A organização do trabalho: um estudo dos trabalhadores em reabilitação profissional do INSS

This study aimed to encourage discussion in group of injured and sickned workers who are in the Vocational Rehabilitation of Social Security, in relation to aspects of the organization of work, the male and the health of workers, thus enabling appropriate coping their limited condition at work and recognize their rights and transformative potential, given that there is currently space INSS. The research has hypothesized that man to understand that the healthdisease suffer interference from the capital x labor relations, and in this context the role culturally assigned to men, it will reflect on the rights acquired order to exercise the role of citizen and may find potential for better work life and out of it and, if possible, effectively exercise professional rehabilitation. Therefore the method was based on qualitative research, intervention research, with workshops feature. There were two groups, totalized the participation of 23 male workers, and a group of 11 participants and the other with 12 participants, aged 35-46, who spent on care in Vocational Rehabilitation Services, INSS - Agency Social welfare Guarulhos, from August / 2013 to January / 2014. The workshops took place in Occupational Health Reference Center - Guarulhos, lasting two hours and a total of six meetings per group. In the analysis it was decided by the collective subject discourse method. The data collected show results pointing out that workers recognize that work and work is vital to man, it establishes with him a relation of identity, dignity, and when you do not see more in this process, there is a feeling of worthlessness shall lose if the meaning of life. The work is recognized by man as a condition of its existence, however, due to changes in the world of work by the interests of capital, the worker does not recognize the work beyond the exchange relation, and thus alienates the world work, which increasingly intensified forms of exploitation of the working class. Present the reality of the current labor organization characterized as precarious, oppressive, and be worker exploitation that sometimes undergoes certain attitudes both by fear of unemployment as by too much competition in the labor market, which places worker in a competitive environment both in the workplace and in the search for replacement. Recognize that working conditions as well as the current requirements of the labor market can influence illness or accident at work, and so consequently the withdrawal occurs. Workers recognize that work brings pleasure, satisfaction, personal growth that will lead to life. But they have "brands" negative which will also lead to a lifetime because they generate suffering, guilt, beyond the emotional pain related to social judgment due to the remoteness, and the feeling of abandonment for enterprises when the removal of the work occurs. The study also points out the uncertainty regarding the continuation or not of benefit as well, as the working man feels humiliated by not meet the family's needs because of the low value of the benefit. They evaluated the study process who participated as positive, and that the group enabled a living space, exchange of experience and listening. This study also allowed the opening of a debate in the Vocational Rehabilitation team for the construction of group actions, and the importance of intersectoral action and the process of education and health education with the workers away due to accident or illness related to work.O presente estudo teve como objetivo fomentar o debate, em grupo, dos trabalhadores acidentados e adoecidos que encontram-se na Reabilitação Profissional da Previdência Social, no que se refere aos aspectos sobre a organização do trabalho, o gênero masculino e a saúde dos trabalhadores, possibilitando assim adequado enfrentamento de sua limitada condição no trabalho e reconhecimento de seus direitos e potencialidades transformadoras, tendo em vista não haver esse espaço atualmente no INSS. A pesquisa teve como hipótese que o homem ao compreender que o processo saúde-doença sofre interferências da relação capital x trabalho, e nesse contexto, o papel culturalmente atribuído ao masculino, permitiu-se refletir sobre os direitos adquiridos visando exercitar o papel de cidadão e descobrir potencialidades para uma melhor vida no trabalho e fora dele e, se é possível, efetivamente exercitar a reabilitação profissional. Para tanto, o método teve como base a pesquisa qualitativa, pesquisa intervenção, com o recurso de oficinas. Ocorreram dois grupos, sendo totalizado a participação de 23 trabalhadores do sexo masculino, sendo um grupo com 11 participantes e outro com 12 participantes, com idades de 35 a 46 anos, que passaram em atendimento no Serviço de Reabilitação Profissional do INSS ? Agência da Previdência Social de Guarulhos, no período de agosto/2013 a janeiro/2014. As oficinas ocorreram no Centro de Referência de Saúde do Trabalhador ? Guarulhos, com duração de duas horas e total de seis encontros por grupo. Na análise optou-se pelo método do discurso do sujeito coletivo. Os dados coletados apresentam resultados apontando que os trabalhadores reconhecem que o trabalho e o trabalhar são vitais ao homem, estabelecendo com ele uma relação de identidade, dignidade, e quando não se veem mais nesse processo há um sentimento de inutilidade, perde-se o sentido da vida. O trabalho é reconhecido pelo homem como condição de sua existência, porém, devido às mudanças ocorridas no mundo do trabalho pelo interesse do capital, o trabalhador não se reconhece no trabalho para além da relação de troca, e, portanto, se aliena no mundo do trabalho, que cada vez mais intensifica as formas de exploração da classe trabalhadora. Apresentam a realidade da organização atual do trabalho que se caracteriza como precarizada, opressora, além de haver a superexploração do trabalhador que, às vezes, se submete a determinadas atitudes tanto por medo do desemprego como pela demasiada concorrência no mercado de trabalho, que coloca o trabalhador em uma realidade competitiva tanto no ambiente de trabalho como na busca por recolocação. Reconhecem que as condições de trabalho, bem como, as exigências atuais do mercado de trabalho, podem influenciar no adoecimento ou acidente de trabalho, e assim consequentemente, ocorrer o afastamento. Os trabalhadores reconhecem que trabalhar traz prazer, satisfação, crescimento pessoal, que levarão para toda vida. Mas apresentam ?marcas? negativas que também levarão para uma vida inteira, pois geram sofrimento, culpabilização, além da dor emocional relacionada ao julgamento social decorrente do afastamento, e pelo sentimento de abandono em relação às empresas quando ocorre o afastamento do trabalho. O estudo também aponta a insegurança em relação à continuidade ou não do benefício, e, como o homem trabalhador se sente humilhado por não mais suprir as necessidades da família devido o baixo valor do benefício. Avaliaram o processo de estudo que participaram como positivo, e que o grupo possibilitou um espaço de vivência, de troca de experiência e de escuta. O presente estudo ainda possibilitou a abertura de um debate na equipe de Reabilitação Profissional para a construção de ações em grupo, e da importância de ações intersetoriais, bem como o processo de educação e educação em saúde junto aos trabalhadores afastados em decorrência de acidente ou doença relacionada ao trabalho.Dados abertos - Sucupira - Teses e dissertações (2013 a 2016

