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EXERCISE DURING PREGNANCY AND POSTPARTUM
by, Jennifer VanLaanen-Smit


STAY IN SHAPE

Before you throw caution to the wind and eat another quart of frozen Rice Dream Supreme, remember that the extra weight you gain now is still going to be there long after Junior is on the outside. So, what to do? Exercise!

The ideal amount of weight to gain during pregnancy varies from person to person. However, the recommended range for a woman of normal weight is 25 to 35 pounds, which takes into account the weight of the baby, the placenta, the amniotic fluid, and increased breast size. Any weight gained in excess of 35 pounds is probably just extra fat weight which you'll need to deal with after the baby is born. By exercising throughout your pregnancy, you'll be better able to control your weight gain, making it easier to fit into your regular clothing once baby arrives.

Staying fit throughout your pregnancy has many advantages. First of all, you'll feel better. The endorphins that your body produces during exercise make you feel happy. Regular exercise will give you energy during the day and help you sleep better at night. Further, when you exercise, you regain a sense of control over your expanding body, which is a huge psychological boost.

Secondly, you'll be better prepared for labor. The process of giving birth is physically grueling. It requires stamina and strength. By participating in a prenatal exercise program, you can get your body ready for Labor Day. You'll build up your cardiovascular endurance and strengthen the muscles you'll use during labor, such as your pelvic floor and quadriceps. You wouldn't think of showing up to run a marathon without having trained for it; the same should go for labor. A woman who exercises throughout pregnancy usually experiences a shorter, easier labor, and less problems during delivery.

Thirdly, you'll regain your pre-pregnancy body more quickly. Studies have shown that women who continued to exercise vigorously throughout pregnancy gained less fat weight than women who did not. The sooner you feel better post-partum, the sooner you can return to your exercise program to tone up the muscles stretched beyond recognition by your pregnancy.

So, what type of exercise is safe during pregnancy? If you were exercising regularly before becoming pregnant, then you can continue your program with few modifications.
However, if you are new to exercise, you need to start slowly, building your intensity as you become stronger. A good place to start is with walking. Weather permitting, take your walks outdoors so that you get the added advantage of fresh air and sunshine. Start slowly by walking at a moderate to brisk pace (3 to 3 1/2 miles per hour) for 20 to 30 minutes at least 3 days a week. As your body is able, increase your speed and endurance, making sure to warm up and cool down for at least five minutes before and after each walk. Also, include five minutes of gentle stretching after your workouts to avoid muscle tightness and soreness the next day.

Ideal exercises during pregnancy include: stretching and relaxation, brisk walking, swimming, and water aerobics designed for pregnancy, and stationary bicycling.

With any type of exercise during pregnancy, there are some ground rules that you need to follow. The American College of Obstetricians and Gynecologists (ACOG) issued a set of guidelines in 1994 for pregnant women who want to stay in shape.
ACOG says that regular exercise (at least three times per week) is better than working out less often. Sporadic attempts to stay in shape can place abnormal strain on the body, take your pulse occasionally during exercise and don't exceed a heart rate of 140 beats per minute. Exercise that is too strenuous may speed up the baby's heartbeat to dangerous levels. A woman should be able to comfortably carry on a conversation while exercising, drink plenty of water during and after exercise, whether or not you're thirsty, cool down immediately after exercise, by relaxing for five minutes, followed by lying on the left side for 10 minutes or more. This increases blood flow to the heart and placenta. Avoid extreme stretching, since connective tissues during pregnancy are softer than normal, avoid exercises that place unusual strain on the back like sit-ups and leg raises, slow down after the 7th month of pregnancy, especially with weight-bearing exercises like jogging, jumping rope, aerobic dancing and running. Don't push your body when it feels fatigued, and finally, eat a healthy diet, adding calories to replace those burned during exercise.
You should avoid exercise in the supine (back-lying) position after the first trimester so that blood flow is not diverted away from your baby.
Be aware of your decreased oxygen availability: pay close attention to your body's signals and stop exercising when you become fatigued.
Also, be aware of your changing center of gravity and decreased sense of balance. Avoid exercises that require sudden changes of direction and that involve risk of abdominal injury such as downhill skiing or contact sports. Avoid exercises that require precise body control such as:
horseback riding, gymnastics, water-skiing, and sports at altitudes above 10,000 feet such as mountain climbing and snow skiing, and under-the-water sports such as snorkeling, or scuba diving.
Both high altitude and under the water sports lower the needed oxygen level for both the mother and baby.

Remember that pregnancy requires an additional 300 calories per day in order to grow a healthy baby; be sure to increase your calorie intake accordingly to compensate for calories burned during exercise. Wear loose-fitting, comfortable clothing and drink plenty of water before, during, and after each exercise session to stay well-hydrated and baby stays cool.
Finally, ACOG reminds us that many of the physical changes that take place during pregnancy remain for 4-6 weeks postpartum, so pre-pregnancy exercise routines should be resumed gradually.

By following ACOG's guidelines, you should be able to find a safe way to stay in shape during your pregnancy. Whatever form of exercise you choose, just make sure to listen to your body, drink plenty of water, and, most importantly, have fun!

