evidence-based practise 1
Adherenceto Walking or Stretching, and Risk for Preeclampsia in SedentaryPregnant Women
Adherence to Walking orStretching, and Risk for Preeclampsia in Sedentary Pregnant Women
Hypertension isone of the greatest contributors of preeclampsia among pregnant women(Ota et al., 2014). Specifically, preeclampsia affects the placenta,thus compromising the exchange of oxygen and nutrients between thefetus and the mother. Consequently, fetuses are at a high risk ofexperiencing stunted growth when their parents are hypertensive dueto inadequate nutrients. Similarly, it can lead to preterm labor andstillbirth (Ota et al., 2014). Arguably, preeclampsia is one of themajor causes of stillbirths across the world because a significantpopulation of the world, including pregnant women, suffers fromhypertension.
The increasedperception and medical evidence categorizing hypertension as a riskfactor in the occurrence of preeclampsia facilitated the inceptionthat enhanced physical condition can reduce the condition (Yeo,2010). However, pregnant women are less likely to adhere toexercises, especially as the pregnancy advances. In fact, inadequatephysical activity has increasingly been associated with hypertension.Consequently, one of the primary remedies for the conditionrecommended by most medical professionals is the engagement ofphysical activities. The theoretical framework underpinning thisstudy is that adhering to physical activities will reducehypertension, consequently reducing preeclampsia.
Summary of the Key Points of the Article
One of the majorpoints discussed in the article is that the prevalence ofpreeclampsia among pregnant women is likely to be high due togestational hypertension. Correspondingly, approximately of 90% ofpeople are at a risk of developing hypertension at some point in life(Gudmundsdottir, 2012). Women are still prone to hypertension despitebeing at relatively lower risk compared to males. These factorsenhance the prevalence of preeclampsia among pregnant women.Therefore, it is realistic to perceive preeclampsia as a globaldisaster since it is facilitated by hypertension. It is appropriatefor governments to reduce hypertension with the aim of preventing theoccurrence of preeclampsia.
Secondly, thearticle focused on proving that adhering to exercises can minimizethe potential adverse effects of preeclampsia among pregnant women.The researchers delved into literature review to find the evidencesupporting this theory. For instance, the review determined thatexercise lowers the heart rate and blood pressure of individuals(Yeo, 2010). Adequate exercise can also regulate hemodynamic andautonomic nervous system. Additionally, exercise can also preventweight gain. Lastly, the article also discussed various types ofexercises that pregnant women can engage to reduce the effect ofpreeclampsia (Yeo, 2010). For instance, the article mentioned walkingand stretching as the most common and safe exercises that pregnantwomen can engage. These types of exercises are relatively commoncompared to others such as jogging because they are easy toimplement. Likewise, they do not require a lot of energy andtechnique to implement. Moreover, they do not pose significant healthrisks such as leg or wrist strain.
Implementation of the EBP
The authorsasserted that it is unrealistic to assume that all pregnant womenwill adhere to various exercises just because they are aware thiswill help in reducing hypertension and preeclampsia (Yeo, 2010). Thehigh prevalence of hypertension in the society highlights the factpeople tend to ignore physical activities despite knowing theirpotential benefits in enhancing health outcomes. One of the majorfacilitators of less participation in physical activities is thatsome activities are complicated, tiresome, and require greattechnique to execute.
Thus, Yeodeveloped a theory which suggested that there can be an enhancedadherence to exercises if they are simple and require less energy toexecute. This theory forms the basis of the formation of theimplementation framework of the EBP. The author conducted arandomized clinical study which sought to compare the effectivenessof two types of exercises: walking and stretching. Nine clinics wereengaged in the study. Additionally, women with two weeks of pregnancyand low-level cardiovascular fitness were eligible for participation.Likewise, eligible women should have led a sedentary lifestyle priorand during the short pregnancy period. Data was obtained by comparingdifferent sessions involving walking and stretching. The studydetermined that pregnant women found it easy to stretch 5 times perweek rather than walking for 40 minutes periodically. Most of theparticipants asserted that walking for 40 minutes every day requireda lot of energy and had relatively more risks compared to stretching(Yeo, 2010).
Application of the Lesson
Most facilitieswhere I have experienced to provide medication as the primaryapproach for managing preeclampsia. Whereas medication is effectivein the management of preeclampsia, it does not target the cause ofthe problem, which is hypertension in this context. This approach canbe applied in facilities which tend to use aspirin to treatpreeclampsia. Pregnant women are likely to take a lot of medicationdue to the various condition. Therefore, substituting aspirinadministration with stretching five times every week can reduce drugfatigue and potential chemical reaction on the development of thefetus. Additionally, advising pregnant women to exercise rather thanconsumer drugs can help them reduce the cost of care.Correspondingly, it would reduce overcrowding in hospitals.
The discussion hasestablished a link between hypertension and preeclampsia.Preeclampsia is one of the major causes of complications inpregnancy. Hypertension tends to facilitate the occurrence ofpreeclampsia in pregnant women. The article under review hasestablished that exercises can be used to reduce hypertension,subsequently controlling the effects of preeclampsia. It can also beused to reduce drug fatigue in pregnant women. Additionally, it hasestablished that stretching five times per week is a realistic EBPframework compared to walking 40 minutes periodically. Pregnant womenare likely to adhere to exercise routines involving stretching asopposed to walking regularly.
Gudmundsdottir, H., Høieggen, A., Stenehjem, A., Waldum, B., &Os, I. (2012). Hypertension in women: latest findings and clinicalimplications. Therapeutic advances in chronic disease,2040622312438935.
Ota, E., Ganchimeg, T., Mori, R., & Souza, J. P. (2014). Riskfactors of pre-eclampsia/eclampsia and its adverse outcomes inlow-and-middle-income countries: a WHO secondary analysis. PloSone, 9(3), e91198.
Yeo, S. (2010). Adherence to walking orstretching, and risk of preeclampsia in sedentary pregnantwomen. Research in nursing & health, 32(4),379-390.