Assisted reproductive technology: prevalence and associated factors in Southern Brazil

OBJECTIVE: To assess the prevalence of successful assisted reproductive technology and to identify the associated factors. METHODS: This population-based birth cohort study was carried out with 4,333 pregnant women expected to deliver in 2015 in the urban area of Pelotas, Southern Brazil. Use of an assisted reproductive technology procedure, type of assisted reproductive technology [in vitro fertilization or intracytoplasmic sperm injection or artificial insemination], number of embryos transferred, success of embryo transfer, number of attempts, and reported reasons for seeking assisted reproductive technology were the main outcomes measured. Use of an assisted reproductive technology procedure was analyzed according to sociodemographic, nutritional, reproductive history, and behavioral characteristics. Unadjusted and adjusted analyses were performed by logistic regression. RESULTS: Among the 4,275 newborns enrolled in the Pelotas 2015 Birth Cohort Study, 18 births (0.4%) were conceived by assisted reproductive technology. Most cases of assisted reproductive technology were by in vitro fertilization (70.6%). All cycles were performed in private clinics under direct out-of-pocket payment. Even after controlling for confounders, maternal age > 35 years, nulliparity and high family monthly income were strongly associated with assisted reproductive technology. CONCLUSIONS: The use of assisted reproductive technology services was reported by only a few women in the Pelotas 2015 Birth Cohort Study. Our study highlights sociodemographic factors associated to assisted reproductive technology procedures. To better understand the patterns and barriers in overall use of assisted reproductive technology services over time, national-level trend studies in assisted reproductive technology treatments and outcomes, as well as studies exploring the characteristics of women who have sought this kind of treatment are needed in low-middle income countries

Uso de medicamentos do nascimento aos dois anos: Coorte de Nascimentos de Pelotas, RS, 2004

