Exercise During Pregnancy Part 2: Contraindications, Benefits and Local Resources

A few weeks ago we discussed exercise recommendations, safety and modifications during pregnancy. Today we are going to finish off the topic by discussing contraindications to exercising while pregnant, the benefits and even give you some incredible local resources!

Contraindications:

Although the last blog post discussed how women should be active during pregnancy, we have to be sure that we are not encouraging women with contraindications to exercise outside the limits of what is safe. Please also keep in mind that every pregnancy is different and every woman is different!

We will approach contraindications as a traffic light:

Red Light (Absolute Contraindications):

• Unexplained persistent vaginal bleeding

• Ruptured cervix

• Triplets +

• Pre-eclampsia

• Placenta previa after 28 weeks

• Uncontrolled gestational diabetes, hypertension or thyroid issues

Yellow Light (Relative Contraindications)

• Recurrent pregnancy loss

• Gestational hypertension

• History of spontaneous preterm birth

• Twins after 28 weeks

• Malnutrition or eating disorder

Green Light (Go For It)

• Any other circumstance

• Whether you were active or not before you got pregnant!

Please be sure to stop exercising if you experience:

• Persistent excessive shortness of breath

• Severe chest pain

• Regular and painful contractions

• Vaginal bleeding

• Persistent loss of fluid from the vagina indicating membrane rupture

• Persistent dizziness or faintness

Even if you are not experiencing any of the symptoms listed above, please pay attention to your body during an exercise session. You may have to modify or scale an exercise if you are experiencing: pelvic pain, pelvic heaviness, urinary incontinence, bulging feelings in the vaginal opening and amount of weight gain. Modifications and scaling will happen sooner with multiples and subsequent pregnancies. Athletic background will also impact this. Dr. Sarah can always help you determine what is going to be safe for you throughout your pregnancy as well. Please be sure to ask her any questions you may have at your next appointment.

Benefits: We all know that there are benefits associated with exercise. Exercise is very beneficial during pregnancy and a healthier mom literally equals a healthier baby. Benefits of exercise include:

• Reduces maternal weight gain

• Reduces risk of gestational diabetes

• Reduces risk of gestational hypertension

• Less likely to need a cesarean

• Less likely to have fetal macrosomia

• Reduced risk of postpartum depression

• Potentially reduced length of 1st and 2nd stages of labor

Local Resources: When it comes to local resources it can sometimes be difficult to find providers or coaches who have the appropriate amount of knowledge to keep you safe during your pregnancy and your postpartum period. Who we love: KiNETiX Strength & Wellness: Melissa Curtis & Jessica Kleinhammer AGAPE Physical Therapy: Nabila Jutha, PT & Natalia Farnsworth, DPT If you have questions or concerns, always ask your healthcare provider!

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