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Published on October 19, 2018

The Most Critical Do’s and Don’ts of Working Out While Pregnant

The Most Critical Do’s and Don’ts of Working Out While Pregnant

Are you scared of working out whilst pregnant? Or simply not sure how to proceed? Everything seems slightly more daunting once you’re carrying and creating a whole other person.

In this article I will give you specific advice, tips and strategies for working out while pregnant. Ensuring that you, and your baby, are safe. Not only that but you will both benefit.

Benefits of Working Out While Pregnant

It is clear that everyone, not just you but your baby, and probably your partner and other kids will benefit from you working out while pregnant. If you’re sleeping better and feel less stress, you can guarantee everyone in the household is going to feel better.

How you benefit from working out while pregnant:

  • Reduced incidence of lower back pain
  • 30% reduction in the risk of gestational diabetes
  • Reduced likelihood of unplanned cesarian
  • Lower incidence and reduce severity of depression
  • Less pregnancy weight gain
  • Lower risk of urinary incontiennce
  • Reduced pregnancy constipation
  • Less pregnancy tiredness
  • May have a shorter labour

How your baby benefits from working out while pregnant:

  • A healthier heart
  • Normal birth weight
  • Quicker neurological development
  • Reduced risk of respiratory distress syndrome (for infants of high-risk women)
  • Less maternal stress could reduce impact on immune system development

Instant Big-Rocks for Working out While Pregnant

Before we get cracking into what really will benefit, here are some instant ‘big-rocks’ when it comes to working out while pregnant.

Safety first: Check with your midwife

Each person and pregnancy is individual – and as I”m not speaking to you in person, the first pre-qualifier is that you check with your doctor that you’re ok to work out while pregnant. In certain circumstances, it is not recommended due to potential complications arising from exercise.

If you’re new to exercising or have just fallen pregnant do check with your GP or midwife before commencing or recommencing your exercise program.

Exercise Check In Second – No lying Flat or Crunches

Crunches are a whole other issue in regards to pre and post natal training that I’ll get into during another article.

For now, know that lying flat on your back puts pressure on your body, especially after 16 weeks. The weight of your bump pressing on certain blood vessels can reduce cardiac output, make you feel dizzy and affect the flow of blood that carries nutrients and oxygen to your baby.

While this means traditional stomach crunches are out, you can and should still include core and pelvic floor strengthening exercises in your routine. These I’ll get to later in the article.

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Third Intensity Check In – No High Intensity Workouts

When it comes to exercise intensity, it is best to abide by the guideline “to be able to comfortably hold a conversation” whilst working out. Unless you are an athlete and extremely used to very high heart rates whilst you workout, keeping your rate of perceived exertion to a 7 out of 10 is best practice.

Experts agree that you should avoid undertaking activities that will raise your core temperature by more than 2°C – or above 38.9°C. This is because such a temperature change may result in hyperthermia (the opposite of hypothermia). Hyperthermia during pregnancy has been linked to a twofold increase in the risk of birth defects impacting the spine or brain.

As such, it is not advisable to use hot tubs or spas during pregnancy, and hot yoga should be avoided as well as parking in only moderate intensity exercise.

Final & Fourth Point – No high contact/dangerous sports

For obvious reasons, contact sports or sports in which it’s likely you can fall or have an accident should be avoided.

For example scuba diving while pregnant should be avoided as your baby will have no protection against decompression sickness (‘the bends’) or gas embolism – bubbles in the bloodstream that can cut off blood supply or cause breathing difficulties.

Similarly, horse riding, climbing, cycling, gymnastics and other activities that require extreme balance are best avoided as your centre of gravity shifts and affects your balance.

Certainly, sports like kick boxing, jujitsu or rugby in which contact is prevalent should be avoided for bump protection.

Actual Workouts You Can Do While Pregnant

1. Let your personal trainer or group exercise instructor know that you’re pregnant

In doing so they can assist you in providing expert advice or refer you to a qualified practitioner in your area. If you’re unsure ask your GP or Midwife for a referral.

2. Use your breath to engage your core and pelvic floor throughout your workout programs

Your breath plays a big part in controlled core to assist with labour and reduce back pain. We each take thousands of breaths per day, as as your baby grows pressure is placed upon the lungs and pelvic floor.

Preparing and practicing proper breath ensures that your core remains as integrated and activated as possible throughout and after your pregnancy.