OBJECTIVE: To describe medicine use by children at three, 12 and 24 months of age. METHODS: Cross-sectional study using data from the 2004 Pelotas Birth Cohort (Southern Brazil), including: 3,985 children at three months, 3,907 children at 12 months, and 3,868 children at 24 months of age. The outcome investigated was use of medicine in the 15 days preceding the interview. Information on independent variables (medicine used, who indicated it, how it was obtained, periodicity of use, and therapeutic group) were collected using a standardized questionnaire administered during a home interview with the child's parents. RESULTS: Prevalence of medicine use at three, 12, and 24 months was 65.0% (95% CI: 63.5;66.5), 64.4% (95% CI: 62.9;65.9), and 54.7% (95% CI: 53.1;56.2), respectively. As age increased, there was a reduction in the total number of medicines used and an increase in self-medicine, which reached 34% at 24 months. Furthermore, frequency of sporadic medicine use increased, while that of continuous use decreased. Medicine was purchased mainly using private resources, with roughly 10% of drugs being purchased through the Brazilian National Health Care System. The profile of medicine types used also changed with age. The type of medicine most frequently used were dermatological products (36%) at three months; respiratory system drugs (24%) at 12 months; and analgesics (26%) at 24 months of age. Compared to three months, medicine use at 24 months was characterized by decreased use of digestive tract and metabolism drugs, drugs for the sensory organs, cardiovascular system drugs, and dermatological products, and an increase in systemic anti-infectious drugs, medicine for the skeletomuscular and respiratory systems, analgesics, insecticides, and repellents. CONCLUSIONS: Medicine use in this cohort was high and indicates the need for prioritizing rational use of medicine in early life.OBJETIVO: Describir la utilización de medicamentos en niños a los tres, 12 y 24 meses de edad. MÉTODOS: Estudio transversal utilizando datos de la Cohorte de Nacimientos de Pelotas, Sur de Brasil, de 2004. Fueron incluidas 3.985 niños a los tres meses, 3.907 a los 12 meses y 3.868 a los 24 meses de edad. El hecho considerado fue el uso de medicamentos por los niños en los 15 días anteriores a la entrevista. Informaciones sobre las variables independientes (medicamentos utilizados, fuente de indicación, forma de adquisición, regularidad en el uso y grupos terapéuticos) fueron colectadas por medio de cuestionario estandarizado, en entrevista a los padres en los domicilios. RESULTADOS: Las prevalencias en el uso de medicamentos a los tres, 12 y 24 meses fueron de 65,0% (IC 95%: 63,5;66,5), 64,4% (IC 95%: 62,9;65,9) e 54,7% (IC 95%: 53,1;56,2), respectivamente. Con el avance de la edad se observó disminución en el número total de medicamentos utilizados y aumento en la automedicación, ésta última alcanzando el 34% a los 24 meses. También, la frecuencia en el uso de medicamentos en carácter eventual aumentó y disminuyó con relación al uso continuo. Los medicamentos fueron adquiridos principalmente con recursos propios y cerca de 10% fue adquirido por el Sistema Único de Salud. Se observó cambio en el perfil de los grupos terapéuticos más utilizados en función de la edad. A los tres meses, el mayor uso fue de medicamentos dermatológicos (36%); a los 12 meses, de medicamentos para el sistema respiratorio (24%); e, a los 24 meses, de analgésicos (26%). Al compararse el uso a los 24 meses con el de los tres meses de edad se observó disminución en la utilización de: medicamentos destinados al tracto alimenticio y metabolismo, a los órganos de los sentidos, sistema cardiovascular y productos dermatológicos. Hubo aumento en la utilización de: medicamentos anti-infecciosos sistémicos, destinados al sistema músculo esquelético, al sistema respiratorio, analgésicos, antiparasitarios, insecticidas y repelentes. CONCLUSIONES: La utilización de medicamentos en esta cohorte fue elevada y remite a la necesidad de priorizar el uso racional de medicamentos en los primeros años de vida.OBJETIVO: Descrever a utilização de medicamentos em crianças aos três, 12 e 24 meses de idade. MÉTODOS: Estudo transversal utilizando dados da Coorte de Nascimentos de Pelotas, RS, de 2004. Foram incluídas 3.985 crianças aos três meses, 3.907 aos 12 meses e 3.868 aos 24 meses de idade. O desfecho considerado foi o uso de medicamentos pelas crianças nos 15 dias anteriores à entrevista. Informações sobre as variáveis independentes (medicamentos utilizados, fonte de indicação, forma de aquisição, regularidade do uso e grupos terapêuticos) foram coletadas por meio de questionário padronizado, em entrevista aos pais nos domicílios. RESULTADOS: As prevalências de uso de medicamentos aos três, 12 e 24 meses foram de 65,0% (IC 95%: 63,5;66,5), 64,4% (IC 95%: 62,9;65,9) e 54,7% (IC 95%: 53,1;56,2), respectivamente. Com o avanço da idade observou-se diminuição no número total de medicamentos utilizados e aumento na automedicação, essa última chegando a 34% aos 24 meses. Também, a freqüência do uso de medicamentos em caráter eventual aumentou e diminuiu a de uso contínuo. Os medicamentos foram adquiridos principalmente com recursos próprios e cerca de 10% foi adquirido pelo Sistema Único de Saúde. Observou-se mudança no perfil dos grupos terapêuticos mais utilizados em função da idade. Aos três meses, o maior uso foi de medicamentos dermatológicos (36%); aos 12 meses, de medicamentos para o sistema respiratório (24%); e, aos 24 meses, de analgésicos (26%). Comparando-se o uso aos 24 meses com o dos três meses de idade observou-se diminuição na utilização de: medicamentos destinados ao trato alimentar e metabolismo, aos órgãos dos sentidos, sistema cardiovascular e produtos dermatológicos. Houve aumento na utilização de: medicamentos anti-infecciosos sistêmicos, destinados ao sistema musculoesquelético, ao sistema respiratório, analgésicos, antiparasitários, inseticidas e repelentes. CONCLUSÕES: A utilização de medicamentos nesta coorte foi elevada e remete à necessidade de priorização do uso racional de medicamentos nos primeiros anos de vida

