Influencia del programa SWEP (Study Water Exercise Pregnant) en los resultados perinatales: protocolo de estudio

Abstract

Introduction: Moderate exercise training during the pregnancy benefits both the pregnant woman and the fetus. The research papers consulted have linked physical activity with the reduction of the number of cesareans, instrumental delivery and with a more physiological delivery. It also prevents excessive weight gain in women and decreases the risk of gestational diabetes and high blood pressure. Aims: The aim of this research is to know if an exercise program of moderate character with Water Study Exercise Pregnant (SWEP) method, performed in an aquatic environment, contributes to have more favorable results in the perinatal period, both for women and baby. Material and methods: The design is a randomized clinical trial. The sample will consist of 364 pregnant women, with a total universe of 6,579 births occurred in Granada (Spain) during 2014. The sample was divided into two groups, intervention group and control group. The activity will be carried out in the water sporting facilities of the Faculty of Sports Science of the University of Granada, which have two pools suitable for our purposes: a 25-meter polyvalent pool and a 12.5-meter pool for training. Results: The exercise program designed specifically for the project called SWEP is performed from 20 to 37 weeks of gestation (SG), and it consists of three weekly sessions, with duration of 60 minutes each. Sessions will include three phases: warm-up phase, the main phase in which the exercise is divided into an aerobic phase and strength training and endurance training phase and a final phase of stretching and relaxation. The variables that will be studied are: a) Maternal: weight, BMI, blood pressure, O'Sullivan test, postpartum depression, level of self-rated health, sleep quality and perceived exertion during physical activity; b) fetal: weight, Apgar scores, head circumference and GA (Gestational age); c) peripartum: time dilation, expulsion and delivery, type of delivery, episiotomy, type of feed received by the RN and time of exclusive breastfeeding; and d) descriptive: age, occupation, education level, type of exercise done before and OF (obstetric formula). Conclusion: With aquatic moderate physical activity during pregnancy (method SWEP), we intended to improve the variables above.

Physical activity during pregnancy and its influence on delivery time: a randomized clinical trial

“…This exercise provides two main benefits; it improves aerobic capacity and it strengthens the muscles especially involved in childbirth, as well as those in the abdomen and lower back. This results in better muscle tone in the areas of the body most subject to tension during pregnancy, and is excellent preparation for labor, generating increased lung capacity and greater strength and resilience of the muscles involved in each stage of childbirth (Aguilar-Cordero et al, 2016). The SWEP method is applied from weeks 20 to 37 of pregnancy and consists of three 60-minute sessions per week, each with 45 min’ activity followed by 15 min’ relaxation.…”

Peer Review #2 of "Physical activity during pregnancy and its influence on delivery time: a randomized clinical trial (v0.1)"

“…The strength and resistance exercises are then carried out in a pool 10 meters long and 1.50 meters deep, and are also adapted to the women's stage of pregnancy. 10 .…”

Influence of a Water-Based Exercise Program in the Rate of Spontaneous Birth: A Randomized Clinical Trial

“…The women in the EG performed moderate physical exercise in water, following the SWEP method [15]. The women in both groups (EG and CG) received verbal and written dietary advice during pregnancy, including the following recommendations:…”