The Stout truth about Iron in Pregnancy

Iron-deficiency anaemia. It’s not much fun, especially when you are pregnant. Unfortunately it’s also not unsual, and many have it in the third trimester. I was anaemia with in y first pregnancy, the sheer horridness of the iron tablets has sent me scuttling for the green leafy vegetables this pregnancy. What I’ve discovered working with pregnant ladies is how little sensible advice is given on this topic, so here is some from me 😉

Top Foods to eat for Iron content:

  • Red meat (beef, lamb, pork)
  • Egg yolks
  • Dark green leafy vegetables – spinach, swiss chard, watercress, curly kale.
  • Dried fruit – prunes, raisins, figs, apricots.
  • Breakfast cereals that are enriched with Iron.
  • Beans, lentils, chickpeas and other pulses.
  • Sardines
  • Tofu

Top Tips:

  1. If you eat iron-rich foods along with foods that provide plenty of vitamin C, your body can better absorb the iron.
  2. Phytates : Oxalates in spinach and phytates found in wholegrains, brans and legumes (soy beans, split peas, lentils and dried beans) inhibit the absorption of iron
  3. Tannin: Avoid drinking tea, coffee & cola drinks withmeals as they decrease the amount of iron absorbed.

The Myth: In 1759 Arthur Guinness first began to brew his famous Irish stout, over the years a lot of clever marketing went on and a few myths were created. As much as I’d like to encourage pregnant ladies to have a little stout now and again I’m afraid the iron content really isn’t worth writing home about. A pint of Guinness contains 0.3mg of iron, less than three per cent of daily adult needs. That means, you’d need to drink 15 pints of Guinness to get the same amount of iron as two Weetabix. So ladies, stay away from the Guiness, it will not help with anaemia. Sorry.   guinness is good for you Supplements: If you feel your iron levels are low (common symptoms include tiredness, looking pale and feeling washed out) then ask your midwife or GP to check your iron levels via a blood test. There are iron tablets that can be prescribed or you can increase your intake of iron containing foods, or look for a natural supplement like Spatone. I hope that helps! Pregnancy is a tiring time anyway, so it can be hard to tell if you have low iron levels, but it’s always worth keeping your iron topped up through plenty of iron rich foods just in case.

Royal Bumps and normal bumps, tips on getting your body back post birth.

So on Monday …… the newest addition to the Royal Family made an appearance. With Kate in labour there were people camping outside the hospital, live feeds recording the hospital and all sorts of chatter going on. Now I understand the excitement but thinking back to the birth of my first child, personally I was pleased to see they were given some privacy. The whole labour experience can be so challenging, unexpected and yet at the end there’s the amazement of meeting that gorgeous baby that you have been carrying around for 9 months. Those first few days are overwhelming, emotional, tiring and a big change to life.

The thing that I’ve found sad is the media chatter around Kate’s baby bump still being present a few days post-birth. Now in my mind that’s completely natural and normal. After 9 months of growing a baby your body is going to just spring back to it’s previous shape after a couple of days. It’s made me, as a pregnant lady and a antenatal Pilates instructor, think about the pressure on new mums. Yes, we wants new mums to look after their bodies, to eat healthily, to restart exercise when it’s safe to and to get that body confidence back…… but there can be far too much pressure. Having said that everyone’s bodies are different and if you have exercised through your pregnancy you are more likely to lose the weight quicker. Here I am 8 days post-baby number 1 back in my “comfy jeans” but certainly not back to my normal size and shape, who knows how I’ll be after baby number 2.

Bump to Birth Pilates: 8 days post baby.
Bump to Birth Pilates: 8 days post baby.

