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How to safely return to exercise after having a baby

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How to safely return to exercise after having a baby

When Fan* gave birth to her first child almost two years ago, she was given little direction about how to return to exercise.

After a 20-minute session with a physio, they remember being given an A4 sheet of exercises to follow at home.

“It was all a bit of a blur, because I was sleep-deprived, and over-excited,” they said.

“For the first six weeks, those exercises were enough. But after that, I didn’t know what to do. 

“I had heard about people going back to sport after a few months, and others who didn’t do certain exercises for years, or ever.

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“It was pretty confusing.”

(*Fan uses she/they pronouns, and asks us to mix them up throughout the article).

Fan wasn’t sure where to turn when she wanted to exercise, so ended up consulting Google.

  (ABC Sport: Kate O’Halloran)

As is common among women who have given birth, Fan also experienced urinary incontinence.

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She was referred to a pelvic floor physiotherapist while in hospital, who gave her some exercises to strengthen her pelvic floor muscles.

But after being discharged from the hospital, there was no follow up:

“I wasn’t really sure what I was meant to do … so I turned to Google.”

Australian postpartum exercise guidelines ‘fall short’

Dr Melanie Hayman, an expert on exercise and pregnancy, says experiences like Fan’s are not unusual.

As she explains it, the regular six-week postpartum check-up typically focuses on the health of the newborn baby.

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“There are usually a couple of questions about mum’s health, but it can be quite superficial,” Dr Hayman said.

“[Topics like] returning to exercise, or the physiological changes that occur throughout pregnancy, or as a result of birthing, are not assessed.”

A woman sits on an exercise ball. She is wearing shorts and a crop top.

Many women experience core muscle separation and some form of incontinence after birth.

  (Getty Images: Gabriel Mello)

That’s despite the fact approximately one in two people who give birth experience symptoms like urinary incontinence (47 per cent), and pelvic organ prolapse (50 per cent), which can increase fear of exercising. An additional 17 per cent experience faecal incontinence.

Current Australian guidelines, however, do not provide specific advice for returning to exercise after pregnancy.

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Instead, those who are “healthy” are encouraged to meet the existing Australian adult exercise guidelines (for non-pregnant people).

“That’s where our current guidelines fall short,” Dr Hayman said.

“Someone who is five or six weeks postpartum is not your general population … [but] the issue is that we only have a certain body of literature at the moment.

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“So while the current recommendations are still accurate, there are some absences in them, and it would be great to able to provide more guidance, especially in the early phases of the postpartum period.”

She said one reason it was difficult to provide ‘one-size-fits-all’ guidelines is that individual experiences vary:

“Every birthing and postpartum experience is different, so one of the most important things is that return to exercise has to be individualised.”

Any form of activity, however, is better than none, with Dr Hayman advising starting with some gentle walking, even if this is just five minutes a day.

“Traditionally, pregnancy was considered a ‘delicate’ period in a woman’s life where they were advised to take it easy, because of fear that any sort of exertion might harm the mother and/or fetus,” she said.

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A little girl of Middle Eastern decent gives her mum a high-five as she works out in a small studio.

Individual experiences vary so much, exercise can’t be a one-size-fits-all approach. (Getty Images: Halfpoint)

“The issue is that being inactive actually increases the risk of adverse health outcomes. 

“The more women can be active in accordance with our guidelines, the better.”

Gyms with childcare and flexible times are hard to find

Finding a place to exercise is another reason many struggle to get active postpartum.

When Fan reached three months postpartum, they were determined to find a gym where they could return to greater levels of fitness.

But it was a task that proved more difficult than anticipated.

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Most commercial gyms wouldn’t allow Fan to bring her child, or if they did have a crèche, they had long registration waitlists, or were full at the times that suited her.

Eventually, Fan turned to local Preston gym 23W, a women-only strength and conditioning community with a specific focus on postpartum mums.

23W employs a full-time nanny, while the on-site creche is situated in the same room as other gym equipment, allowing parents to keep an eye on their child while exercising.

A nanny is watching kids in a gym creche.

23W employs a nanny to look after kids while their parent exercises in the gym.

  (ABC Sport: Kate O’Halloran)

“It just means our members can come in knowing they’ve got that support, whether it’s emotional support, [or just] knowing someone’s looking after their baby. It makes a big difference,” owner Ange Drake said.

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Drake also runs classes at different times throughout the day, to provide greater flexibility for her clients.

“In that first 12 months [postpartum], you’re probably not going to be training first thing in the morning, because you’re going to be pretty tired, or last thing at night.

