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Letters.
ACOG Exercise Guidelines
I read with much interest Dr. Lawrence D. DeVoe's guest editorial "Exercise in Pregnancy" (Sept. 1, 2001, p. 7).
I share Dr. DeVoe's enthusiasm on advising pregnant women to engage in physical activities in pregnancy, and I strongly believe that pregnancy should not be a state of confinement. However, Dr. DeVoe's comments and those expressed in the Journal of Obstetric, Gynecologic, and Neonatal Nursing (22[4]:329-35, 1993), which he cited, relate to outdated guidelines that are 16 years old and were part of a video home exercise package marketed by the American College of Obstetricians and Gynecologists in 1985.
The ACOG guidelines on exercise in pregnancy have since been amended and updated to reflect current state of knowledge.
However, despite the enthusiasm Dr. Devoe and I share for advocating an active lifestyle, there are limitations and risks associated with certain physical activities.
Raul Artal, M.D.
vice chair
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