Skip to main content
SpringerLink
Log in
Book cover

Alpin- und Höhenmedizin pp 93–100Cite as

Schwangerschaft, Antikonzeptiva und Bergsteigen

  • Chapter

  • 4796 Accesses

Zusammenfassung

Schwangere profitieren von regelmäßiger körperlicher Betätigung. Verminderte bis gar keine körperliche Aktivität erhöht bei Mutter und Kind das Risiko für Adipositas, Gestationsdiabetes und hypertone Schwangerschaftserkrankungen bis hin zur Präeklampsie. Die Empfehlungen für Bergsport bei Schwangeren bis zu 2500 m sind moderates Bergsteigen bei unkomplizierter Schwangerschaft, indirekte Kontrolle der maximalen Belastung durch den Talk-Test, ausreichende Flüssigkeitszufuhr, Meiden von Bergsportarten mit hoher Verletzungsgefahr. Über 2500 m ist es zusätzlich empfohlen, eine langsame Akklimatisation durchzuführen; erst nach 2 bis 3 Tagen Akklimatisation ist Bewegung im sicheren aeroben Bereich möglich; große Anstrengungen sind nur nach einer Akklimatisation von 2 Wochen und nur im Bereich von 2500–3000 m durchzuführen; auf Symptome der akuten Höhenkrankheit ist zu achten.

This is a preview of subscription content, log in via an institution.

Chapter
USD   29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD   89.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Hardcover Book
USD   119.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Learn about institutional subscriptions

Literatur

  • American College of Sports Medicine (2006) ACSM’s guidelines for exercise testing and prescription. Lippincott Williams & Wilkins, Philadelphia

    Google Scholar 

  • Artal R (2016) Exercise in pregnancy: guidelines. Clin Obstet Gynecol 59(3):639–644

    Article  Google Scholar 

  • Artal R, O’Toole M (2003) Guidelines of the American College of Obstetricians and Gynecologists for exercise during pregnancy and the postpartum period. Br J Sports Med 37:6–12, discussion 12

    Article  CAS  Google Scholar 

  • Bobrowski RA (2010) Pulmonary physiology in pregnancy. Clin Obstet Gynecol 53:285–300

    Article  Google Scholar 

  • Clapp JF 3rd (1989) Oxygen consumption during treadmill exercise before, during and after pregnancy. Med Sci Sports Exerc 23:1128–1133

    Google Scholar 

  • Davies GA, Wolfe LA, Mottola MF, MacKinnon C (2003) Joint SOGC/CSEP clinical practice guideline: exercise in pregnancy and the postpartum period. Can J Appl Physiol 28:330–341

    Article  Google Scholar 

  • Entin PL, Coffin L (2004) Physiological basis for recommendations regarding exercise during pregnancy at high altitude. High Alt Med Biol 5:321–334

    Article  Google Scholar 

  • Giussani DA, Phillips PS, Anstee S, Barker DJ (2001) Effects of altitude versus economic status on birth weight and body shape at birth. Pediatr Res 49:490–494

    Article  CAS  Google Scholar 

  • Huch R (1996) Physical activity at altitude in pregnancy. Semin Perinatol 20:303–314

    Article  CAS  Google Scholar 

  • Jean D, Leal C, Kriemler S, Meijer H, Moore LG (2005) Medical recommendations for women going to altitude. High Alt Med Biol 6:22–31

    Article  Google Scholar 

  • Jean D, Moore LG (2012) Travel to high altitude during pregnancy: frequently asked questions and recommendations for clinicians. High Alt Med Biol 6:22–31

    Google Scholar 

  • Jensen GM, Moore LG (1997) The effect of high altitude and other risk factors on birth weight: independent or interactive effects? Am J Public Health 87: 1003–1007

    Article  CAS  Google Scholar 

  • Julian CG, Wilson MJ, Lopez M, Yamashiro H, Tellez W, Rodriguez A, Bigham AW, Shriver MD, Rodriguez C, Vargas E et al (2009) Augmented uterine artery blood flow and oxygen delivery protect Andeans from altitude-associated reductions in fetal growth. Am J Physiol Regul Integr Comp Physiol 296: 1564–1575

    Article  CAS  Google Scholar 

  • Kametas NA, McAuliffe F, Krampl E, Chambers J, Nicolaides KH (2004) Maternal cardiac function during pregnancy at high altitude. BJOG 111:1051–1058

    Article  Google Scholar 

  • Kardel KR (2005) Effects of intense training during and after pregnancy in top-level athletes. Scand J Med Sci Sports 15:79–86

    Article  Google Scholar 

  • Lithy JA, Ting RY, Bruns PD, Dyar E (1975) Studies of babies born at high altitudes.in relation of altitude to birth weight. AMA J Dis Child 93:666–669

    Google Scholar 

  • Lidegaard O, Nielsen LH, Skovlund CW, Skjeldestad FE, Lokkegaard E (2011) Risk of venous thromboembolism from use of oral contraceptives containing different progestogens and oestrogen doses. Danish cohort study, 2001–9. BMJ 343:d6423