“There’s some great postpartum programs out there, but where a lot of women come unstuck is that they’re only offered on one day, at one time in the week, and if you miss it, it’s gone.

“So having flexibility with timing is really important.”

Important to ‘normalise’ common postpartum symptoms

Drake, who has two children of her own, says one of the biggest barriers women face when returning to exercise is the “disconnect a lot of them feel with their body”:

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A woman stands in between two punching bags that hang from the ceiling.

Ange Drake sees a lot of women come into her gym with a somewhat disconnect to their body.

  (ABC Sport: Kate O’Halloran)

“After giving birth, things have stretched out, or moved and don’t feel the way they used to. A lot of women feel like whole muscle groups have gone offline.

“They have lost the trust in their body; knowing what it can do, and trying to navigate the new body they’re in.

“This includes how they can rebuild it, and make it stronger while looking after the needs of a little one.”

For many, this includes pelvic floor complaints, lower back pain and issues to do with abdominal separation.

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“When you’re in the moment, it’s really scary to think, ‘am I going to be able to run again?’ Or, ‘I’m leaking when I’m going grocery shopping,’” Drake said.

“These experiences can be really alienating … and a lot of women think ‘it’s just me’.

“So we try and help them understand that what they’re experiencing is not uncommon, and that women have been able to rehab whatever it is they’re going through.”

Fitness

Fitness: Beyond exercise, move more and live longer

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Fitness: Beyond exercise, move more and live longer

With so much emphasis being placed on accumulating a minimum of 150 minutes of moderate to vigorous exercise a week, there’s little discussion about what you should be doing the other 9,930 minutes.  

Sure, the estimated 20-per-cent reduction in mortality risk among individuals who meet the recommended amount of physical activity is impressive enough on its own. But there’s even greater improvements in longevity when you do more than just rest on the laurels of meeting the bare minimum.

A recent study published in the journal of Applied Physiology, Nutrition and Metabolism took on the challenge of determining the impact of supplementing 150 minutes of intentional physical activity with more incidental movement during the day.  

“Important questions remain regarding the joint and comparative benefits of light physical activity and moderate to vigorous physical activity,” said the study’s authors, who hail from the School of Kinesiology and Health Studies at Queen’s University in Kingston, Ont. 

Light physical activity broadly covers most of the movement behaviours outside of deliberate exercise. Household chores and yard work, strolling to the store, bus stop or coffee shop, playing with the kids, walking the dog and low-intensity recreational activities like lawn games, fishing and leisurely paddling are examples of the type of activity that people engage in over the course of a day and/or weekend. 

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Early studies on the benefits of light physical activity have been faced with difficulty distinguishing between light and moderate intensity activity — especially when using self-reported data. But the newest generation of wearables, which track any and all activity over the course of the day, have negated the bias related to personal recall and the self-determination of movement/exercise intensity. Using data from the National Health and Nutrition Examination Study, the researchers extrapolated a subset of 3,949 study subjects (an almost equal number of males and females) aged 40 and older who wore an accelerometer to record their daily activity. Their movement history was then cross-referenced with death records to establish mortality risk.

“The most notable finding was the substantial joint effect of light physical activity and moderate to vigorous physical activity on reducing mortality risk, which exceeded the maximal benefit of either intensity alone,” the researchers said. 

The combination of 335 minutes a day of light physical activity and 20 minutes a day of moderate/vigorous physical activity yielded an impressive six-fold reduction in mortality risk. But even about half that effort, 220 minutes of light physical activity a day and 10 minutes of moderate/vigorous activity, resulted in three-fold lessening in risk.

If that seems like a lot of minutes to be active, keep in mind that light physical activity is pretty much any movement you perform while not sitting. And in this particular cohort most of the higher-intensity activity was more moderate than vigorous and 45 per cent of the participants accumulated their exercise minutes in short bouts of less than 10 minutes.  

“These comparisons underscore how crucial physical activity is as a modifiable risk factor for longevity, emphasizing that its protective effect likely surpasses the impact of major health risks, particularly when light physical activity and moderate/vigorous physical activity are considered together,” the researchers said.

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Still not convinced you can find the time to make a significant dent in your mortality risk?  A substantial number (58 per cent) of the study subjects accumulated the combined amount of light and moderate/vigorous physical activity needed to realize the three-fold improvement in longevity. Twenty-six per cent combined both intensities in a dose large enough to obtain a six-fold reduction in mortality risk. 

