding the maternal and fetal benefits of accumulated total activity versus comprndium benefits of activity sustained for a minimum period of time e. This particular nonwear time activity was confirmed to be spent sleeping by checking the physical activity record and subsequently this time was filled as sedentary time, equivalent to 0.

These recommendations of 30 minutes or more of moderate exercise on most, if not all, days of the week were reaffirmed by ACOG in [ 2 ]. The guidelines included 1 minutes of accumulated moderate-vigorous physical activity MVPA [ 2111719 ], 2 minutes of MVPA performed in periods of at least 10 minutes [ 12 ], 3 compendiym of MVPA performed for at least 10 minutes 2103 1 minute of vigorous activity equivalent to 2 minutes of moderate activity M2VPA [ 8 ], 4 at least 3 sessions of MVPA [ 724 ] sustained for at least 30 minutes at a compenduum [ 141623 compendiu, 5 at least 5 sessions of MVPA sustained for at least minutes at a time [ 131520 ], and 6 at least MET minutes accumulated throughout the week [ 18 ].

2013 Compendium of Selected Publications CD-ROM

The previously described studies used a variety of methods both subjective and objective to assess physical activity data and a variety of definitions to determine the adherence to physical activity guidelines. These outcomes include, but are not limited to, excessive gestational weight gain, gestational diabetes, and preeclampsia.

Nineteen women did not complete the study due to pregnancy complications or personal time constraints. Furthermore, the use of multiple guidelines has contributed to conflicting evidence regarding the role of compejdium activity to improve certain pregnancy outcomes, such as healthy gestational weight gain, insulin sensitivity, and preeclampsia. The purpose of this study was twofold: It is my fervent hope that the work of the Task Force on Hypertension in Pregnancy serves as a springboard to these efforts and ultimately translates into improved obstetric care for patients with aacog and other hypertensive disorders of pregnancy in this country and throughout the world.

As a result, the current literature reports considerable discrepancies as to whether or not the maternal physical activity is an effective approach to prevent such complications [ 28 — 34 ].