Physiotherapy Women and Pregnancy
What are the benefits of exercises during pregnancy?
- Less intervention during pregnancy
- Cardiovascular and respiratory fitness
- Good general body muscle tone
- Shorter Labor
- Speedy recovery
Exercises recommendation during pregnancy
- Exercise at least 3 times per week
- Avoid exercise in supine position after first trimester
- Avoid prolonged motionless standing
- Modify exercises according to maternal symptoms and fatigue levels
- Avoid exercises that cause loss of balance or falling
- Have adequate diet
- Hydration before, during and after exercise
When to avoid Aerobic exercises during pregnancy (ACOG guidelines):
- Persistent second- or third-trimester bleeding
- Placenta Previa after 26 wks
- Ruptured membranes (your water has broken)
- Preeclampsia (pregnancy-induced High BP)
- Chronic Hypertension, severe Anemia, Heart disease, Lung disease
- Cervical insufficiency / cerclage
- Multiple gestation (for example, twins, triplets)
- If you’re at risk for preterm labor
- Preterm labor- during a prior or current pregnancy
When should I stop my antenatal exercise?
- Two weeks prior to Estimated Date of Delivery, Vaginal bleeding
- Shortness of Breath, Headache / Dizziness, Chest pain
- Muscle weakness, Calf pain or swelling (need to rule out thrombophlebitis )
- Preterm labor, Decreased fetal movement, Amniotic fluid leakage
Postnatal Exercises
Tone up your abdominal muscles
- Abdominal muscles have two main groups; the deep or transverse abdominal muscles, and outer abdominal muscles
- It is important to strengthen the deep group of muscles first as this reduces the strain on the back
- Once these muscles are strong, you can tone up the outer abdominal muscles
- Tone up the abdominal muscle on both sides alternately
Pay attention to postures and care of lower back