“This suggests that health-enhancing levels of physical activity are reasonable and attainable for most adults,” the researchers said. 

That’s an important message for both active and not-so-active Canadians. What you do all day matters as much as a single workout. That’s not to downplay the benefits gained by hitting the gym regularly, but if you spend the rest of the day sitting at a desk or staring at a screen, you’re not doing all you can to add years to your life. 

As for those of you who struggle sustaining a regular workout schedule, the impact of short bouts of exercise combined with getting out of your chair more often is not only doable, it’s impressive enough to make you rethink your current lifestyle. Simple choices like going to the park with the kids, biking to the library, getting up from your desk more often and leaving the car at home the next time you want to hang out at the coffee shop all contribute toward the goal of four to six hours a day of light physical activity. Combine that with 150 minutes a week of intentional exercise in the moderate to vigorous range, even in short bouts, and you’ll have more years to enjoy life to its fullest. 

Those extra years might be motivation enough to get you out of your chair, but knowing that you’re also more likely to be in good health and with energy enough to continue doing the things you love is added incentive to move more and sit less. 

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Brisbane to get $5.6m boost to health and wellness programs

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Brisbane to get .6m boost to health and wellness programs

The Brisbane City Council has announced it will invest millions of dollars in a new health and wellness program.

The council will allocate $5.6 million in its 2026/2027 budget to boost healthy activities across Brisbane with the new Move Well Brisbane campaign.

It is the next stage of the council’s Active and Healthy program, which provides thousands of free and low-cost active programs in the city council area.

Lord Mayor Adrian Schrinner said the program to be delivered in Wednesday’s budget would be “the biggest boost to active and healthy programs that the city has ever seen”.

“It’s about making sure that Brisbane residents have the opportunity to stay active and healthy, to get out, to enjoy our amazing city, but also without hurting the hip pocket,” Cr Schrinner said.

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Mayor Adrian Schrinner says the program will build on existing fitness activities, including Pilates and yoga. (ABC News: Jordan Bissell)

The new program will see the number of participating businesses expand to 400, and sessions more than double to 20,000 over the next two years.

“This is a great opportunity for local businesses as well to get involved,” Cr Schrinner said.

“We’ve got opportunities for you to provide services to the people of Brisbane and to provide those free services, free classes, free activities that people really want to get involved with.

Cr Schrinner said the Move Well Brisbane program would build on existing fitness activities, including Pilates and yoga, with nutritional and cooking classes. 

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Three people, one in an apron, at a barbecue with Brisbane river and city in background.

Nutrition Australia Queensland will partner with the council to provide nutrition and healthy cooking classes. (ABC News: Jordan Bissell)

Nutrition Australia Queensland chief executive Kirsty Elliott said the organisation was “thrilled” to be providing food and cooking experiences under the new program. 

“Cost of living is affecting so many households at the moment so we’re hoping that people can come away really understanding how to produce meals for themselves in their households that really are helping them to stretch the dollar a bit further as well,” she said. 

Ms Elliott said the cooking and nutrition classes were intended to “help people really build their repertoire” of what they can cook.

“We try to keep it delicious, easy, and like I said: very budget friendly.”

Cost-of-living budget

Cr Schrinner said Wednesday’s budget would have a “big focus” on cost-of-living relief for Brisbane residents. 

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“I can assure you we’ve worked really, really hard to try and keep the costs down for Brisbane residents,” he said. 

“We know that we can’t solve every problem for people when it comes to cost of living, but certainly the things that we can control we want to keep down as low as possible and provide cost benefits and cost savings to people.”

He said the council would fulfil its promise to deliver the lowest council rates in south-east Queensland. 

“We’ve seen other council budgets come out already and we’re working to make sure that we keep our rates the lowest possible and the lowest in south-east Queensland.”

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‘It takes 2-6 weeks’: This Hollywood PT (who’s trained Pedro Pascal, ScarJo, Margot Robbie & more) shares his go-to exercise for a pain-free back — and how long it takes to ‘restore proper glute activation’

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‘It takes 2-6 weeks’: This Hollywood PT (who’s trained Pedro Pascal, ScarJo, Margot Robbie & more) shares his go-to exercise for a pain-free back — and how long it takes to ‘restore proper glute activation’

In your 30s? Years of sitting — at a desk, in a car, on a sofa — gradually teach the body to stop recruiting the glutes properly. It could be that your hip flexors feel a little tighter, or that your lower back picks up the slack when other muscle groups should be working.

Then, one day, that back starts aching for reasons that seem to come from nowhere.

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