Huch R
Geburtshilfe Frauenheilkd. 1985 Mar;45(3):140-6. doi: 10.1055/s-2008-1036221.
This article is an attempt to review and to discuss critically the pros and cons of physical stress to which a pregnant woman is subjected by sports activities or by travel. The review is based on theoretical considerations as communicated in the article as well as on facts derived from casual observations or systematic studies. Besides the subjective feeling of well-being of the pregnant woman associated with sports activities, objective data favour the preservation or enhancement of fitness by training during pregnancy; other factors in favour of physical load, and the capacity to sustain such load, are the positive reports on the course of pregnancy, on birth, and on the influence exercised on the child by the sports activities of the pregnant mother, the often-quoted experiences collected during sports activities of competitive sportswomen who are pregnant, and the behaviour of pregnant animals. Risks consist in an increased danger of traumatization of mother and foetus resulting from certain types of sports requiring maintenance of balance or sudden changes of movement. Hyperthermia should be avoided, for example, excessively long-lasting sauna baths, or physical activity associated with high stress, such as marathon running, because thermoregulation is hampered during pregnancy in such a way that blood flow of the uterus is affected; besides, there is also the risk of teratogenic effects during the early stages of pregnancy. Excess physical stress leading to exhaustion of the pregnant woman (in animal experiments, in circulatory collapse) definitely exercises an adverse effect on the foetus.(ABSTRACT TRUNCATED AT 250 WORDS)
本文旨在回顾并批判性地讨论孕妇因体育活动或旅行所承受的身体压力的利弊。该回顾基于本文所阐述的理论思考,以及来自偶然观察或系统研究的事实。除了孕妇参与体育活动时的主观幸福感外,客观数据表明孕期锻炼有助于保持或增强身体素质;其他有利于身体负荷及承受该负荷能力的因素包括关于孕期进程、分娩以及孕妇体育活动对孩子影响的积极报告、经常被引用的怀孕竞技女运动员在体育活动中的经历,以及怀孕动物的行为表现。风险在于某些需要保持平衡或突然改变动作的体育活动会增加母亲和胎儿受创伤的危险。应避免体温过高,例如过长时间的桑拿浴,或与高强度压力相关的体育活动,如马拉松赛跑,因为孕期体温调节受到阻碍,会影响子宫的血液流动;此外,在怀孕早期还存在致畸效应的风险。导致孕妇疲惫的过度身体压力(在动物实验中,会导致循环衰竭)肯定会对胎儿产生不利影响。(摘要截选至250词)