My advice:

  • It’s taken 9 months to grow a baby, it will take time for the baby weight to come off, be patient.
  • A few days after birth light exercise such as gentle walking and pelvic floor exercises should be safe.
  • Don’t engage in any high impact exercise until you have had your 6 week check from your GP and have built up to it. Jumping straight into high impact work can cause more damage than good. Strengthen your core and pelvic floor first.
  • Build your exercise back up slowly and steadily. Start with gentle walking, some light resistance work perhaps and think about a post natal Pilates class to strengthen your core and pelvic floor safely.
  • You may have diastasis recti (a gap in your tummy muscles) so certain abdominal exercises will not be suitable, post natal Pilates will help with this.
  • Try not to succomb to the cakes, biscuits and chocolates that are often around 😉 yes you need extra calories when breastfeeding but it’s better to get these from nutritious sources such as fruit, vegetables and wholegrains, lean protein, nuts and seeds. Keep the “treat foods” as treats.
  • Relaxin is a hormone that makes you more flexible and supple than usual, this hormone is still around post-birth so take care when stretching or in yoga moves.
  • If you are still bleeding post-birth be cautious not to overdo it, if the bleeding gets worse then rest.
  • Remember you have a new baby to look after and will be up in the night, so rest is also important.
  • Specialist post natal classes are fantastic – look for a cardio class such as a boot camp or aerobics class to complement a Pilates class. You can often take your baby to class with you.
  • Be active, take time for you and be kind to yourself!

Breastfeeding and Exercise

I’m posting this after a couple of posts and questions on the topic… I myself remember being a bit worried about breastfeeding and exercise but my experience was that as long as I fed before and after exercise I had no problems (the hubby on the other hand sometimes had a fractious baby!). I’ve based some of this on my initial questions and those I’ve been asked.

Feed before exercise

I’d always suggest that you feed your baby before your exercise.  If your breasts are full, chances are they will feel uncomfortable, and any amount of activity may stimulate milk flow, so it’s advisable to wear breast pads. If it’s a class like the ones I teach you can probably arrange to get there early and feed the baby before class. If not feed at home or even in the car! Remember you could also express if feeding is not an option.

Bump to Birth Pilates

Is a sports bra necessary?

Getting a properly fitted sports bra is essential if you’re embarking on any type of fitness class or activity to reduce the amount of “bounce” and provide adequate shock absorption to the breasts. Although wearing a nursing bra is very convenient for feeding before or after class it will not provide enough support. Consider wearing two bras, with a nursing bra on first, then a sports bra over the top. I know it sounds like a bit of a nuisance, but this “double-bra” effect will you with the support you need. I remember doing this and then whipping my top and sports bra off to feed in between classes on occasion – rather crazy but necessary 😉 I’m going to be looking out for a breastfeeding sports bra with baby 2 on the way, these are now more readily available thankfully.

Body positioning

I’m always quite aware of this in my  post-natal classes. Lying directly on your front can feel uncomfortable when breastfeeding.  For others, it feels fine.  When performing any exercise in this position, if it feels uncomfy, either mention it to your instructor who should be able to offer you an alternative exercise or you could try placing a rolled up towel above and/or below your breasts to reduce the amount of discomfort/pressure. Personally I only put ladies on their tummies for a short period of time then we change position.

Range of movement

Again, for comfort, it’s advisable to keep the range of movement of some arm exercises smaller and controlled. Anything vigorous that involves you reaching your arms over your head repetitively will cause tenderness, so it’s important you keep the range of movement of your arms smaller.  You know your body best, at the end of the day, so choose what feels comfortable for you.

Milk production

There is no significant research to suggest that moderate-intensity exercise inhibits milk production. Examples of moderate-intensity exercise include: weight training, low-impact aerobics, walking, swimming.  A study by Carey & Quinn (2001) suggested that lactate levels of milk production changed only after a mother performed maximal intensity exercise, and this may affect baby’s acceptance of post-exercise breast milk. But, the authors agreed that it’s highly unlikely that a postnatal women would feel comfortable pushing themselves to this level, so its findings have been discounted. Moderate-intensity exercise however, with good hydration will not affect the quantity or the quality of breast milk. Note the key here is good hydration. A great tip is to have a glass of water every time you breastfeed.

I hope this helps, any questions let me know and I’d love to hear your feedback too.

Milk, the best rehydration aid after exercise.