3. Find a Holistic Core Restore Coach

The reason the Holistic Core Restore® programmes are more effective than performing keels or traditional abdominal exercise alone for true core restore and pelvic floor activation. A Hollisitc Core Restore Coach will work with you to integrate your core and pelvic floor with your whole body through a series of movements and lifestyle factors.

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4. Join a Pre & Post Natal Class

Join a Pre & Post Natal Class in order to move in specific ways designed to boost your health and recovery post birth.

This not only provides you with a chance to connect with other pre & post natal women in your area to and create a community; but also provides you access to pre & post natal experts who can give you tailored advice for exercising whilst pregnant.

5. Focus on strengthening the glute muscles

Focus on strengthening the glute muscles to counteract the anterior tilt produced by your expanding bump.

Most people will simply focus on keeping the core engaged and active to help the ‘pre-mummy-tummy’ bounce back. When in actual fact the synergist muscle to the core for pelvic stability is the butt.

Really focus on strengthening the glute muscles in order to support the core, posture and back.

Hinge movements such as single leg romanian deadlifts are a brilliant way to do so. You can do this holding a Kettlebell or Dumbell but also, once the bump is big enough just using your bodyweight.

6. Enjoy swimming

Enjoy swimming, especially in your third trimester, to remove weight and boost lymphatic drainage of your feet and ankles.

It’s well known that your ankles swell during the last months of pregnancy. This is due to the changes in posture from the weight of the stomach pulling down towards the floor.

Consequently, this causes the front of the hip to become compressed. And this in turn reduces circulation of the lymphatic fluid in the lower body.

One way to improve this circulation is to get into water as the pressure from the water removes the weight of the bump whilst providing pressure to the legs improving circulation.

7. Bring layers to your workouts

Bring layers to your workouts so that you can add and remove layers as you warm up and cool down.

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As previously mentioned, changes in body temperature can be dangerous for the baby – using layers so that you can keep your temperature constant is one the the most simple and best things you can do whilst working out while pregnant.

8. Practice the 7 fundamental primal movement patterns in your workouts

Practice the 7 fundamental primal movement patterns in your workouts – squat, lunge, anti-rotate, push, carry, hinge, pull.

“We love pregnant mamas to be regularly training their squats, since a low squat is the ideal position for working through contractions and pushing during labor.”

They also improve pelvic floor strength and elasticity to help prevent tearing during the natural labor process and teach abdominal strength relative to hip mobility for an easier labor and faster postnatal recovery.

Kiberd and her team prefer front squats done with at least a 12-kilogram kettlebell held at the chest. (Choose an appropriate weight for your level.)

“The kettlebell gives great feedback to the muscles that need to engage to stand you back up and to stabilize your weight while you’re down in the squat,” she explains.

And once the bump gets big? “No weight on the front is needed,” she says. “The belly is that natural weight.”

9. Do exercise that your enjoy

Because really if you’re enjoying it so will bump and you’ll feel less stressed.

Do not making working out while pregnant a chore – if it becomes that way, seek advice from an expert in your gym or area on some new varied things that you can try.

10. Practice anti-rotation exercises

Practice anti-rotation exercises whilst focussing on the breath for core integration and activation.

The Palloff press (a core stabilizer done on a cable machine) and the bear crawls offer the same degree of effectiveness.

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“These two exercises engage the external and internal obliques, which are involved in stabilizing the torso in rotation and help stabilize the shoulders down and back.”

11. Make sure to wind down properly

Cooling down slowly after your workouts and providing a little leeway time before your next appointment will reduce your stress levels and help you feel more balanced.

It will also stop sharp changes in body temperature that are non-beneficial to your baby.

Take your time and enjoy each session for what it is.

The Bottom Line

You will have to make fitness modifications as your body changes, but deep down, you know that’s ok. Dr Dawn Harper says

“We’re now seeing evidence that exercising in pregnancy may be one of the best things you can do for your baby’s future health. Pregnancy exercise can have a huge impact on your personal experience of pregnancy, too. Provided you follow the expert guidelines, it’s safe for most women to continue and even start exercising in pregnancy. Just make sure you check with your midwife or doctor first, in case there are any specific medical reasons why you should avoid being physically active in pregnancy.”

There are certain things that are essential. The first being to check with your Dr/Midwife to be given the ‘OK’ to exercise.

There are definite ‘no-nos’ such as abstaining from contact or dangerous sports as well as performing extreme high intensity workouts that bring your heart rate and temperature very, abnormally high for you. It is also contraindicated that you perform any exercises lying on your back.

