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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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