Exercise in pregnancy.(MASTER CLASS)

The extraordinary increase in obesity in the United States is giving rise not only to direct complications, such as hypertension and cardiovascular disease, but also to indirect problems such as diabetes. Hence, we have one problem leading into many others, ultimately resulting in a significant increase in morbidity and mortality.

Unfortunately, exercise--which can counter obesity--is not increasing at a concomitant rate. As a result, an emphasis on healthy lifestyles, with exercise as a central theme, has become the focus of national and international efforts undertaken by such groups as the World Health Organization, many of our medical societies, and even certain governmental agencies.

Just as exercise outside of pregnancy has clear benefits, exercise during pregnancy is also very important. For example, we know that a woman with gestational diabetes can certainly improve glucose control with exercise. However, there are clearly guidelines that must be followed when engaging in exercise during pregnancy.

In this month's Master Class, my guest ...