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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.

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Weight loss: 13 tips and tricks to lose weight without diet or exercise

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Weight loss: 13 tips and tricks to lose weight without diet or exercise
Weight loss tips: By focusing on dietary modifications, lifestyle changes, and other non-exercise approaches, individuals can still achieve their weight loss goals. Here are 13 proven techniques to lose weight without dieting or exercising.
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Exercise Science, M.S. @ MTSU

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Exercise Science, M.S. @ MTSU

Graduates gain expertise to advance in positions in fitness and wellness, cardiac rehabilitation, strength and conditioning, corporate fitness, and research. The degree also helps prepare candidates to gain certifications through the American College of Sports Medicine and the National Strength and Conditioning Association and to enter a doctoral degree program in Exercise Physiology. Graduates can also continue their education in other health care professions. Potential occupations include, but are not limited to:

  • Bariatric exercise specialist
  • Cardiac rehabilitation specialist
  • Diabetes educator
  • Educator/professor
  • Employee fitness director
  • Exercise physiologist
  • Fitness center/gym owner or manager
  • Health coach
  • Occupational therapist
  • Oncology exercise rehabilitation specialist
  • Personal trainer
  • Physical therapist
  • Pulmonary rehabilitation specialist
  • Researcher
  • Strength and conditioning specialist
  • Wellness coach

Employers of MTSU Exercise Physiology M.S. alumni include

  • Acuff & Associates, Inc.
  • Bowling Green University
  • Brooklyn Nets
  • Cross-fit Rampage
  • Cumberland University
  • DaVita Renal Dialysis
  • Journeys In Community Living
  • Middle Tennessee State University
  • National Federation of the Blind
  • North Carolina State University
  • OnLife Health
  • Orthotics Manufacturing Co., Chicago, Ill.
  • Physiotherapy Associates
  • Southern Tennessee Medical Center
  • Steadman Orthopedic Group
  • Tennessee State Governor’s Foundation for Health and Wellness
  • Tri-Fit Athletics
  • University of California-Santa Clara
  • University of Tennessee-Martin
  • U.S. Army
  • Vanderbilt Heart and Vascular Institute
  • Vanderbilt Orthopedic Institute Fitness Center
  • Well Fit Medicine and Nutrition
  • Williamson Medical Center/Cardiac Rehabilitation
  • YMCA
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Fitness

How to Start Strength Training If You've Never Done It Before

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How to Start Strength Training If You've Never Done It Before

The weight room at the gym can be an intimidating place. The equipment looks like it could crush you if you use it wrong. People grunt as they haul heavy things up and down. And why don’t these machines come with instruction manuals, anyway?

Figuring out how to start strength training as a beginner can be tough, but it’s worth the effort. Modern exercise science shows that strength training offers a host of benefits, like stronger bones, decreased inflammation, lower risk of cancer and cardiovascular disease, plus better sleep, mental health, and cognitive function. And, of course, stronger muscles. “We start to lose muscle tissue as early as our 30s if we don’t [work to] maintain it,” says exercise physiologist Alyssa Olenick. That’s why current federal guidelines recommend that adults work all of their major muscle groups with strengthening activities two days a week, in addition to doing cardio.

Fortunately, getting started is simpler than you might think. “You definitely do not need a personal trainer to start strength training,” says Kristie Larson, a New York–based personal trainer who specializes in working with beginners. Many of the basic moves you probably learned in grade-school gym class can be the foundation of an effective routine. 

The best exercises to start with

So, what exactly counts as strength training? “Any sort of exercise modality that is putting your tissues under load with the intention of increasing strength or muscle tissue over time,” Olenick says. That can include bodyweight-only exercises like planks, or working with resistance bands, dumbbells, kettlebells, barbells, or resistance machines.

A smart place to start is with exercises that simulate the activities you do in everyday life. “Things like squatting to a bench, which mimics sitting in a chair, or a lunge where we’re getting up from the ground using one leg,” Larson says. “It’s easy to feel how that is going to benefit your life.” 

