When should I stop my normal pre-pregnancy exercise routine?

We get a lot of emails from pregnant ladies who are worried about losing their fitness whilst pregnant. They have been working out and love their current exercise routine but obviously want to look after the baby too. Well the best way to look after baby and yourself is to keep exercising but modify as you progress through pregnancy.

Years ago, the advice was for pregnancy ladies to stop all exercise and to pretty much go on bed rest. Then this changed to a focus on only low impact exercise. However now we know from the recent research that exercise in pregnancy is a good thing, but that pregnant ladies tend to reduce their exercise. In the first trimester the advice is that you shouldn’t take up a NEW form of exercise, but this seems to sometime get misconstrued into “I must not exercise”. What this advice actually means is “Keep doing your normal exercise routine as much as you can/feel ok to do so”. Of course the nausea, tiredness and  pregnancy hormones may mean you find exercising harder than normal, but some ladies do find doing exercise can help them through this trimester. 

A study on over 1,000 pregnant ladies showed the rate pf physical activity was lower in pregnancy (20.1%) and that less than half received exercise advice in pregnancy (47.4%). Yes, when you are pregnant it is absolutely important to look after the baby, but part of that is looking after your own body so it is strong, fit and able to cope with not just the demands of pregnancy but of being a mum. Carrying, lifting, feeding, rocking and crawling after a small person is pretty tough on the body.

So can you continue your normal exercise routine? Yes to an extent. You will need to seek advice and modify some things. I was teaching spin until 7 months pregnant with my first baby and I taught Step Aerobics until 2 days before baby 1 and 1 week before baby 2. Through my 3rd pregnancy daily Pilates and functional work kept me strong and sane. Maybe surprisingly (or not) doing more Pilates and functional work lead to the pregnancy with the least aches and complications and a simple homebirth. So I’m not saying that you need to be running or cross-fitting your way through pregnancy, but that many forms of exercise can be adapted for you to continue whilst pregnant.

I have ladies who have run through pregnancy, who have continued to lift weights and to do modified cross fit. For all these ladies they have naturally tapered their levels of impact and exertion down as needed. Running may become a slow job with some walking, weights can be lighter and the range of movement smaller, cross fit moves can have some of the impact taken out.

All exercise needs to have a strong core as a foundation, this is even more important in pregnancy and postally. So for me, Pilates is essential as part of an exercise routine, but it doesn’t have to be the only thing you do. Having said that, it could be! Our pregnancy classes include whole body functional movements such as lunges, squats, wall press ups and wall planks that ensure our mums are working those global muscles as well as the core. It isn’t all breathing!

The 4 keys:

1. Listen to your body. When you feel hot, tired or just not right then stop.
2. Seek the advice of a trained exercise professional who knows their stuff. Someone who knows about pregnancy and if they don’t knows where to get help.
3. Expect to make modifications.
4. Keep your core strong. This is your foundation, with your abdominals being stretched and your pelvic floor taking a heavy load you need to have more focus on this. A specific Pilates class will do this for you or check out our DVD.

How to get a six pack and recover from diastasis recti.

Sit-ups, or any variation of this movement where you go into forward flexion eg when lying on your back, you bring your torso towards your knees to work the six pack muscle (called the Rectus Abdominus or RA), is considered a NO-NO for postnatal women, ladies post hysterectomy after some types of abdominal surgery, in those with abdominal doming or in diastasis recti (seperated tummy muscles).  This isn’t limited to women, lifting heavy weights can cause it to happen in men too. Performing this exercise can cause more harm than good.  So, if you’ve any of the above conditions and you’re doing sit ups, STOP them immediately.

How do you strengthen your abdominals? Pilates!!!

The first thing we need to do regarding this area is actually focus on strengthening your pelvic floor which is a bit like a sling of muscles supporting you from underneath, then locate the deep abdominal muscles which lie under your six-pack/R.A muscle.  These deep muscles are known as the Transversus Abdominis (TA). If you work on strengthening the deepest muscles first, then focus on the next layer, then the next layer after that, then your abdominals will re-align to their original structure.

Sit-ups strengthen and work the R.A.  During pregnancy with diastasis recti and after some surgeries, we know that this muscle has lengthened and separated.  If you don’t have a solid foundation underneath this six-pack muscle before you work  then sit-ups will actually make your separation worse, because you’re forcing the muscle to strengthen, when it’s still in a weakened, separated state.  The amount of abdominal pressure placed on the six-pack muscle when performing a sit-up, forces it to separate further apart.

The best type of exercise to do for your abdominals, postnatally is Pilates-based.  Pilates focuses on your pelvic floor and TA. As an instructor I’d focus on strengtheing your core first and then later on work on those sit ups to shorten the RA muscles.

So, I hear you ask: “Why do people do sit-ups?”.  Well, in most cases, people do sit-ups in the hope that they will get themselves a toned, flat stomach and a noticeable six-pack.  However I’d debate this, often sit-ups are not performed safely and unless you are super leaned  with a strong core, they aren’t going to work.

So, to get a six-pack, there are three things you need to do: a) clean up your diet, b) make fat-burning exercise part of your routine (the best way to burn fat, is to build lean muscle eg weight/resistance training), and c) work your pelvic floor and TA by doing Pilates.