    Google Scholar 

  • Lotgering FK, van Doorn MB, Struijik van Doorn MB, Struijk PC, Pool J, Wallenburg HC (1985) Maximal aerobic exercise in pregnant women: heart rate, O2 consumption, CO2 production, and ventilation. J Appl Physiol 70:1016–1023

    Article  CAS  Google Scholar 

  • Magann EF, Chauhan SP, Dahlke JD, McKelvey SS, Watson EM, Morrison JC (2010) Air travel and pregnancy outcomes: a review of pregnancy regulations and outcomes for passengers, flight attendants, and aviators. Obstet Gynecol Surv 65:396–402

    Article  Google Scholar 

  • Melzer K, Kayser B, Pichard C (2004) Physical activity: the health benefits outweigh the risks. Curr Opin Clin Nutr Metab Care 7:641–647

    Article  Google Scholar 

  • Moore LG (2001) Human genetic adaption to high altitude. High Alt Med Biol 2:257–279

    Google Scholar 

  • Moore LG, Charles SM, Julian CG (2011) Humans at high altitude: hypoxia and fetal growth. Respir Physiol Neurobiol 178:181–190

    Article  Google Scholar 

  • Moore LG, Hershey DW, Jahnigen D, Bowes W (1982) The incidence of pregnancy-induced hypertension is increased among Colorado residents at high altitude. Am J Obstet Gynecol 144:423–429

    Article  CAS  Google Scholar 

  • Niermeyer S (1999) The pregnant altitude visitor. Adv Exp Med Biol 474:65–77

    Google Scholar 

  • O’Toole ML (2003) Physiologic aspects of exercise in pregnancy. Clin Obstet Gynecol 46:379–389

    Google Scholar 

  • Palmer SK, Moore LG, Young D, Cregger B, Berman JC, Zamudio S (1999) Altered blood pressure course during normal pregnancy and increased preeclampsia at high altitude (3100 meters) in Colorado. Am J Obstet Gynecol 180:1161–1168

    Article  CAS  Google Scholar 

  • Pivarnik JM, Ayres NA, Mauer MB, Cotton DB, Kirshon B, Dildy GA (1993) Effects of maternal aerobic fitness on cardiorespiratory responses to exercise. Med Sci Sports Exerc 25:993–938

    Article  CAS  Google Scholar 

  • Schobersberger W, Schmid P, Lechleitner M, von Duvillard SP, Hortnagl H, Gunga HC, Klingler A, Fries D, Kirsch K, Spiesberger R et al (2003) Austrian Moderate Altitude Study 2000 (AMAS 2000). The effects of moderate altitude (1700 m) on cardiovascular and metabolc variables in patients with metabolc syndrome. Eur J Appl Physiol 88:506–514

    Article  Google Scholar 

  • Wolfe LA, Davies GA (2003) Canadian guidelines for exercise in pregnancy. Clin Obstet Gynecol 46: 488–495

    Article  Google Scholar 

  • Wolfe LA, Weissgerber TL (2003) Clinical physiology of exercise in pregnancy: a literature review. J Obstet Gynaecol Can 25:473–483

    Article  Google Scholar 

  • Yip R (1987) Altitude and birth weight. J Pediatr 111:869–876

    Article  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Fachärztin für Frauenheilkunde und Geburtshilfe, Innsbruck, Österreich

    Dr. med. E. Baumgartner

Authors
  1. Dr. med. E. Baumgartner
    View author publications

    You can also search for this author in PubMed Google Scholar

Editor information

Editors and Affiliations

  1. Universität Salzburg, Kaprun, Austria

    Franz Berghold

  2. Europäische Akademie Bozen, Bruneck, Italy

    Hermann Brugger

  3. Universität Innsbruck, Thaur, Austria

    Martin Burtscher

  4. Medizinische Universität Graz, Graz, Austria

    Wolfgang Domej

  5. Schweizerische Gesellschaft für Gebirgsmedizin REGA, Lauterbrunnen, Switzerland

    Bruno Durrer

  6. Universität München, Martinsried, Deutschland

    Rainald Fischer

  7. Krankenhaus der Barmherzigen Brüder, Abt. für Anästhesie u. Intensivmedizin, Paracelsus Medizinische Universität Salzburg, Salzburg, Austria

    Peter Paal

  8. Bayerische Bergwacht, Siegsdorf, Deutschland

    Wolfgang Schaffert

  9. Institut für Sport-, Alpinmedizin und Gesundheitstourismus, Innsbruck, Austria

    Wolfgang Schobersberger

  10. Dept. Anästhesie, Intensivmedizin u. Reanimation, Spital Grabs, Grabs, Switzerland

    Günther Sumann

Rights and permissions

Reprints and permissions

Copyright information

© 2019 Springer-Verlag GmbH Deutschland, ein Teil von Springer Nature

About this chapter

Cite this chapter

Baumgartner, E. (2019). Schwangerschaft, Antikonzeptiva und Bergsteigen. In: Berghold, F., et al. Alpin- und Höhenmedizin. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-56396-0_9

Download citation

  • DOI: https://doi.org/10.1007/978-3-662-56396-0_9

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-662-56395-3

  • Online ISBN: 978-3-662-56396-0

  • eBook Packages: Medicine (German Language)

Publish with us

Policies and ethics

Search

Navigation