"Many active women are surprised at
how pregnancy affects their workouts," says Renee M. Jeffreys, M.Sc., a
prenatal-fitness consultant in Milford, Conn., and co-author of Fit to Deliver (Hartley & Marks). "But remember
that these are normal, short-term changes." Of course, exercise during pregnancy
depends largely on what your fitness level is, which trimester you're in, and
how you're feeling, Jeffreys says. But this much is certain: The gym is a great
place to be when pregnant. If one cardio machine or strength
exercise isn't comfortable, there's always another one to
try.
Getting yourself
to the gym may take an extra dose of motivation, but the payoff is huge.
Consistent exercise during pregnancy can minimize aches and constipation, help
you sleep better, and lower your risk of gestational
diabetes and depression. You may even end up having a shorter,
less complicated labor. Developing good workout habits during pregnancy will
help you get your body back faster after delivery too.
What’s more,
exercise keeps your endorphins (your body's natural "happy"
chemicals) flowing, says prenatal trainer Erinn Mikeska, owner of Delivering
Fitness, in Dallas. That's a crucial benefit, especially since we now know that
there are more mood
disturbances during pregnancy than postpartum, due to the
massive influx of extra estrogen and progesterone (hormones linked closely to
mood), says Melanie Poudevigne, PhD, health and fitness management program
coordinator at Clayton State University, in Morrow, Georgia.
Will Exercise Harm My Baby?
Many newly
pregnant exercisers worry about
miscarriage, thanks to age-old myths that say a bout of strenuous
exercise can harm the baby. But "there is no real evidence that exercise
is linked to miscarriage," says Bruce K. Young, MD, coauthor of Miscarriage,
Medicine & Miracles (Bantam) and professor of obstetrics and gynecology at New York
University School of Medicine. However, early in pregnancy, elevating your core
body temperature may be damaging to the fetus, so stay hydrated, don't exercise
outdoors in the heat of the day, and avoid huffing and puffing so hard that you
can't talk.
Heavy exercise
isn't going to hurt your baby, but it will tire you more quickly than it did
pre-pregnancy. Blood volume
doubles during pregnancy, and a woman's heart needs to work harder
to push all that blood around—including circulating it through the placenta, an
extra organ. "That means the stress on your heart will be 50 percent
greater for the same exercise that you were doing before pregnancy," Dr.
Young says.
How Will I Feel?
Pregnant women
often notice that they feel out of breath more quickly than they used to. You
may assume this is a sign that you're out of shape. In fact, during pregnancy,
you're breathing 20 to 25 percent more air because you need to get rid of the
carbon dioxide levels in your own blood – and in your baby's. (Babies in
utero aren't breathing on their own, but they're still
producing carbon dioxide, which transfers to the mother's blood.) "So
breathing more doesn't mean you're any less fit," explains Dennis Jensen,
PhD, lead researcher on a Queen's University study of exercise and respiratory
discomfort during pregnancy. It simply means that your body is adapting exactly
as it should.
You may also
feel less balanced when exercising while pregnant. "Looser joints and
a changing center of gravity as the pregnancy progresses alters a woman's sense
of balance, making her more susceptible to injuries such as sprained ankles and
knees," says Shannon Clark, MD, associate professor in the department of
obstetrics and gynecology at the University of Texas Medical Branch (UTMB) in
Galveston. For any high intensity workouts, find an instructor
knowledgeable on how to alter workouts to accommodate pregnant women.
Pregnancy isn't
the time to push yourself to the max, but it's also okay—and good for you—to
get your heart rate up with cardiovascular
exercise. Although a target heart rate of 140 is a number that's
often cited, there's no precise number to shoot for.
Best Exercises During Pregnancy
If you have
access to prenatal exercise
classes, sign up. Not only are the workouts modified for pregnancy,
but you also get to bond with your fellow moms-to-be over charming symptoms
such as heartburn, swollen feet, and hemorrhoids. You might even get
labor tips.
If your favorite
classes don't come in the prenatal variety, it's fine to keep going, as long as
you pay attention to how your body feels, limit your intensity, and stay within
the normal range of motion. Just make sure the instructor knows you're pregnant
and is knowledgeable about modifications you can make, Jeffreys advises. Also,
if your instructor hasn't worked with pregnant women, find one who has.
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