There has been a growing interest in milk and it’s uses in exercise. Most of the studies are small ones but the evidence is mounting and consistently shows that milk is a great way to rehydrate after exercise.

Skimmed milk has been found to be an effective post-exercise rehydration aid and is more effective at  the fluid balance restoration than sports drinks.

Low fat chocolate milk  has also been used to provide fluid after exercise.  Its ratio of 4:1 Carbohydrate to protein plus the sodium in it have been found to be very effective, leading to it being used by athletes, such as Michael Phelps.

Pilates with Priya: milk to rehydrate.
Pilates with Priya: milk to rehydrate.

Why?

Milk contains:

Protein – 80% casein, 20% whey which may reduce muscle damage and aid muscle repair. Who needs a protein shake when you can have the natural form of protein?

Branched chain amino acids – leucine, isoleucines and valine, making supplements unnecessary.

Carbohydrate – in the form of lactose to replenish the muscle and liver glycogen stores that will have been used up.

Fat – to fill you up post-exercise 🙂

Calcium – for bone health.

Water – 87%

Electrolytes – sodium and potassium which improve rehydration, helping you rehydrate quicker than with water alone.

I’m not suggesting you need to have a glass of milk after a walk or a gentle exercise session but when you know you need to rehydrate and replenish milk is a great choice.

Bump to Birth DVD Review from EDM fitness.

Here is a lovely review of our Bump to Birth Antenatal Pilates DVD that I recieved from Victoria at EDM Fitness:

“‘From Bump to Birth’ was very easy to follow (even if you are a complete beginner at Pilates) and could be done at home when you have a quiet moment. You do not necessarily need any special equipment, but if you would like a mat, and a swiss ball, but you can still do these exercises on a chair!

The exercises are clearly explained, and you can work to your own ability and trimester as adaptations for easier/harder exercises are offered. The beauty of this DVD is that all exercises are suitable for the complete duration of your pregnancy, so you don’t have to worry whatsoever about if what you’re doing is ‘okay!’

I would thoroughly recommend this workout, it targets the main niggles that women get during pregnancy.. (e.g. lower back pain, stress incontinence, stress) as well as prepare you for birth and after delivery. The whole workout is just generally is very relaxing and gets you to take some time out in your busy day.

Highly recommended, quick, easy and cost effective way of regularly doing some core strengthening exercises during your pregnancy. ”

The full review is here.

Or go like them on Facebook.

Pilates and Diabetes.

Recently we spent the day at the Diabetes Research and Wellness Foundation’s Wellness Day in Southampton, where we basically hung out and chatted about Pilates 🙂

The team that run these days are a joy to work with, they are always laid back but well run affairs, the delegates are particularly well looked after and the educational session run are filled with great speakers and information. So we were delighted and honoured to be asked to be there. I was there to give a talk, demonstration and we had a table with a selection of our DVD’s and Pilates info.

Pilates in my mind is suitable for almost all population groups as it is such an adaptable form of exercise, you can tailor the exercises. Diabetes can be a debilitating and difficult to manage condition unless you have the right support. Diet and exercise really are key to good management. Here is a summary of my top 5 reasons Pilates can help in Diabetes:

1. Pilates provides a gentle yet effective way to exercise, it’s great if you are concerned about exercising but know you need to start .

2. Some exercises can help stimulate the nerves in the feet, for example spiky ball under the feet, this could help with neuropathy prevention.

3. Exercises can be performed seated rather than lying down, no equipment or gym membership is needed.

4. Pilates improves mobility, flexibility and muscular strength.

5. Combining Pilates with a healthy diet and some walking will help with weight loss.

I spoke to about 100 people, had them all on their feet mobilising and finding their core! We had some fantastic feedback and lots of questions.

My Antenatal Pilates DVD went down very well as it is based on seated, stood and side lying exercises, so although I’ve marketed this as great for use in pregnancy it is also fabulous for older populations and those who want to do Pilates but don’t want to lie flat on their backs or tummies.