Monday, June 8, 2015

Exercise While Pregnant

Although exercise is generally thought to be beneficial for pregnant women, there are complications which may prevent certain women from exercising.  A doctor’s approval is always advisable. 

The changes to the body mean that while exercise in general is good, there are precautions.  Aerobic exercise is great, but make sure you can still speak while exercising to ensure enough oxygen makes it to your little one.  Avoid contact sports, of course, and activities like biking, which can be difficult as your center of balance shifts.  Yoga is another great exercise, but make sure you are doing prenatal yoga, as certain poses and twists are ill-advised after the first trimester.  And don’t try to break any personal records, but if you were running before you should be fine to run again.

The Research for Moms
Doctors used to advise against exercise during pregnancy.  However, research has shown that there are many mental and physical health advantages to exercising during pregnancy.

Exercise helps release endorphins, which help keep you in a better in a better mood.  Exercises like water workouts, yoga and pelvic tilts can help lessen back pain and reduce swelling and leg cramps.  Less pain also means better mood.  Pregnant women who exercise tend to put on less excess weight than those who do not, which helps provide a better body image during pregnancy, and a sense of security that it will be easier to lose the weight once the baby is here.  Exercising can help give you a sense of control over at least that one aspect of your pregnancy as well.  Exercise also will help keep you in a better mood by keeping you more energized and well-rested.  Increased oxygen from aerobics helps keep energy up, and the workout can help tire you enough to sleep better.  After pregnancy, the mood lifting benefits may still exist, as moms who exercised are more likely to be social, enjoy hobbies, and cope well with the demands of motherhood.

On the physical health side, exercise helps reduce the risk of gestational diabetes by as much as 27% and can prevent the need for medication if you do develop gestational diabetes.  Gestational diabetes can cause premature birth and also is linked with overweight babies.  Exercise lowers the risk of preeclampsia, which is the number one cause of premature birth.  Progesterone, one of the pregnancy hormones, can cause constipation but the increased blood flow from exercise can help keep you regular, especially partnered with a high fiber diet.  Moderate exercise can help prevent colds, which can seem worse during pregnancy since so many medications are not available to you.  The physical benefits also continue after pregnancy, as women who exercised during pregnancy tended still show benefits such as lower cholesterol and resting heart rates later in life.

Both the physical and mental preparation from exercise can help when the big day finally arrives.  Studies show that regular attendees of prenatal water aerobics were 58% less likely to ask for pain medication while in labor.  Also regular exercisers were 75% less likely to require the use of forceps, 55% less likely to have an episiotomy (a cut to the perineum to enlarge the birthing canal), and were up to 4 times less likely to have a C-section.  Active labor also tended to be shorter by about 2 hours for regular exercisers.  These benefits are linked to a stronger cardiovascular system and core muscles from aerobic exercise and the better ability to stay calm and relax during discomfort achieved through yoga.

The Research for Babies
Exercise may not just benefit the mom-to-be.  Many recent studies have been conducted to help create a better picture of how exercise can benefit the baby.

Obesity is a large problem in many parts of the world, even in young children.  Regular exercise can decrease the chance of a baby being born overweight.  This excess fat can linger, increasing the likelihood of the child becoming an overweight kindergartener.  If the mother of the overweight newborn had gestational diabetes, this increases the child’s risk of having gestational diabetes.  A healthy birth weight can also help newborns overcome the stresses of childbirth faster.

Exercise can also affect the newborn’s heart.  A 2010 study shows regular exercise during gestation can lower the heart rate of the fetus; this effect is shown to persist for at least a month after the baby is born.  A low heart rate is evidence that the infant’s heart is healthy.  An additional study has shown that exercise while pregnant can alter the vascular smooth muscles of the fetal heart, creating arteries that are more resilient and efficient.  This increased efficiency appears to last into the childhood years, evidenced through higher cardio fitness levels.  This also has the potential to reduce susceptibility to cardiovascular disease.

Most recently, studies have been showing that women who exercise while pregnant can stimulate brain development.  Studies from the University of Montreal showed that as little as 20 minutes of exercise three times per week while pregnant can improve a newborn’s brain activity.  Babies in this study had more fully developed brains at 8-12 days old.  They were better able to process repeated sounds than their counterparts whose mothers had not exercised.  Other studies show that kids whose mother worked out during pregnancy have better memories, and higher scores on intelligence and language tests.

Personal Perspective
Personally I chose to work out while pregnant for two reasons.  The first being the benefits to the baby.  If my exercising can help my child be more intelligent and healthier, I am perfectly willing to put in the effort to exercise.  Secondly, I broke my hip in two places in a car accident in college and was concerned about childbirth.  I hoped by strengthening my muscles, I would be better prepared.  My workout routine included yoga, walking, Gaiam’s Pregnancy Fit Plan and the What to Expect When You’re Expecting workout dvd.

I did experience many of the benefits.  Although I did experience some pregnancy fatigue, it was not nearly as bad on days I exercised.  Constipation was never a problem.  My mood remained mostly positive throughout the experience, even with the added challenge of moving across country in the middle of my pregnancy.  However, I cannot claim that exercise helped with labor at all.  My injured hip caused severe pain and my stubborn little one didn’t want to turn her head the right way so I still needed epidurals and forceps.


Gaiam’s Pregnancy Fit Plan

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