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Some exercise is healthy for you during pregnancy, as long as it is not
excessive or strenuous. Women who exercise regularly during pregnancy
gain less weight and body fat than women who are less active; but their
weight gain stays within normal limits, and their babies are as healthy
as those of women who are inactive. Additionally, the labor and delivery
of very active women tend to present fewer difficulties.
If you are accustomed to sports, you may continue to participate. Remember
to stop when you get tired. If your pregnancy affects your sense of balance,
walking may be preferable to more rigorous exercise. Your health care
professional will tell you how much exercise you need and may also recommend
special exercises to tone your muscles in preparation for childbirth.
Activity keeps you fit.
Before you become pregnant, activity and exercise ensure that your body
is fit enough to carry a healthy baby to term. After you become pregnant,
exercise builds muscles to protect your joints and spine. Being pregnant
will make great demands on your body, and exercise can help you meet those
demands.
If you have been exercising, you may want to continue in the same way
you did before pregnancy. Or you may want to start a new form of exercise.
In either case, always seek advice from your health care professional
first. The important point is that the more active and fit you are, the
less chance there is that you will be stiff and achy as your pregnancy
continues.
Tips on staying active
No matter what exercise program you and your health care professional
have decided on, there are a few basics you need to know about keeping
fit. The following are a few exercise considerations:
- Never exercise to the point of fatigue or continue an exercise that
causes you pain. You should be able to breathe easily while exercising;
if you are out of breath, your baby is too. Measure your heart rate
(your health care professional will show you how) at the peak of your
exercise. Your heart rate should not exceed 140 beats per minute.
- Even if you have never exercised, you can walk. If you are just starting
to walk, go slowly and work up to 20 minutes a day. Don't worry about
the speed at which you walk or the distance you coverthis isn't
a race. In general, avoid competitive activity.
- Swimming is an excellent exercise that you can continue until term.
Swim slowly and gently, and avoid cold water. You can also continue
with bicycling and dancing during the first and second trimesters, but
not acrobatics. Horseback riding and skiing are discouraged because
of the risk of falling.
- There are special exercise classes for pregnant women in many community
centers. Having a teacher to encourage and to correct your position
may be helpful if you are new to exercise.
- Exercise should be regular and rhythmic. Try exercising to music.
- Even if you can't do your full exercise routine, do some exercise
every day. Regular exercise is better for you than occasional exercise.
Exercising with a partner may help you stick with it.
- Ask your health care professional about exercises you can do in a
chair.
- Warm up first, whatever the exercise may be. Try 5 minutes of slow
walking or stationary cycling with low resistance. Before you exercise,
take a few deep breaths to get the blood flowing around your body and
to send a good supply of oxygen to your muscles.
- When you stop exercising, cool down with gentle stationary stretches.
- Take a drink of water before and after you exercise, and, if necessary,
stop your exercise for a drink.
- To avoid cramps, try not to point your toes for a long time.
- If you feel any unusual symptoms during or after exercise, stop the
exercise and call your health care professional.
Below are instructions for some exercises you may find helpful during
pregnancy.
Basic exercise position
Lie on your back, knees bent, feet about 12 inches apart, soles flat on
the floor. Your head and shoulders should be supported by cushions with
your arms resting flat at your sides. This exercise position should be
used only through the 4th month. After that time, exercising flat on your
back is not recommended, because the growing uterus can put excessive
weight on major blood vessels.
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Kegel exercise
Firmly tense the muscles around your vagina and anus. Hold
for as long as you can (working up to 10 seconds), then slowly release
the muscles and relax. After the 4th month, this exercise should
be done in a standing or sitting position. Do at least 25 repetitions
at various times during the day.
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Pelvic tilt
Exhale as you press the small of your back against the floor.
Then inhale and relax your spine. Repeat this 3 or 4 times. The
pelvic tilt can also be done standing up straight with your back
against a wall (exhale while pressing the small of your back into
the wall). The standing version is an excellent way to improve your
posture and should be used after the 4th month.
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Leg lifts
Lie on your left side with your shoulders, hips, and knees
in a straight line. Place your right hand on the floor in front
of your chest, and support your head with your left hand. Relax
and inhale; then exhale while slowly raising your right leg as high
as you can, keeping your foot flexed (toes pointing toward your
belly) and your inner ankle facing the floor. Repeat 10 times on
each side. This exercise can be done with the raised leg either
straight or bent at the knee.
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Dromedary droop
Get down on your hands and knees with your back in a naturally
relaxed positionwithout letting your spine sag. Keep your
head straight, your neck aligned with your spine. Then hump your
back, tighten your abdomen and buttocks, and allow your head to
drop all the way down. Gradually release your back and raise your
head to the original position. Repeat 3 or 4 times. This exercise
is helpful throughout pregnancy, and into labor, in relieving the
pressure of the enlarged uterus on your spine.
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Tailor sit, tailor stretch
Sitting cross-legged is particularly comfortable during
pregnancy. Sit this way often and do arm stretches: Place your hands
on your shoulders, then lift both arms above your head. Stretch
one arm higher than the other, reaching for the ceiling. Relax the
arm and repeat with the other arm. Do not bounce. Repeat 10 times
on each side.
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Neck relaxer
The neck is often a focus of tension. This exercise can help to
relax both your neck and the rest of you: Sit cross-legged with
your eyes closed. Inhaling slowly, gently roll your head, making
a half circle. Exhale and relax, letting your head drop forward.
Repeat 4 or 5 times, alternating the direction of the roll. Do this
exercise 3 or 4 times daily.
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Be sure to check with your health care professional before
you do these or any other exercises. Also, consult your health care professional
if you develop any unusual symptoms while exercising.
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