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Listening to your body and the importance of exercise during pregnancy and beyond

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Listening to your body and the importance of exercise during pregnancy and beyond

“I always feel so much better after a workout,” 38-year-old Melanie Luu says.

Melanie is 32 weeks pregnant at the time of our chat. She’s been exercising at boutique gym, Sassi Fit, in inner-city Melbourne for several years, including throughout her pregnancy.

But training during pregnancy and after giving birth can be difficult to navigate.

Some personal trainers and instructors don’t modify exercises or their classes for perinatal people as they would for someone recovering from injury.

Some new parents may be unaware of particular movements to avoid, held back by morning sickness or fatigue, or daunted by the prospect of injuring themselves.

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Cultural expectations about losing weight after giving birth, led by a plethora of “fitspo” Instagram content, can also encourage some mothers to fixate on “getting their pre-baby bodies back” as soon as possible.

Melanie working out with her trainer Caroline.(ABC/Siren Sport: Megan Brewer)

Rosie Purdue is a physiotherapist who specialises in pelvic floor and continence physiotherapy.

She has more than a decade of experience and is the founder of Hatched House, which provides allied health services for women.

Rosie says that it’s not surprising how delicate the return to exercise after giving birth can be, given the myriad of changes that happen to the body.

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“Anatomical and physiological changes affect every single organ system in the body. At no other time in life does this happen,” she explains.

“During pregnancy, the mother’s weight and posture changes, and there is a significant stretch of the abdominal and pelvic floor muscles.”

Rosie says that after giving birth, “internally the placenta organ detaches from the uterus. This wound takes a minimum of 4-6 weeks to heal, regardless of how the baby is born [i.e. via caesarean or vaginally].”

Exercise encouraged during pregnancy

However, it’s partly for these reasons that maintaining exercise during pregnancy and beyond can be very beneficial for the parent’s health.

For those with uncomplicated pregnancies, exercise is actually encouraged. Among its many advantages, exercise can improve mood, sleep, sense of well-being and, of course, fitness levels.

A sign hanging on a wall reads 'you can't pour from an empty cup. Take care of yourself first.'

A sign in Sassi Fit encourages expecting parents to look after themselves too.(ABC/Siren Sport: Megan Brewer)

Exercise during pregnancy has additional benefits including a decreased risk of developing gestational diabetes, hypertension, and pre-eclampsia.

It’s why the World Health Organisation recommends those with uncomplicated pregnancies participate in at least 150 minutes of moderate intensity aerobic exercise per week.

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A recent University of Wollongong study surveyed nearly 700 women on their attitudes and beliefs around exercise during pregnancy.

While most believed that “regular exercise during pregnancy is safe” for themselves and their baby (94 per cent), many reported receiving “no or little advice from their healthcare provider”.

This meant that they were unaware of or not meeting the World Health Organisation recommendations about exercising during pregnancy.

A white woman wearing a long dress sits on a green couch and smiles.

Physiotherapist Rosie Purdue says it’s important to remain active during pregnancy.(Supplied: Hatched House)

“If you stay physically active and strong during your pregnancy, then your recovery is likely to be faster and you’re more likely to return to exercise and sport,” Rosie says.

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Melanie agrees.

“As a first-time mum, I’ve enjoyed modified exercises during my pregnancy and have learnt what is safe for me,” she says.

While Melanie finds the idea of returning to exercise after giving birth “a little bit daunting”, she’s aware that she can, and should, ease back into it.

She finds the social aspect of group classes help keep her motivated.

Adapting and modifying workouts key to pregnancy fitness

A white woman with blond hair tied in a bun, wearing a black hoodie, smiles at the camera.

Gym owner Caroline Molloy specialises in training people through pregnancy and postpartum.(ABC/Siren Sport: Megan Brewer)
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Melanie’s trainer, Caroline Molloy, owned Sassi Fit for seven years.

Caroline aims to help women achieve their health and fitness goals in a non-judgemental environment, specialising in pre- and post-natal exercise.

She was inspired to pivot from her career as a teacher to start the business after having her own troubling experiences when exercising while pregnant and after giving birth.

“There was a big lack of understanding on the pressure that has already been on the pelvic floor,” Caroline explains.

For her, and many other new parents, this meant that trainers were prescribing exercises that added to that pressure. This had the potential to cause pain, discomfort, and even further damage.

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“Some weren’t really understanding what it felt like to have just had a baby and then be asked to do a burpee or jump around with weights.”

Rosie notes that important modifications to exercise during pregnancy can include “making sure you can hold a conversation while you’re working out and avoiding exercising on your back during the later stages [of pregnancy].”

Shrugging off the pressure and taking it slow

A pregnant Asian woman wearing a black singlet has her arms outstretched holding red hand weights

Melanie likes the social aspect of going to the gym during her pregnancy.(ABC/Siren Sport: Megan Brewer)

Unrealistic pressure to return to pre-pregnancy weight and appearance is also something that Caroline has seen encouraged by some gyms and studios and repeated by clients.

This can include encouraging impractical fitness goals too soon after giving birth, and body-shaming or framing anyone who doesn’t achieve them as “lazy”.

