Adapted Physical Activity to Promote Quality of Life, Well-being and Physical Activity Levels in Pregnant Women (WELL-DONE!Study)

First Cycle Degree in Midwifery in collaboration with the Department of Biomedical and Neuromotor Sc150 enrolled

Overview

The aim of the WELL-DONE! Study is to co-design, using different professional figures (midwives, psychologists, master's degree in motor science) but also taking into consideration the pregnant women's point of view, an intervention of adapted physical activity for pregnant women, included in the birth accompaniment courses and conducted by midwives, and to evaluate its effectiveness in terms of quality of life, well-being, levels of physical activity and satisfaction with respect to the proposed intervention.

The primary objective is the evaluation of an integrated, co-designed intervention of adapted physical activity, included in the birth accompaniment courses, in order to improve the quality of life of pregnant women. * The secondary objective is the evaluation of the feasibility, efficacy and safety of the intervention in terms of general satisfaction with the proposed intervention, levels of physical activity practiced, physical performance, self-efficacy, sleep quality, anxiety and depression. * The tertiary objective is to translate, adapt and validate in Italian a specific questionnaire to measure physical activity levels in pregnant women, Pregnancy Physical Activity Questionnaire (PPAQ), through the use of Actigraph accelerometers (ActiLife6 wGT3X-BT ).

Study Type

INTERVENTIONAL

Allocation

NON_RANDOMIZED

Purpose

OTHER

Masking

SINGLE

Enrollment

150

Conditions

Pregnant Women

Interventions

Adapted physical activityOTHER

Participants in the experimental group will undergo the adapted physical activity program that will be co-designed during phase I of the study. The 6-week program is aimed at improving the quality of life; increase the physical activity levels according to recommended guidelines; improving body awareness through an educational component; maintain and ameliorate the previous functions (for women previously active) and build the exercise background for sedentary women; increase physical fitness and functional capacity.

Eligibility

Sex: FEMALEHealthy volunteers:

Medical Language ↔ Plain English

Inclusion Criteria: * Pregnant women between the 24th and 32th week. * Pregnant women belonging to the birth accompaniment meetings organized by University Hospital of Bologna Exclusion Criteria: * Alterations in communication skills and / or sensory functions so severe as to make it impossible to understand and / or execute the instructions given by the trainer (dementia, aphasia, blindness, deafness); * Premature Rupture of Membranes (PROM). * Premature labor. * Vaginal bleeding. * Placenta previa after 28 weeks gestation. * Pre-eclampsia * Cervical incontinence * Intrauterine fetal growth delay or arrest. * Plurigemellarità * Uncontrolled type I diabetes. * Uncontrolled hypertension. * Uncontrolled thyroid disease. * Other severe cardiovascular, respiratory or systemic disorders. * Any other condition the operator deems may contraindicate participation in a moderate intensity exercise program.

Outcomes

Primary Outcomes

Change in Women's Quality of Life

12-Item Short-Form Health Survey (SF-12 Questionnaire)

Time frame: Baseline (T1); after 6 weeks of intervention (T2); 3 months after childbirth (T3)

Secondary Outcomes

Change in Physical activity levels

Pregnancy Physical Activity Questionnaire (PPAQ)

Time frame: Baseline (T1); follow-up after 6 weeks (T2); 3 months after childbirth (T3)

Change in Physical Performance

Six minutes walking distance; Sit to stand test