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To hit all the major muscle groups, you’ll want to check off each of the four foundational movement patterns: pushing (like with push-ups or bench presses), pulling (like with rows or biceps curls), squatting (like with lunges, leg presses, or squats), and hinging (like with deadlifts, where you lift a weight from the floor to hip level). “[Make] sure you have one of those on each day so you’re getting a little bit of everything,” Olenick says.

Read More: Why Walking Isn’t Enough When It Comes to Exercise

Also add in some targeted core work. Larson likes to give beginners moves like planks, bear holds (planks with bent knees hovering just off the ground), weighted marches (marching in place while holding weights), and heavy carries (where you just pick up a heavy weight and walk with it).

Feel free to skip the barbells if they feel too intimidating. Instead, you can start with dumbbells, resistance bands, or just your body weight. “Just get comfortable being in the gym, doing these new movement patterns,” Olenick says.

If you’re not sure how to put together a well-rounded program, you can find structured beginner workout plans online. (Larson, for instance, offers free simple guides to get started.) Just avoid any plans that offer unrealistic promises. “It should be scalable and modifiable—something where you can actually make it personalized to yourself,” Larson says. Each exercise should come with a suggested range of reps (the number of repetitions to do before taking a break), sets (how many rounds of those reps), and information about how long to rest between sets. 

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Don’t be surprised if you start to feel stronger pretty quickly. “The first six to eight weeks of resistance training, you’re getting a lot of neuromuscular adaptations,” Olenick says. “Your nervous system is getting better at recruiting and contracting your muscle fibers. They call them newbie gains.”

How to pick the right weight

Newcomers sometimes get stumped by which weights to choose off the rack. “For a beginner, you want to feel like you can do between 10 to 15 repetitions without a break,” Larson says. “If you get to the end of your 10 reps and you feel like you could do 10 more, the weight’s too light. If you’re fighting to do that last rep or two and you’re a true beginner, that weight is a bit too heavy.” (Although you might see videos about “training to failure” on social media—meaning lifting weights until you hit your absolute limit—Larson says that’s an advanced method beginners shouldn’t worry about.)

Read More: Why Your Diet Needs More Fermented Pickles

Olenick likes to choose weights based on your rate of perceived exertion: On a scale of one to 10, where one feels super easy and 10 feels like the heaviest you can lift, she suggests aiming for about a six or seven. Over time, as you get stronger and more comfortable with the motions, you can start to reach for heavier weights. 

How much strength training to do

Although the two-day-a-week federal guidelines don’t specify how long you should spend on your strength workouts, Larson recommends putting in 30 to 60 minutes per session. For each move, she says a good range to shoot for is two to three sets of 10 to 20 reps. “I would say 10 to 15 for weighted, externally-loaded exercises, and 15 to 20 if we’re talking about bodyweight [exercises],” she says. Then, between each set, take enough of a rest to let your muscles recover so you can give another quality effort.

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Read More: 8 Ways to Stay Hydrated If You Hate Drinking Water

No matter how excited you are to begin, remember to keep your workouts doable. “Start with less than you think, then build from there,” Olenick says. “Make it maintainable for life.” 

How to start strength training without getting injured

In nearly every strength-training exercise you do, you’ll want to focus on maintaining a neutral spine—a tall, open-chested posture with your rib cage stacked over the pelvis. But Olenick points out that form exists on a spectrum, rather than simply being good or bad. “Most things you do in the beginning will not be with perfect form,” she says, adding that that’s okay. “You’re not automatically going to get injured just because you’re doing it imperfectly.” 

The truth is, most beginners aren’t actually the novices they might think they are. “A lot of people have fear around strength training. But we lift heavy things in our everyday lives all the time: We’re carrying heavy grocery bags. We’re bringing in the dog food. We’re opening heavy doors against the wind,” Larson says. “Most people underestimate what they can lift.” 

No matter how you start or what your technique looks like, you’ll still be building muscle. As long as you keep things manageable, “you can’t mess it up in the beginning,” Olenick says. “Everything you do is beneficial.” 

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