Bed-rest exercise, activity restriction, and high-risk pregnancies: A feasibility study
Abstract
This feasibility study investigated the response of maternal heart rate, blood pressure, and uterine contractions to a 30-min bed-rest exercise session (while listening to music) in hospitalized women with varying diagnoses of high-risk pregnancy. Eleven antenatal women who were hospitalized for activity restriction were assigned randomly to either a bed-rest exercise and music group (n = 6) or a bed-rest and music group (n = 5) that involved no exercise. The key findings were that there were no changes in maternal blood pressure or in the number of uterine contractions following the exercise intervention. A supervised bed-rest exercise intervention may, therefore, provide minimal risks and help alleviate the physiological effects of hospital activity restriction.
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A described bed-rest exercise program is shown to be safe for both the pregnant individual and the fetus, with no associated adverse outcomes or increasing uterine activity.
“If bed rest is finally prescribed, or mandatory because of the need for continuous maternal monitoring, a described bed-rest exercise program is shown to be safe for both the pregnant individual and the fetus, with no associated adverse outcomes or increasing uterine activity [48].”
From Activity Restriction and Hospitalization in Pregnancy: Can Bed-Rest Exercise Prevent Deconditioning? A Narrative Review (2023) · cites this paper as [48]
The bed-rest exercise intervention is suggested to be performed at least three times per week, and can be performed daily if timetables allow.
“Although it is suggested that the bed-rest exercise intervention be performed at least three times per week [48], it can be performed daily if timetables allow.”
From Activity Restriction and Hospitalization in Pregnancy: Can Bed-Rest Exercise Prevent Deconditioning? A Narrative Review (2023) · cites this paper as [48]
The described bed-rest exercise program consisted of a 30 min three-phase exercise program using resistance bands for both lower and upper body, with 5 min stretching for warm-up and cool-down, and 20 min of muscle strengthening exercises.
“This consisted of a 30 min three-phase exercise program using resistance bands as a form of resistance exercise for both lower and upper body with 5 min stretching for a warm-up and cool-down phase, and 20 min of muscle strengthening exercises.”
From Activity Restriction and Hospitalization in Pregnancy: Can Bed-Rest Exercise Prevent Deconditioning? A Narrative Review (2023) · cites this paper as [48]
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Bed rest in singleton pregnancies for preventing preterm birth
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“If bed rest is finally prescribed, or mandatory because of the need for continuous maternal monitoring, a described bed-rest exercise program is shown to be safe for both the pregnant individual and the fetus, with no associated adverse outcomes or increasing uterine activity [48].”
BackgroundMethodInfluentialSelf-citationFeasibility of incorporating a bed-rest exercise program during a twin pregnancy: Case reports
Brun, C. R., Hammond, J.-A., & Mottola, M. F. (2012) · Open Journal of Obstetrics and Gynecology · doi:10.4236/ojog.2012.23052 · Cited by 4 · see citing works
Self-citationGeard, A., Doering, T. M., Carron, M. A., & Hayman, M. (2026) · Journal of science and medicine in sport · doi:10.1016/j.jsams.2026.02.017 · Cited by 1 · see citing works
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(2012) · Current Opinion in Obstetrics & Gynecology · doi:10.1097/gco.0b013e32835ae910
How Music Listening Can Support Antepartum and Intrapartum Maternal Well-being
Chrisp, L., Putter, K. C., & Krause, A. E. (2025) · Music Perception An Interdisciplinary Journal · doi:10.1525/mp.2025.2641108
Duranoğlu, R., Turfan, E. Ç., Akyüz, M. D., & Saydam, B. K. (2026) · Bütünleyici ve Anadolu Tıbbı Dergisi · doi:10.53445/batd.1969890
- Authors
- Brun, C. R., Shoemaker, J. K., Bocking, A., Hammond, J.-A., Poole, M., & Mottola, M. F.
- Affiliations
- Western University (CA)
- Mount Sinai Hospital (CA)
- St Joseph's Health Care (CA)
- Venue
- Applied Physiology Nutrition and Metabolism
- Publisher
- Canadian Science Publishing
- Published
- 2011-08
- Volume
- 36
- Issue
- 4
- Pages
- 577-582
- ISSN
- 1715-5312 (ISSN-L)
- 1715-5320
- OpenAlex
- W1855019313
- Cited by
- 16
- References
- 41
- Citations by year
- 2026: 2 · 2025: 1 · 2023: 3 · 2020: 2 · 2018: 1 · 2016: 1 · 2015: 4 · 2012: 2
- FWCI
- 0.82
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Applied Physiology, Nutrition, and Metabolism (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Obstetrics and Gynecology › Maternal and Perinatal Health Interventions
- Health Sciences › Medicine › Physiology › Physical Activity and Health
- Health Sciences › Medicine › Epidemiology › Preterm Birth and Chorioamnionitis
- Keywords
- activity limitation, high-risk pregnancy, maternal heart rate, maternal blood pressure, uterine contraction
- MeSH terms
- Adult, Bed Rest, Blood Pressure, Feasibility Studies, Female, Heart Rate, Humans, Motor Activity, Music, Ontario, Pilot Projects, Pregnancy, Pregnancy Complications, Uterine Contraction, Exercise, Pregnancy, High-Risk
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