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Pregnancy to postpartum fitness: Here’s how to return to exercise after childbirth

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Pregnancy to postpartum fitness: Here’s how to return to exercise after childbirth

Giving birth to a new life is considered to be one of the most cherished event for a woman but how can we forget that pregnancy and childbirth brings so many changes in a woman’s body from these three aspects – anatomical, physiological and emotional. These three parameters are the pillars for every individual’s wellbeing.

Pregnancy to postpartum fitness: Here’s how to return to exercise after childbirth (File Photo)

In an interview with HT Lifestyle, Priya Singh, Women’s Health Physiotherapist and Lactation Consultant at Cloudnine Group of Hospitals in Vashi and Navi Mumbai, highlighted that the documented changes that occur during the course of pregnancy are:

  • Changes in the hormonal secretions
  • Overall increase in body fluid
  • Laxity of joints and ligaments due to relaxin hormone
  • Changes in the curvature of the lumbar spine
  • Stretching of the abdominal muscles to accommodate the growing fetus.
  • Changes in the skin
  • The most important: weight gain

According to Priya Singh, there are many other changes that a woman’s body may go through but the above changes mentioned are the most common ones and visible ones.

Why are we discussing changes during pregnancy while we discuss ‘return to exercise after childbirth’?

Priya Singh explained, “That is for you to understand that the changes that have occurred during child birth would certainly require some time to return back to normal, as how it was! You can make your bounce back process a little easier by staying active during pregnancy as exercising would help you maintain your fitness level, the muscle strength, stamina and flexibility which in return helps you to combat the expected pregnancy discomforts and that allows you to start your post-partum fitness journey soon after you give birth.”

She elaborated, “The most common concerns that every women has after child birth are “why this belly still looks bigger after the baby is born, what can be done to have this belly go in, how much time will it take, what all activities can I do”, will wearing a belt help?. The uterus is made up of smooth muscles and it grows in size with progressing weeks of pregnancy and so the abdominal muscles also stretch to accommodate the growing fetus. After childbirth the uterus is still big in size. Which shrinks and reduces naturally on its own with time. This process is referred as Involution.”

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Now let us discuss something that also causes the abdominal muscles to bulge is Diastasis recti; the separation of the rectus abdominal muscle that is more than more than 2 cm would require your attention. There are 4 types of Diastasis recti and that are:

  1. Open Diastasis
  2. Open below Naval
  3. Open Above Naval
  4. Completely Open

As per Priya Singh, 2-3 weeks after childbirth it is recommended to get checked from a physiotherapist so that they can prescribe exercises as per the assessment and type of Diastasis recti present.

What the role of abdominal belt to play here? Let’s discuss.

The criteria for wearing a belt are–

  1. Always consult your healthcare provider before using one for yourself.
  2. If you have a loose, saggy abdominal muscle and basic daily activities are affected without support.
  3. Less strength in core muscles
  4. Twin pregnancy
  5. If you are a Multiparous women.

Priya Singh suggested, “One may require to use a belt initially for about 6-12 weeks which is enough. An abdominal belt offers you a good posture and support but avoid prolonged usage as it will lead to muscle wasting, work on the muscle consistently with core exercises as per one’s existing muscle strength. A physiotherapist can help you with wearing the belt correctly and guide you with the right core exercises to begin with.”

The fitness expert advised, “The exercises that can be started soon after giving birth are abdominal muscles contraction or activation, Deep breathing exercises along with the core activation & other muscle activation exercises can be considered.”

She added a few suggestions that mothers may follow to avoid any injury, discomfort while they are returning to exercise after giving birth –

  • Take it slow, allow your body to heal for about 4-6 weeks.
  • One can start basic mobility and muscle activation exercises soon after childbirth as it allows the joints and muscles to retain its basic function.
  • Intensity of the exercises can be increased and mild to moderate intensity exercises for upper body, back and abdomen can be started after 6 weeks.
  • Moderate strength training can be started to strengthen upper and lower body with weights of up to 3-3.5 kg for beginners along with core activation exercises. Avoid lifting heavy weights during daily chores or as a part of exercise, weight training is an important part of the exercise routine but the weights must be increased in gradual manner to avoid any injury.
  • Mild to moderate Cardio exercises like walking and brisk walking can be started after 6 weeks. Avoid HITT (high intensity interval training).

Priya Singh concluded, “I would recommend mothers to take professional advice on which exercise to begin with. Evaluation of muscles strength plays a vital role in forming an exercise program of an individual. The result of not having a good core strength is having multiple discomforts out of which the most common is backache. A Physiotherapist can help you with having a safe exercise routine post childbirth by keeping all the exercise guidelines in mind. The aim of your exercise program shall focus on building a strong system instead of weight loss. Weight loss is the byproduct of life style that we have, eating habits, consistency and patience.”

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How to avoid exercise burnout and still build muscle, according to an expert

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How to avoid exercise burnout and still build muscle, according to an expert

Many of us have experienced the overwhelming feeling of mental and physical exhaustion that comes with exercise burnout. When you push yourself too hard without sufficient rest and recovery, it ultimately becomes counterproductive to your fitness goals, and your energy will tank along with your motivation. Not only that, your performance will suffer when you overtrain and under-recover, and you’re left sinking further into the couch, wondering how you’ll lift that next weight, swim that next lap, or run that next mile.