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“They’re often feeling that pressure of ‘fitspo’ stuff on Instagram,” Caroline says.

“Things like ‘I did this, and I’ve had five children – this is how I look, and you should be the same.’”

Caroline says it’s understandable that being bombarded with these messages may mean some new parents need reminding that no two journeys back to exercise will look the same.

“Everything that you can do is not the same as what someone else can do,” she says.

She recommends that perinatal people looking for a personal trainer, or even attending a gym class, ask if their trainers have qualifications in pre- and post-natal training.

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“Even fitness instructors, I think, should be qualified in that, particularly when they’re running a group class,” she says.

Rosie recommends new parents “take it slow and listen to your body.”

“For the first six weeks try doing your pelvic floor exercises, stretching and building up to walk comfortably for 30 minutes,” she explains.

“When your baby is around six weeks, get a check-up with a pelvic health physio. They can guide your strength and fitness program for the next six weeks, before returning to higher intensity exercise.

“If something doesn’t feel right, then get professional help.”

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ABC Sport is partnering with Siren Sport to elevate the coverage of Australian women in sport.

Danielle Croci is a policy officer and freelance writer and podcaster specialising in women’s sport.

Fitness

Extreme fitness, viral videos could be boosting ‘rhabdo’ cases, health experts say | Globalnews.ca

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Extreme fitness, viral videos could be boosting ‘rhabdo’ cases, health experts say  | Globalnews.ca

Viral videos and “fitspiration” trends can sometimes do more harm than good, according to health experts.

One Atlantic province has already seen a rise in a rare and potentially life-threatening condition that can be caused by overexertion, known as rhabdomyolysis or rhabdo.

The syndrome is caused by rapid muscle breakdown and can be the result of extreme exercise, according to Dr. Ryan Henneberry, a Halifax-based sports medicine physician.

“(It can happen) especially in somebody who might have succumbed themself to exercise they hadn’t done in a while: the typical high-intense interval training, or the indoor cycling that’s common now,” he said.

It occurs when damaged cells release toxins into the blood, which can lead to severe issues, including kidney failure.

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“One might see the hallmark or classic tea-coloured urine, or darker urine or brown urine, and that would usually be associated with some form of muscle weakness or muscle pain,” said Henneberry.

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Newfoundland and Labrador Health Services said last month it confirmed about 20 cases in the eastern part of the province in the span of six months. Doctors typically expect to see a few cases a year, said Dr. Richard Barter, the clinical chief of emergency medicine in the authority’s eastern urban zone.

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“One doctor said they’ve seen seven cases in the last five months,” said Barter.

Most of those cases were among women aged 19 to 30. And health officials believe social media may play a role.

“There is a culture right now to do extreme activities,” said Barter.

“We suspect that there’s a lot of posting on social media about what you’ve done, the number of reps that you’ve done, how high you’ve got your heart rate … there’s a friendly jousting competitiveness going on.”

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Click to play video: 'Busting fitness myths: From metabolic conditioning to cortisol levels'


Busting fitness myths: From metabolic conditioning to cortisol levels



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Elsewhere in Atlantic Canada, Nova Scotia Health said it has not seen any significant increases in rhabdo cases. Health authorities in New Brunswick did not provide data before deadline.

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Laura Perry, a personal trainer and owner of East Coast Barbell in Dartmouth, N.S., said preventing rhabdo means taking exercise slow — and low.

“We’re not going from zero to 100 in the very first day. We’re starting small and we’re learning how to move our bodies efficiently and safely,” said Perry.

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“Working out six days a week is not twice as good as working out three days a week. It doesn’t work in that way. The most important thing is to choose a routine that you can do consistently. That you have time to recover from.”

Others believe self-compassion can help, too.

While social media pressure may encourage intense workouts for some, it’s important to pause and consider the impacts.

“It could be really just recognizing that these are large systemic and often profitable industries that are perpetuating these messages,” said Eva Pila, an assistant professor at Western University School of Kinesiology.

“We need to adopt more kind, understanding and empathetic ways of relating to ourselves.”

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— With a file from The Canadian Press

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Fitness

Put the fun back in your fitness routine with this 10-minute follow-along workout from The Curvy Girl Trainer Lacee Green

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Put the fun back in your fitness routine with this 10-minute follow-along workout from The Curvy Girl Trainer Lacee Green

Ever feel like beginner-friendly workouts are anything but?

That’s how BODi Super Trainer Lacee Green felt, so she devised a three-week, entry-level program designed for genuine newcomers to exercise—or those just getting back into it.

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Higher fitness levels linked to lower risk of depression, dementia – Harvard Health

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Higher fitness levels linked to lower risk of depression, dementia – Harvard Health
research review

People with high cardiorespiratory fitness were 36% less likely to experience depression and 39% less likely to develop dementia than those with low cardiorespiratory fitness. Even small improvements in fitness were linked to a lower risk. Experts believe that exercise’s ability to boost blood flow to the brain, reduce bodywide inflammation, and improve stress regulation may explain the connection.

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