Abdominal strength is key during pregnancy and the postpartum period, although you'll have to modify your pre-pregnancy ab routine. After your first trimester, traditional abdominal crunches are a no-no. To effectively work the entire abdomen, start out in a quadruped (forearms and knees) position with abdominal, pelvic floor, and buttocks muscles relaxed. Exhale as you tighten the abs, pulling the belly button in toward the backbone, and inhale as you release. Concentrate on just tightening the abdominals without tightening the pelvic floor or gluteals as well. You can work your obliques (the abdominal muscles that run diagonally across your torso) by starting in a side-lying position with knees bent and at a 45 degree angle. Exhale as you lift your head and rib cage toward your hip bone, squeezing in the waist line, and inhale as you lower to the starting position.

Anytime you feel: dizziness, shortness of breath an extremely rapid heartbeat, numbness, tingling, bleeding or any other fluids released from the vagina, or abdominal pain during exercise, stop immediately.


Pregnancy Only

1. Heart rates should not exceed 140 beats per minute during exercise.
2. Strenuous activities should not exceed 15 minutes in duration.
3 .No exercise should be performed in the supine position (lying on the back) after the fourth month of gestation is completed.
4. When doing strength and endurance exercises, be sure to exhale on the effort. Do not hold your breath.
5. Caloric intake should be adequate to meet not only the extra energy needs of pregnancy, but also of the exercise performed.
6. Maternal core temperature should not exceed 38 degrees C (100.5 degrees F).


Post-Baby Shape-Up

So, you followed my suggestions and worked out religiously during your pregnancy - good for you! But now that Junior is here, you still look five months pregnant. What to do? Exercise, of course!

Even those lucky women who limit their pregnancy weight gain to a healthy 25-30 pounds still have work to do postpartum to get their old body back. And it takes time, sometimes as long as a year, to get into pre-pregnancy shape. I'm not just talking about weight loss here, because we all know women who lost all their baby weight by 2 weeks postpartum (and, yes, we hate 'em!). I'm talking about fitting into your clothes the way you used to, not having to lie down on the bed to zip up your jeans.

Exercise is the only way to get your muscles back in shape. No amount of dieting or supplements is going to do that for you. You need to include aerobic activity for at least 20 minutes 3 -4 times a week to burn fat and calories. You also need to include flexibility exercises (stretching) to increase your range of motion and prevent muscle strains and sprains. And, of course, you need to do some good old abdominal crunches, leg raises, and Kegels to tighten up your post-baby body.

I prefer to do weight lifting exercises with hand weights at home. I have tried everything from yoga, running, exercise bikes, health riders, aerobics to rebounding and have found that weight lifting is the only thing that actually shapes and forms your body. And quick too. I am not talking about trying to look like a bodybuilder either. Bodybuilders workout for two to four hours a day and use heavy weights. I am recommending using three- five and ten pound hand dumbbells, and working out twelve to forty five minutes a day.

An important benefit of postpartum exercise, besides getting your old body back, is your emotional well-being. Research shows that children whose parents include exercise in their day-to-day living will do the same - start now to make exercise a lifelong family affair!

How soon after the baby is born can you start exercising?
Immediately!
As soon as your baby pops out, you should start doing Kegels and isometric abdominal contractions (see below). Go for short walks, outside if possible, to get your body moving and to jumpstart your cardiovascular system. You can resume a more vigorous exercise program as soon as two weeks postpartum (vaginal birth) or four weeks postpartum (caesarian section birth). If you are breastfeeding, be sure to eat enough calories and drink enough water to keep up your milk supply. Also, wear a supportive bra to keep your newfound breasts comfortable. If you are doing a high-impact activity like running, you might want to wear two sportsbras on top of each other to prevent excessive bouncing.

An easy way to firm things up is to do kegals as you are driving (at every stop light, for instance), tighten you buttocks while you are standing (in the grocery line, while fixing dinner, washing dishes), and everytime you think of it, keep your stomach tightened. This really works! And I find walking on the treadmill while reading or listening to music an easy way to get back into shape.

How-To's

Kegel exercises:
To "find" your Kegel or pelvic floor muscle, try stopping and starting the flow of urine next time you go to the bathroom. That "squeezing" is the pelvic floor muscle contracting. Now try contracting and relaxing the pelvic floor while sitting at your desk, driving in your car, washing dishes, and while having intercourse. And don't worry - this exercise isn't visible to onlookers, so you can have a conversation with someone and do your Kegels at the same time. Your goal should be 100 per day.

Isometric Abdominal Contractions:
Lay on your back with knees bent and feet flat on the bed or floor. Take a deep breath in, and exhale as you tighten the abdominal muscles by pulling your belly button into the floor. Inhale as you release.

Legal Disclaimer: The nutritional and health information contained in this web site is for informational purposes only. We do not offer medical advice or prescribe the use of diet as a method of treatment for sickness or disease. Do not apply any information given here if you are not willing to assume the risk yourself. If you use this information without the approval of a health professional you are prescribing for yourself, which is your constitutional right. We do not assume any responsibility for your decision.

Jennifer VanLaanen-Smit © 1999 jvanlaanen@netscape.net
Domestic goddess, mother of three, nature sprite aka Mango Mama
Author of NATURAL PARENTING, to order this book or read more go to: www.geocities.com/jvanlaanen/print.html
Mango Mama's Natural Parenting and Pathways Homeschool Website! www.mangomama.org OR www.naturalparenting.org
Check It Out! :-)

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