Bed rest. Although it is not established that bed rest leads to a reduction in the rate of preterm birth, premature labor, and an increased propensity to contract, according to general clinical experience, the complete cessation of physical activity, if possible, is part of the additive therapeutic principle. According to the current S2k guideline, the prescription of bed rest should be limited to individual cases (amniotic sac prolapse / prolapsed amniotic sac, placenta praevia bleeding).In the case of complete immobilization, the wearing of compression stockings and drug thrombosis prophylaxis is recommended because of the increasing risk of thrombosis.
Limited caffeine consumption (max. 200 mg caffeine per day; equivalent to 1 to 2 cups of coffee or 3 to 5 cups of green / black tea).
Aim for normal weight! Determination of BMI (body mass index, body mass index) or body composition by means of the electrical impedance analysis and, if necessary, participation in a medically supervised weight loss program or program for the underweight
BMI ≥ 25 → participation in a medically supervised weight loss program.
Falling below the BMI lower limit (from the age of 19: 19; from the age of 25: 20; from the age of 35: 21; from the age of 45: 22; from the age of 55: 23; from the age of 65: 24) → Participation in a medically supervised program for the underweight.
Review of permanent medication due topossible effect on pregnancy.
Avoidance of psychosocial stress:
Stress
Nutritional medicine
Dietary recommendations according to a mixed diet taking into account the disease at hand. This means:
A total of 5 servings of fresh vegetables and fruits daily (≥ 400 g; 3 servings of vegetables and 2 servings of fruits).
Once or twice a week fresh sea fish, i.e. fatty marine fish (omega-3 fatty acids) such as salmon, herring, mackerel.
Observance of the following special dietary recommendations:
Restricting the consumption of coffee – women who consumed 200 mg (equivalent to one cup of coffee) or more of caffeine per day had twice the risk of miscarriage (abortion) as women who did not consume caffeine.
Don’t exercise too much early in pregnancy: pregnant women who exercise more than seven hours a week have a three-and-a-half times higher risk of losing their baby than women who avoid physical exertion. The following sports are the most dangerous: jogging, ball sports or tennis; swimming is harmless; after the 18th week of pregnancy, no increased risk of miscarriage was detectable.
Intensive compared with low physical activity before pregnancy reduces the likelihood of preterm birth by 13% (relative risk [RR]: 0.87; 95% confidence interval: 0.70-1.06).
If necessary, later creation of a fitness plan with appropriate sports disciplines based on a medical check (health check).
Detailed information on sports medicine you will receive from us.