With a combo of the right nutrition, rest, recovery, and lowering your training intensity, you can get back on track. To learn more about avoiding burnout and torching fat while sculpting muscle for men, I asked certified personal trainer and Vice President of Education for Body Fit Training, Steve Stonehouse, to share some of his vast knowledge on the subject. With decades of experience in fitness education, fitness programming, and personal training, Steve Stonehouse developed an in-depth knowledge of weight loss, improving body fat composition, building muscle, and the best exercise plans that generate serious results. 

Expert advice on burning fat

The Manual: As the Vice President of Education for Body Fit Training, what are your top tips for burning fat and improving body composition for men? 

Steve Stonehouse: As the programmer and head of education, this is a little cliché, but I go for balance. Not every workout can be this CrossFit type, give it all you’ve got, smoke yourself, and work out — that’s not sustainable. The other end of the spectrum is just walking at a moderate pace for 20 minutes on a treadmill three times a week, because that’s not going to do it either. There’s value in both of those scenarios. 

It’s best to have a session or two each week where the intensity is very high, and you’re testing yourself and pushing yourself closer to your limits. That’s anaerobic exercise, which is 90% intensity or above. It’s fine, safe, and healthy to get there occasionally, but every workout can’t be one of those. Your body isn’t built to train that way; you’re gonna burn out, and you could get injured, or both.

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There’s a place for some moderate intensity as well, so if I were focusing on heart rate, I would say in the 80s, so it’s hard but not max effort, and it’s more sustainable. When you’re in that 70 to high 80s range, we categorize that as building aerobic capacity. Overall, I suggest an approach with recovery, moderate intensity, and then high intensity every now and again to test yourself. 

The best cardio for fat loss

TM: How does cardio help with fat loss, and what types of cardio do you recommend?

Steve Stonehouse: I’m a big fan of high-intensity cardio. Sometimes, people think if some is good, more is probably better, but more isn’t always better. If I were putting a program together for six days a week, I’d have three days as some type of cardio-driven day, and three of those days I would have some version of resistance training. Maybe some days are heavier, and other days are a little lighter with higher rep targets and less rest.

Of those three cardio days, I’d recommend that one of them be a high-intensity max effort type HIIT session. Another could be hard with a heart rate in the 80s, but not max effort. That third cardio day could be more metabolic conditioning, like kettlebell swings, sled pushes, rower, or SkiErg, and things like that.

Ramping up muscle growth

TM: What types of exercise are the most effective for ramping up muscle growth?

Steve Stonehouse: We’re moving into a great space right now in fitness, and it seems like every 10 or 15 years, there’s this new movement. CrossFit first popped up and led the charge for metabolic conditioning and no days off. It’s the idea that if you still feel good at the end of a workout, you didn’t train hard enough. I think we’re phasing out of that and into wanting to lift heavy again. People who wouldn’t have touched a barbell ten years ago are lifting heavy now.

Keep in mind that heavy is a relative term. You can get stronger with some lighter dumbbells, but there are limits to that. A blend is nice, but you do need to include those times when you’re lifting heavy and challenging yourself at a low rep target.

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Say, I’m going to do barbell deadlifts for five reps. If I can do eight, then that weight is too light. It’s intended to be a weight that you can’t get 15 reps of. There are advantages to lifting heavy with low-rep targets and longer rest times. For example, we’re going to do four sets of five reps of barbell deadlifts with two minutes of rest in between sets. If you can do more than five or six reps, that weight is too light. There’s a lot of value in lifting heavy.

TM: We know it’s probably difficult to choose, but what are your top three favorite fat-burning, muscle-building exercises right now?

Steve Stonehouse:

  • Barbell Zercher squat
  • Barbell deadlift
  • Flat barbell bench press

TM: How often should you work out to build muscle?

Steve Stonehouse: For the heavy session with five or six reps and longer rest periods, you could have a day each week that’s primarily focused on upper-body heavy strength training. Then, you could split it up and have another day that’s primarily focused on the lower body. You could do that, so you’re not in the gym for two hours; it’s more like a reasonable 45 or 50 minutes. If you were feeling ambitious, you could get a third one in toward the end of the week and have a bit of a mixed session where there’s not as much volume, but you have upper-body and lower-body focus. 

With that type of heavy volume, you’re going to need a decent amount of time to rest. So, if I were doing a heavy bench press today, I probably wouldn’t do that again until next week — same thing with squats, deadlifts, or any larger main lifts. 

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Incorporating sufficient rest days and progressive overload

TM: Are rest days important for the best results?

Steve Stonehouse: Yes. Rest and recovery are two different things. A recovery session would include a bit of activity, but at a lower intensity. Recovery is restoring to a natural, healthy state, and rest is inactivity. 

TM: With resistance training, do you recommend incorporating progressive overload, where you gradually increase the weights over time to develop muscle strength and mass?Steve Stonehouse: 100%. We do strength training regularly at BFT. We have a portion of our performance app, and you can enter your five-rep max. On different days, the performance app tells you how much weight you should be lifting on that day to appropriately follow that progressive overload model.

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Skip the 10,000 Steps: The One Exercise That Matches a Full Day of Walking, according to a Fitness Coach

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Skip the 10,000 Steps: The One Exercise That Matches a Full Day of Walking, according to a Fitness Coach

On Instagram, Zarina Manaenkova advised taking short intervals of squats could deliver the same impact as a full day of walking. “Ten squats instead of 10 thousand steps,” Zarina’s post read, referencing a study that equated ten squats every 45 minutes with 10,000 steps. Manaenkova explained the science behind her claim, stating, “When your muscles actively contract, they produce very important compounds that influence your brain, metabolism, and even your fat-burning processes. Meanwhile, a simple walk does not have this effect. So, if you want to stay young, squat.”

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