The exciting thing is that you can and should exercise. You simply have to adapt to what is possible by seeking advice of a local pre & post natal expert. If you take one sentence away let it be this:

Focus upon your breath, workout at a 7/10 level, strengthen your glutes and perform whole body integrated exercises preferentially led by a pre & post natal expert.

And finally, if in doubt, get in the pool for some weight off your feet and relax!

References

  1. Pennick V, Liddle SD. Interventions for preventing and treating pelvic and back pain in pregnancy. Cochrane Database Syst Rev 2013(CD0011):1-100.
  2. Sanabria‐Martínez G et al. Effectiveness of physical activity interventions on preventing gestational diabetes mellitus and excessive maternal weight gain: a meta‐analysis. BJOG 2015;122(9):1167-74.
  3. Price BB et al. Exercise in pregnancy: effect on fitness and obstetric outcomes-a randomized trial. Med Sci Sports Exerc 2012;44(12):2263-9.
  4. Domenjoz I et al. Effect of physical activity during pregnancy on mode of delivery. Am J Obstet Gynecol 2014;211(4):401.e1-e11.
  5. Gaston A, Prapavessis H. Tired, moody and pregnant? Exercise may be the answer. Psychol Health 2013;28(12):1353-69.
  6. Robledo-Colonia AF et al. Aerobic exercise training during pregnancy reduces depressive symptoms in nulliparous women: a randomised trial. J Physiother 2012;58(1):9-15.
  7. Perales M et al. Benefits of aerobic or resistance training during pregnancy on maternal health and perinatal outcomes: A systematic review. Early Hum Dev 2016;94:43-8..
  8. Shi W et al. Epidemiology and risk factors of functional constipation in pregnant women. PloS one 2015;10(7):e0133521
  9. Gaston A, Prapavessis H. Tired, moody and pregnant? Exercise may be the answer. Psychol Health 2013;28(12):1353-69.
  10. Barakata et al. Exercise during pregnancy is associated with a shorter duration of labor. A randomized clinical trial 2018, 224 33-40
  11. May LE et al. Aerobic exercise during pregnancy influences fetal cardiac autonomic control of heart rate and heart rate variability. Early Hum Dev 2010;86(4):213-7.
  12. Bisson M et al. Physical activity volumes during pregnancy: A systematic review and meta-analysis of observational studies assessing the association with infant’s birth weight. AJP Reports 2016;6(02):e170-e97.
  13. Labonte-Lemoyne E et al. Exercise during pregnancy enhances cerebral maturation in the newborn: A randomized controlled trial. J Clin Exp Neuropsychol 2016:1-8.
  14. Muktabhant B et al. Diet or exercise, or both, for preventing excessive weight gain in pregnancy. Cochrane Database Syst Rev 2015 Jun 15;(6):CD007145.
  15. Marques AH, Bjorke-Monsen AL, Teixeira AL, Silverman MN. Maternal stress, nutrition and physical activity: impact on immune function, CNS development and psychopathology. Brain Research. 2015;1617:28–46

Featured photo credit: Jernej Graj via unsplash.com

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Camilla Dempster

A prenatal/postnatal and health expert who teaches women to ditch the binge/restrict/guilt cycle around their body, food and exercise.

The Leading Causes of Prenatal Depression and How to Manage it Best The Most Critical Do’s and Don’ts of Working Out While Pregnant Working in the Third Trimester (The Complete Survival Guide)

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Last Updated on July 23, 2019

5 Steps To Move Out Of Stagnancy In Life

5 Steps To Move Out Of Stagnancy In Life

In the journey of growth, there are times when we grow and excel. We are endlessly driven and hyped up, motivated to get our goals.

Then there are times when we stagnate. We feel uninspired and unmotivated. We keep procrastinating on our plans. More often than not, we get out of a rut, only to get back into another one.

How do you know if you are stagnating? Here are some tell-tale signs:

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  • If you have been experiencing chronic procrastination on your goals
  • If you don’t ever feel like doing anything
  • If you keep turning to sleep, eating, games, mindless activities and entertainment for comfort
  • If you know you should be doing something, but yet you keep avoiding it
  • If you have not achieved anything new or significant now relative to 1 month, 2 months or 3 months ago
  • If you have a deep sense of feeling that you are living under your potential

When we face stagnation in life, it’s a sign of deeper issues. Stagnation, just like procrastination, is a symptom of a problem. It’s easy to beat ourselves over it, but this approach is not going to help. Here, I will share 5 steps to help you move out of this stagnation. They won’t magically transform your life in 1 night (such changes are never permanent because the foundations are not built), but they will help you get the momentum going and help you get back on track.