Medication use among pregnant women from the 2015 Pelotas (Brazil) birth cohort study

Background: Medication use during pregnancy is a common practice that has been increasing in recent years. The aim of this study is to describe medication use among pregnant women from the 2015 Pelotas (Brazil) Birth Cohort Study. Methods: This paper relies on a population-based cohort study including 4270 women. Participants completed a questionnaire about the antenatal period, including information about medication use. We performed descriptive analyses of the sample and the medications used and adjusted analyses for the use of medications and self-medication. Results: The prevalence of medication use was 92.5% (95% CI 91.7–93.3), excluding iron salts, folic acid, vitamins, and other minerals. The prevalence of self-medication was 27.7% (95% CI 26.3–29.1). In the adjusted analysis, women who had three or more health problems during pregnancy demonstrated higher use of medicines. Self-medication was higher in lower income groups and among smokers and multiparous women (three pregnancies or more). Acetaminophen, scopolamine, and dimenhydrinate were the medications most commonly used. Conclusions: This study describes the pattern of drug use among pregnant women in a population-based cohort study, with a high prevalence of self-medication. Greater awareness of the risks of self-medication during pregnancy is required, focusing on groups more prone to this practice, as well as ensuring qualified multidisciplinary prenatal care

Suplementação de ácido fólico na gestação e sintomas depressivos pós-parto

OBJECTIVE: To verify whether folic acid supplementation during pregnancy is associated with the occurrence of maternal depressive symptoms at three months postpartum, in the 2015 Pelotas Birth Cohort. METHODS: This study included 4,046 women, who were classified into three groups: did not use folic acid supplementation during pregnancy; used during only one trimester of pregnancy; and used for two or three trimesters. Depressive symptoms were assessed at three months postpartum using the Edinburgh Postnatal Depression Scale (EPDS), at cutoff points ≥ 10 (mild symptoms) and ≥ 13 (moderate to severe intensity). RESULTS: The overall prevalence of mild symptoms was of 20.2% (95%CI 19.0–21.5), and moderate and severe was 11% (95%CI 10.0–12.0). The prevalence of EPDS ≥ 10 was of 26.8% (95%CI 24.0–29.5) among women who did not use folic acid and 18.1% for both those who used it during one trimester of pregnancy (95%CI 16.1–20.1) and those who used it for two or three trimesters (95%CI 16.0–20.2). The prevalence of EPDS ≥ 13 was of 15.7% (95%CI 13.5–17.9) in those who did not use folic acid, 9.1% (95%CI 7.5–10.6) in those who used it for one trimester, and 9.4% (95%CI 7.8–11.0) in those who used it for two or three trimesters. In the adjusted analyses, there was no statistically significant association between the use of folic acid during pregnancy and the occurrence of depressive symptoms at three months postpartum. CONCLUSION: Th ere w as n o a ssociation b etween f olic a cid s upplementation d uring pregnancy and postpartum depression at three months.OBJETIVO: Verificar se a suplementação de ácido fólico durante a gestação está associada com a ocorrência de sintomas depressivos maternos aos três meses pós-parto, na Coorte de Nascimentos de Pelotas de 2015. MÉTODOS: Este estudo incluiu 4.046 mulheres, que foram classificadas em três grupos: sem suplementação de ácido fólico na gestação; uso durante apenas um trimestre da gestação; e uso durante dois ou três trimestres. Os sintomas depressivos foram avaliados aos três meses pós-parto, através da Escala de Depressão Pós-Natal de Edimburgo (EPDS), nos pontos de corte ≥ 10 (sintomas leves) e ≥ 13 (intensidade moderada a grave). RESULTADOS: A prevalência geral de sintomas leves foi de 20,2% (IC95% 19,0–21,5), e moderados e graves de 11% (IC95% 10,0–12,0). Entre as mulheres que não fizeram uso de ácido fólico, a prevalência de EPDS ≥ 10 foi de 26,8% (IC95% 24,0–29,5) e 18,1% tanto entre as que utilizaram durante um trimestre da gestação (IC95% 16,1–20,1), quanto entre as que utilizaram por dois ou três trimestres (IC95% 16,0–20,2). Já a prevalência de EPDS ≥ 13 foi 15,7% (IC95% 13,5–17,9) entre as que não utilizaram ácido fólico, 9,1% (IC95% 7,5–10,6) entre as que utilizaram durante um trimestre e 9,4% (IC95% 7,8–11,0) entre as que utilizaram por dois ou três trimestres. Nas análises ajustadas, não houve associação estatisticamente significativa entre o uso de ácido fólico na gestação e a ocorrência de sintomas depressivos aos três meses pós-parto. CONCLUSÃO: Não se observou associação entre a suplementação de ácido fólico na gestação e depressão pós-parto aos três meses

