Effects of Two In-hospital Antepartum Interventions on Functional Ability and Quality of Life in Early Postpartum Women.

Western University, Canada

Status: Completed

Conditions: High-Risk Pregnancy

Treatments: Other: Music Intervention; Other: Muscle Conditioning Intervention

Study type: Interventional

Funder types: Other

Identifiers

NCT02239341

105699

Details and patient eligibility

About

The current standard of care for pregnant women deemed to be high-risk often involves recommending varying levels of activity-restriction, up to and including hospitalization. High levels of activity-restriction can lead to physical deconditioning of the mother, which can be difficult to recover from after birth. The proposed study will investigate whether a mild muscular conditioning program conducted in bed and given to hospitalized activity-restricted high-risk pregnant women will improve functional ability, cardiovascular deconditioning and overall quality of life in the postpartum period compared to a control group with no in hospital bed-rest exercise program. We hypothesize that women with a in-hospital muscle conditioning program will be better able to perform functional ability tasks and activities of daily living than a control group with no exercise program.

Enrollment: 9 patients

Sex: Female

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Hospitalized high-risk pregnant women in hospital for at least 7 days
• Diagnosed with gestational hypertension
• Diagnosed with preeclampsia (mild to moderate)
• Diagnosed with intrauterine growth restriction
• Single baby
• Expecting twins
• Expecting triplets
• Diagnosed with shortened cervix
• Diagnosed with threatened pre-term labour (not actively contracting)

Exclusion criteria

• Diagnosed with symptomatic placenta previa (bleeding)
• Diagnosed with severe pre-eclampsia (immediate delivery)
• Diagnosed with conditions indicating a short term hospital stays of less than 7 days
• Diagnosed with infections
• Diagnosed with heart and renal disease
• Diagnosed with diabetes
• Diagnosed with metabolic bone disease
• Diagnosed with hyper-or-hypo-thyroidism
• Diagnosed with Cushing disease and anemia
• Women carrying more than 3 babies

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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9 participants in 2 patient groups

Music Intervention (M)

Active Comparator group

Description:

The M intervention will be 30 minutes (same amount of time as E group), but the participants will simply be listening to the same music in bed with no exercise component. They will be wearing the heart rate monitor as in the E group. The M group will act as a control group for the E group.

Treatment:

Other: Music Intervention

Muscle Conditioning Intervention (E)

Experimental group

Description:

E (exercise) is 30 minutes in length and will consist of 5 minutes of warm-up, 20 minutes of light strengthening exercises using a theraband, and 5 minutes of cool-down. All exercises will be completed in bed. Each participant will be listening to the same music (as the M group) during exercise. A heart rate monitor will be worn throughout each session. The first session for each participant will be used to complete baseline measurements and to assess initial muscle strength. Difficulty level will be adjusted by using different strength therabands.

Treatment:

Other: Music Intervention

Other: Muscle Conditioning Intervention