1. Realize You’re Not Alone

Everyone stagnates at some point or another. You are not alone in this and more importantly, it’s normal. In fact, it’s amazing how many of my clients actually face the same predicament, even though all of them come from different walks of life, are of different ages, and have never crossed paths. Realizing you are not alone in this will make it much easier to deal with this period. By trying to “fight it”, you’re only fighting yourself. Accept this situation, acknowledge it, and tell yourself it’s okay. That way, you can then focus on the constructive steps that will really help you.

2. Find What Inspires You

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Stagnation comes because there isn’t anything that excites you enough to take action. If you don’t have a habit of setting goals, and instead just leave yourself to daily mundanes, it’s not surprising you are experiencing stagnation. What do you want to do if there are no limitations? If you can have whatever you want, what will it be? The answers to these questions will provide the fuel that will drive you forward.

On the other hand, even if you are an experienced goal setter, there are times when the goals you set in the past lose their appeal now. It’s normal and it happens to me too. Sometimes we lose touch with our goals, since we are in a different emotional state compared to when we first set them. Sometimes our priorities change and we no longer want to work on those goals anymore. However, we don’t consciously realize this, and what happens is we procrastinate on our goals until it compounds into a serious problem. If that’s the case for you, it’s time to relook into your goals. There’s no point in pursuing goals that no longer inspire you. Trash away your old goals (or just put them aside) and ask yourself what you really want now. Then go for them.

3. Give Yourself a Break

When’s the last time you took a real break for yourself? 3 months? 6 months? 1 year? Never? Perhaps it’s time to take a time-out. Prolonged working can cause someone to become disillusioned as they lose sight of who they are and what they want.

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Go take some extended leave from work. A few days at bare minimum; a few weeks or months will be great. Some of my ex-colleagues have quit their jobs and took months out to do some self-reflection. Of course, some of us might not have that luxury, so we can stick to a few weeks of leave. Go on a trip elsewhere and get away from your work and your life. Use this chance to get a renewed perspective of life. Think about your life purpose, what you want and what you want to create for your life in the future. These are big questions that require deep thinking over them. It’s not about finding the answers at one go, but about taking the first step to finding the answers.

4. Shake up Your Routines

Being in the same environment, doing the same things over and over again and meeting the same people can make us stagnant. This is especially if the people you spend the most time with are stagnant themselves.

Change things around. Start with simple things, like taking a different route to work and eating something different for breakfast. Have your lunch with different colleagues, colleagues you never talked much with. Work in a different cubicle if your work has free and easy seating. Do something different than your usual for weekday evenings and weekends. Cultivate different habits, like exercising every day, listening to a new series of podcasts every morning to work, reading a book, etc (here’s 6 Proven Ways To Make New Habits Stick). The different contexts will give you different stimulus, which will trigger off different thoughts and actions in you.

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When I’m in a state of stagnancy, I’ll get a sense of what’s making me stagnate. Sometimes it’s the environment I’m in, sometimes it’s the people I’ve been hanging out with, sometimes it’s my lifestyle. Most of the times it’s a combination of all these. Changing them up helps to stir myself out of the stagnant mode.

5. Start with a Small Step

Stagnation also comes from being frozen in fear. Maybe you do want this certain goal, but you aren’t taking action. Are you overwhelmed by the amount of work needed? Are you afraid you will make mistakes? Is the perfectionist in you taking over and paralyzing you?

Let go of the belief that it has to be perfect. Such a belief is a bane, not a boon. It’s precisely from being open to mistakes and errors that you move forward. Break down what’s before you into very very small steps, then take those small steps, a little step at a time. I had a client who had been stagnating for a long period because he was afraid of failing. He didn’t want to make another move where he would make a mistake. However, not wanting to make a mistake has led him to do absolutely nothing for 2-3 years. On the other hand, by doing just something, you would already be making progress, whether it’s a mistake or not. Even if you make a supposed “mistake”,  you get feedback to do things differently in the next step. That’s something you would never have known if you never made a move.

More to Help You Stay Motivated

Here are some resources that will help you break out of your current phase:

Featured photo credit: Anubhav Saxena via unsplash.com

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