Good news: You can
safely start an exercise program during pregnancy even if you've been an avid
couch potato until now. If you were sedentary before you became pregnant, it's
important to review your exercise plan with your healthcare provider before you
begin.
Pregnancy isn't the
time to try to lose weight or begin a vigorous exercise routine, but if you
aren't in any of the high –risk categories, you can pursue an exercise regimen
at a mild to moderate level.
Start slowly and wisely
Beginners should start by exercising 10
minutes at a time and so on, until you build up to 30 a minutes a day on all or
most days of the week. Don't go for the burn and don't exercise to exhaustion.
A good rule of thumb: Slow down if you can't comfortably carry on a
conversation.
Be careful to eat properly and get
enough fluids. Being pregnant means you need approximately 300 extra calories a
day, depending on your prepregnancy weight.
Always stay cool while exercising. Wear
a sun hat and layers of loose, comfortable clothing when working out in hot,
humid weather. Keep a bottle of water handy to replenish lost fluids. If you’re
exercising outside, be sure to wear sunblock since pregnancy can make your skin
more sun-sensitive.
Safe exercises
If you're pregnant and new to the joys
of physical fitness, consider:
Walking: This activity gets top honors for
expectant mothers because it's safe, easy to do, and improves your
cardiovascular fitness — in short, it's the perfect way to get started if you
didn't exercise before pregnancy.
Low impact aerobics classes or fitness DVDs: Look for ones that
cater to pregnant women.
Swimming: This is a great form of exercise
because it uses your whole body and puts little strain on your joints. An added
bonus: The water supports your weight, giving you a temporary reprieve from
feeling ungainly as your belly gets bigger.
Prenatal yoga and stretching: Both ease tension and
help keep you flexible and strong.
Activities to avoid
High-risk sports, such as scuba diving,
and activities with a potential for hard falls, such as horseback riding,
downhill skiing, snowboarding, and waterskiing, are off-limits to pregnant
women.
Certain other forms of exercise, such as
bike riding, should be pursued more cautiously or postponed until after the
baby's born. While biking enthusiasts may disagree, some experts say that
biking during your second and third trimesters is dangerous because your
balance isn't what it usually is, making falls more likely.
Pregnancy isn't the time to start
running, either, although it's fine if you jogged regularly before getting
pregnant. You may need to modify your running routine during pregnancy, though,
so talk to your healthcare provider.
After the first trimester, avoid sit-ups
and other exercises done while lying flat on your back — they can make you
dizzy and decrease the blood flow to your uterus.
Weight lifting and other exercises that
involve standing in place for long periods can also decrease the blood flow to
your baby. Keep moving by changing positions or simply by stepping back and
forth.
Warning signs
If you have shortness of breath before
you exercise, be sure that it passes before you start. And if you have any of
the following symptoms while you're exercising, stop immediately and contact
your doctor or midwife if the symptoms don't quickly resolve:
dizziness or feeling faint
muscle weakness
headache
chest pain
calf pain or swelling
vaginal bleeding
contractions (preterm labor)
fluid leaking from your vagina
decreased fetal movement
rapid heartbeat while at rest
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