Ruminal degradability of tropical leguminous plants from eastern Amazonia

The aim of this study was to evaluate ruminal degradation of dry matter (DM), crude protein (CP), and neutral detergent fiber (NDF) of Cratylia argentea, Flemingia macrophylla (Willd.) Merrill, and Stylosanthes guianensis ‘Campo Grande’ (EMBRAPA), aged 55 and 75 days, in sheep with rumen cannulas, using the in-situ technique. A factorial design of 3 leguminous plants × 2 ages × 6 incubation times was used, totaling 36 experimental units. The experimental period included 14 days for adaptation to diet and 5 days for data collection. Cratylia at both ages and Flemingia aged 55 days showed the highest “a” fraction values for DM degradability. Cratylia aged 55 days and Stylosanthes at both ages showed the highest “a” fraction values for CP. The highest “b” fraction value for DM was 51.27% for Stylosanthes aged 55 days. This rate was lower for the other leguminous plants, especially for Flemingia at both ages. The “b” fraction values for NDF are considered low for Flemingia, what may be the result of lower ruminal degradation. The highest “c” fraction degradation rate for DM was observed in all leguminous plants studied aged 75 days. The highest “c” fraction value for CP was 14.84% for Stylosanthes aged 75 days. The highest Kd fraction values for DM, NDF, and CP were found in Flemingia. Cratylia, and Stylosanthes aged 75 days presented higher effective degradability (ED) values for DM at 2 and 5%/hour compared to Flemingia at both ages. Cratylia and Stylosanthes had the highest ED values for NDF, regardless of their passage rates. Stylosanthes presented higher ED values for CP at both ages, regardless of its passage rate. The highest DM, NDF, and CP potential degradability (PD) was obtained for Cratylia and Stylosanthes, at both ages. The leguminous plants Cratylia and Stylosanthes can be recommended for use as a protein bank and supplementation for ruminants, whereas, Flemingia macrophylla should not be used as a protein supplement for ruminants, because it contains high levels of fibrous fractions

