We NEED healthcare providers to provide education regarding the appropriate type, amount, frequency, and intensity during all stages of pregnancy. Especially if you were sedentary prior to pregnancy, you should seek medical clearance before beginning exercise. We DON"T need social media, Instagram influencers, Tik Tok'ers that have no professional medical background or specialization in this population to make a 15-20 second video of a "how to" exercise for pregnant women because it can lead too more harm than good because everyone is different and may have different guidelines due to their medical history.
The American College of Obstetrics and Gynecologists recommend that during pregnancy, women should perform 30 minutes or more of moderate intensity exercise ( example: brisk walk at 4.8 km/hr to 6 km/hr) on most, if not all days of the week (Prather et al, 2012). So, let's talk about the research and outcomes! Exercises can include aerobic exercises, resistance training, stretching exercises, yoga, and Qi (Prather et al, 2012).
Improved cardiovascular function, decreased risk for gestational diabetes, improved strength and lean muscle mass, improved sense of well-being and enhance sleep, reductions in bode density loss, decreased physical discomfort (Prather et al, 2012)...Sign me up! These are all benefits the mother can have from exercising during her pregnancy. For women with gestational diabetes, strength training or strength training combined with diet changes were both related to a decreased need for insulin (Prather et al, 2012). However, if you experience any of these symptoms while exercising, you should stop immediately and contact your medical provider. They include: vaginal bleeding, dyspnea before exertion, dizziness, headache, chest pain, muscle weakness, calf pain (rule out DVT), preterm labor, decreased fetal movement, and amniotic fluid leakage (Artal, 2003).
We all want our babies to be healthy, right? So, why not exercise! Exercising has many benefits to your baby as well! It includes decreased resting fetal heart rate, improvement in the viability of the placenta, increased amniotic fluid levels (Prather et al, 2012). Research has also reported that " children of women who exercise during their pregnancy have lower birth weights, increased gestational ages, and potentially improved neurodevelopment. Neonates of exercising has a lower percentage of body fat (Prather et al, 2012).
The Prather et al, 2012 article also reported that " recently, Apgar scores have been found to be higher in neonates who are born to exercising mothers, Another report showed improved orientation and the ability to self-soothe in neonates as well as higher general intelligence and oral language scores in 5 year olds (Prather et al, 2012)." An Apgar score is an assessment of the newborn to check the baby's overall health. The higher the score, the better! This includes checking their heart rate, muscle tone, appearance, reflexes, and breathing rate.
So, why don't all pregnant women exercise? There are many barriers that include lack of motivation, time management, and waiting until the delivery to begin weight loss and exercising again. That is where licensed medical professionals such as physiotherapists with specialities or continuing education in this population come in! We can educate you on the benefits of exercise during pregnancy for you and your baby. We can help you create a realistic program that is right for you and your needs throughout your pregnancy. We do a thorough musculoskeletal and neuromuscular exam from head to toe as well as a complete medical background history to accommodate everything! We work together to create goals and help you have the best pregnancy process as possible with decreasing risk of further complications such as pelvic organ prolapse. So, e-mail us today if you would like to schedule a consultation or if you have any questions!
References:
1. Prather, H., Spitznagle, T. and Hunt, D., 2012. Benefits of Exercise During Pregnancy . PM&R, 4(11), pp. 845-850.
2. Artal R, O'Toole M. Guidelines of the American college of Obstetricians and Gynecologists for exercise during pregnancy and the postpartum period. Br J Sports Med. 2003;37(1):6-12;
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