Article,

Exercise-related changes in umbilical and uterine artery waveforms as assessed by Doppler ultrasound scans.

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American journal of obstetrics and gynecology, 187 (3): 661--666 (September 2002)

Abstract

The purpose of this study was to assess the effect of strenuous symptom-limited exercise on umbilical and uterine blood flow. Twenty-two primiparous women between 30 and 34 weeks of gestation were recruited. At rest, umbilical and uterine artery waveforms were assessed by measuring the pulsatility index. This was followed by a symptom-limited incremental exercise test. Fetal umbilical and maternal uterine artery circulations were assessed after exercise. Strenuous maternal exercise was demonstrated by the significant change in physiologic parameters, which was associated with an immediate increase in fetal heart rate, a significant increase in the right uterine artery pulsatility index, and a reduction in the umbilical artery pulsatility index. The modest change in the uterine artery pulsatility index without an adverse change in the umbilical artery pulsatility index indicates that a single bout of maximum symptom-limited exercise does not have immediate adverse fetal or maternal cardiovascular effects.

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