Coorte de nascimentos de Pelotas, 2004: metodologia e descrição

OBJECTIVE: To describe a birth cohort which started in 2004, aiming to assess pre and perinatal conditions of the newborns, infant morbimortality, early life characteristics and outcomes, and access, use and financing of health care. METHODS: All children born in the urban area of Pelotas and Capão do Leão municipalities (Southern Brazil) in 2004 were identified and their mothers invited to join the study. In the first year of the study the children were seen at birth, at three and 12 months of age. These visits involved the application of a questionnaire to the mothers including questions on health; life style; use of health services; socioeconomic situation; estimation of gestational age; anthropometric measurements on the newborn (weight, length, head, chest and abdominal circumferences); anthropometric measurements on the mother (weight and height) and assessment of infant development. RESULTS: Out of the eligible infants (4,558), more than 99% were recruited to the study at birth. Follow-up rates were 96% at three months and 94% at 12 months of age. Among the initial results we highlight the following. Infant mortality rate was 19.7 per thousand, with 66% of infant deaths occurring in the neonatal period. There were frequencies of 15% premature babies and 10% low birthweight. Cesarean sections represented 45% of deliveries. CONCLUSIONS: The third Pelotas birth cohort showed an infant mortality rate similar to that of 11 years ago, with most deaths occurring in the neonatal period. The rates of prematurity and cesarean sections increased substantially.OBJETIVO: Descrever uma coorte de nascimentos que teve início em 2004, para avaliar condições pré e perinatais dos recém-nascidos, morbi-mortalidade infantil, características e desfechos do início da vida e acesso, utilização e financiamento da atenção à saúde. MÉTODOS: Todas as crianças nascidas na zona urbana dos municípios de Pelotas e Capão do Leão (bairro Jardim América), no ano de 2004, foram identificadas e suas mães convidadas a fazer parte do estudo. No seu primeiro ano foram realizadas visitas às mães por ocasião do nascimento das crianças, aos três e aos 12 meses de idade. Nessas visitas um questionário foi aplicado às mães, com perguntas sobre saúde; hábitos de vida; utilização de serviços de saúde; situação socioeconômica; estimativa de idade gestacional; medidas antropométricas do recém-nascido (peso, comprimento, perímetros cefálico, torácico e abdominal); medidas antropométricas da mãe (peso e altura) e avaliação de desenvolvimento infantil. RESULTADOS: Do total de crianças elegíveis (4.558), mais de 99% foram recrutadas para o estudo logo após o nascimento. A taxa de seguimento foi de 96% aos três meses e de 94% aos 12 meses. Dentre os resultados iniciais destacaram-se: a taxa de mortalidade infantil de 19,7 por mil, sendo 66% dos óbitos infantis no período neonatal; freqüência de 15% de prematuros e 10% de baixo peso ao nascer; as cesarianas representaram 45% dos partos. CONCLUSÕES: A terceira coorte de nascimentos em Pelotas mostrou uma situação de estabilidade da mortalidade infantil nos últimos 11 anos, com predomínio da mortalidade neonatal, além de aumento da prematuridade e partos cesarianos

Changes in leisure-time physical activity among Brazilian pregnant women: comparison between two birth cohort studies (2004 – 2015)

Abstract Background Low levels of leisure-time physical activity (LTPA) during pregnancy have been shown in studies conducted worldwide. Surveillance is extremely important to monitor the progress of physical activity patterns over time and set goals for effective interventions to decrease inactivity among pregnant women. The aim of this study was to evaluate time changes in LTPA among Brazilian pregnant women in an 11-year period (2004–2015) by comparing data from two birth cohort studies. Methods Two population-based birth cohort studies were carried out in the city of Pelotas, southern Brazil, in 2004 and 2015. A total of 4244 and 4271 mothers were interviewed after delivery. Weekly frequency and duration of each session of LTPA in a typical week were reported for the pre-pregnancy period and for each trimester of pregnancy. Trends in both recommended LTPA (≥150 min/week) and any LTPA (regardless of weekly amount) were analysed overtime. Changes were also calculated separately for subgroups of maternal age, schooling, family income, parity, pre-pregnancy body mass index and pre-pregnancy LTPA. Results The proportion of women engaged in recommended levels of LTPA pre-pregnancy increased from 11.2% (95%CI 10.0–12.2) in 2004 to 15.8% (95%CI 14.6–16.9) in 2015. During pregnancy, no changes were observed over the period for the first (10.6 to 10.9%) and second (8.7 to 7.9%) trimesters, whereas there was a decrease from 3.4% (95%CI 2.9–4.0) to 2.4% (95%CI 1.9–2.8) in the last trimester. Major decreases in LTPA in the last trimester were observed among women who were younger, with intermediate to high income, high schooling, primiparous, pre-pregnancy obese and, engaged in LTPA before pregnancy. Changes in any LTPA practice followed the same patterns described for recommended LTPA. Conclusions Despite the increase in the proportion of women engaged in LTPA before pregnancy between 2004–2015, LTPA levels remained stable during the first and second trimesters of pregnancy and declined during the third gestational trimester over the period. Interventions to encourage the maintenance of LTPA practice throughout pregnancy are urgently needed