To evaluate an integral approach to the maternal-fetal diad. A randomized non farmacological monocentric trial. 400 women with single spontaneous pregnancies are randomized. 200 recieve standardized traditional obstetrical care 200 recieve nutritional advice, osteopathic treatment, yoga classes, mindfulness classes and coaching as well as regular obstetrical care. We evaluate the psychological status at recruitment, at the end of pregnancy and 40 days after birth.
The first international scientific research project focusing on a holistic approach to pregnancy is starting now at the Clinica Mangiagalli in Milan. This innovative model aims to the gold standard of a "positive pregnancy", which supports both the somatic and psychological component of the mother-newborn unit, and thus organically and proactively prevents the main issues arising during pregnancy and delivery due to unhealthy lifestyles. A team of experts will take comprehensive care of the mother, first by means of an accurate evaluation of her nutritional profile, and then of her biomechanic (osteo-skeletal) state. Then, the experts will lead an "academic" path, which will initiate a development of her biochemistry (through nutrition), respiration (through yoga), physical wellbeing (through osteopathy and yoga); and strengthen her sense of self, removing her self-doubt (through mindfulness and yoga). The women will be supported up until childbirth, so as to attempt to prevent the main complications of pregnancy and of delivery. This model does not aim to substitute the allopathic one which is currently in place (ultrasounds, ob-gyn appointments, tests, etc.), but to enhance its nature in a more effectively THERAPEUTIC manner, increasing the mother-newborn unit's potential of health. In summary: * Weekly mindfulness meet-ups * Weekly yoga meet-ups * Nutritional screening and further check-ups, if needed * Osteopathic screening * Five motivational meetings with a coach * Four obstetrical appointments * Obstetrical screening and check-ups up until childbirth The team in charge of the project is made up of gynaecologists, midwives, psychologists, osteopaths, nutritionists and yoga teachers, who all collaborate on a regular basis with the Clinica Mangiagalli. The project is offered to women free of charge.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
PREVENTION
Masking
NONE
Enrollment
400
Yoga classes, mindfulness classes, coaching, nutrition counselling and osteopathy
Fondazione IRCCS Ca' Granda
Milan, Italy
RECRUITINGEvolution in women's mental health from t0( first trimester) to after birth (40 days after delivery)
evaluated by the means of psychological questionaire SF12
Time frame: from third month of pregnancy to 1 month after delivery
Woman's physical health during pregnancy
weight gain in pregnancy
Time frame: from first trimester of pregnancy to day of delivery
Diagnosis of pregnancy-related diabetes
positive blood glucose curve or fasting glucose \>92 on 2 different measurements
Time frame: from 24 weeks of pregnancy to the day of delivery
Diagnosis of pregnancy-related hypertension
diagnosis of hypertension from the 20th week of gestation to 40 days after delivery
Time frame: from the 20th week of gestation to 40 days after delivery
Woman's osteo-muscular health during pregnancy
diagnosis of low back pain and sciatic nerve pain during pregnancy
Time frame: from the 20th week of gestation to 40 days after delivery
Quality of delivery
number of operative deliveries/ cesarean sections
Time frame: birth
Newborn's health
apgar
Time frame: birth
Newborn's pH
pH at birth
Time frame: birth
Newborn's weight
weight at birth
Time frame: birth
Newborn's blood gas
blood gas at birth
Time frame: birth
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