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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

10 minutes of swimming might not sound worth it – but I tried it for 2 weeks and found the benefits of a quick dip

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10 minutes of swimming might not sound worth it – but I tried it for 2 weeks and found the benefits of a quick dip

The concept of ‘exercise snacking’ has never been more popular. Not only is it convenient and accessible, but there is solid scientific evidence that short bursts of physical activity can yield real benefits for our health. But can a swimming workout be an effective ‘exercise snack’?

A study published in the European Heart Journal found that just 15 to 20 minutes of vigorous physical activity a week (almost as low as two minutes a day) was enough to significantly lower the risk of heart disease, cancer and early death. The study defined vigorous activity as any exercise that leaves you out of breath and raises your heart rate, including swimming.

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The Fitness Secrets of Wimbledon’s Top Tennis Pros

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The Fitness Secrets of Wimbledon’s Top Tennis Pros

While many of us are far from becoming top-ranked athletes, there’s plenty to learn from the pros when it comes to optimising our health and fitness. From Janik Sinnner’s muscle-building techniques to Novak Djokovic’s devotion to longevity, dig into these tennis pros’ secrets for peak performance.

Joris Verwijst/BSR Agency//Getty Images

CARLOS ALCARAZ

Fitness Game Changer:

Sand Footwork Drills

Any pro tennis player has to play with agility, but Alcaraz can move. To do so at a high level, the 21-year-old performs lateral movement drills in the sand, teaching his feet to drive up from an unstable surface. This can help prevent ankle injuries and build strength in his calves and shin muscles.

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jannik sinner

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JANNIK SINNER

Fitness Game Changer:

Landmine Rotations

Sinner has historically lacked the physical prowess of his competitors, so the 23-year-old has gone all in on strength and mobility work. He does landmine rotational exercises such as the hollow body landmine press, which builds upper-body power.

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novak djokavic

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NOVAK DJOKOVIC

Fitness Game Changer:

Devotion to Longevity

He’s been around this long for a reason. Djokovic, 37, eliminated gluten and dairy from his diet, started practising mindfulness techniques like conscious breathing and visualisation, and even brought a hyperbaric chamber to the 2019 US Open.

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ben shelton

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BEN SHELTON

Fitness Game Changer:

Explosive Strength Moves

Known for his consistently fast serves, Shelton, 22, relies on single-leg training, using dumbbells to do lateral lunges, step-ups, and even Bulgarian split squats. He focuses on exploding upward on every rep so he’s ready to attack the ball on each serve.

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frances tiafoe

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FRANCES TIAFOE

Fitness Game Changer:

Overcoming Isometrics

Tiafoe spent last off-season doing overcoming isometrics: exercises that force the 27-year-old to hold a position against a load he can’t move. This aids in boosting power and strength and can improve joint health.


fitness magazine cover featuring a muscular man with kettlebells

If there’s one thing Kori Sampson knows, it’s how to optimise your body composition for performance. To tap into his knowledge as an elite athlete and coach, we asked him to create a 4-week plan to help you move faster, recover quicker and keep pushing when the fatigue sets in – all while improving your muscle-to-fat ratio.

Ready to build muscle, burn fat and come out the other side looking, feeling and performing better? Click here to get 14 days of free access to the plan via the Men’s Health app.

Lettermark

Andrew Gutman, NASM-CPT is a journalist with a decade of experience covering fitness and nutrition. His work has been published in Men’s Health, Men’s Journal, Muscle & Fitness, and Gear Patrol. Outside of writing, Andrew trains in Brazilian Jiu-Jitsu, helps coach his gym’s kickboxing team, and enjoys reading and cooking. 

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Personal Trainer Reveals the No. 1 Exercise to Do Daily for a Strong Deep Core

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Personal Trainer Reveals the No. 1 Exercise to Do Daily for a Strong Deep Core

There’s more to your core than you might realize. There are the muscles that make up the visible topmost layer of abs — the ones responsible for the chiseled six-pack — and then there are the deep core muscles.

Among these deep core muscles is the transversus abdominis, the deepest layer of the abdominals. Think of them like a corset that wraps around your entire midsection, explains personal trainer, TODAY.com health editor and Start TODAY producer Brianna Steinhilber.

The muscles of the transversus abdominis control your posture and the way you move, TODAY.com previously reported. They act as the foundation for the rest of your abdominal muscles, supporting mobility and functional strength across the entire body. For that reason, they deserve as much attention as the superficial ab muscles that tend to get all the glory.

“Working these deep core muscles is really what’s going to help you lose inches off your waist, build core strength and stability, and even reduce lower back pain,” says Steinhilber. Improve your strength and stability with the one deep core move that stands out above the rest.

Fitness Tip of the Day: Perfect Your Pelvic Tilt for a Strong Deep Core

While there are many exercises that target the transversus abdominis, the “pelvic tilt is definitely the most important thing to master before doing any other ab exercise or, arguably, any exercise,” says Steinhilber.

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Why It Matters

On its own, the pelvic tilt strengthens the innermost ab muscles, but it also acts as the foundation for every other workout you do.

“It’s a position that should become second nature,” says Steinhilber, because it stabilizes and braces your core whether you’re doing an abs circuit, Pilates or strength training.

By activating and engaging your deep core muscle with a pelvic tilt, you’ll be recruiting these innermost ab muscles to protect your back, prevent injury and support your posture with every move you do, TODAY.com previously reported.

How To Get Started

How to perform a pelvic tilt.Tyler Essary / TODAY

Start by lying on your back with your knees bent and your feet hip-width apart, TODAY.com previously reported. Place your arms at your side and point them toward your heels. Inhale, then, as you exhale, “think about pulling your belly button to your spine and tucking the tailbone under,” says Steinhilber.

It can help initially to exaggerate the movement by rounding your lower back so that it touches the ground as your tailbone remains in place. Then, tilt your pelvis toward your ribs. Repeat these pelvic tilts forward and back 10 times.

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When performing other exercises, whether or not they require you to lie on your back, maintain the pelvic tilt position to ward off injury and make the workout more effective, TODAY.com previously reported.

TODAY’s Expert Tip of the Day series is all about simple strategies to make life a little easier. Every Monday through Friday, different qualified experts share their best advice on diet, fitness, heart health, mental wellness and more.

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