WORKING OUT WHILE PREGNANT: ADAPTING THROUGH THE TRIMESTERS
Not very long ago ago the exercise recommendation for pregnant women was to engage in low intensity cardiovascular efforts. Many obstetricians would also suggest maintaining a heart rate of under 140 beats per minute. However, new research has suggested that pregnant women are safe to continue participating in physical activities they engaged in prior to pregnancy, and high intensity exercise can be beneficial in low risk pregnancies.
Throughout my pregnancy, I chose to closely listen to what my body could handle. As my body changed, so did my level of activity and the exercises that felt comfortable.
FIRST TRIMESTER (0-12 WEEKS):
In my first trimester, my aerobic capacity noticeably plummeted. It became much harder for me to maintain a comfortably elevated heart rate, which makes sense considering my increased cardiac output and initial surge of hormones. I chose to focus on strength workouts with a lot of built in rest so that I could allow my heart rate to decrease between sets. Because my bump was still very small during this phase, there weren’t many movements I felt I needed to scale yet.
There were also incredible waves of fatigue that came in my first trimester, so I began to take off days whenever my body asked for one.
SECOND TRIMESTER (13-26 WEEKS):
The second trimester was my favorite period of the pregnancy. By this time, I had a cute pregnant bump and my first trimester nausea had disappeared. My aerobic capacity also felt like it had returned a bit, making it much easier to add back in more cardiovascular efforts.
This period of time also coincided with the COVID-19 quarantine, so it was necessary to get creative about workouts with limited equipment. I chose to focus on 20-40 minute workouts consisting of both cardiovascular and weighted efforts.
PREGNANCY CONING
As many pregnant women experience during this phase, I began to notice coning during some exercises. Coning is when your abdomen looks like a cone, with the peak being along the middle line of your abdomen, also known as the linea alba. Coning tends to occur when you add substantial pressure to your abdomen through certain exercises, or even just when you sit up to get out of bed.
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To account for this, I began made some adjustments to my workouts. I decreased my amount of running and jumping which contributed to pelvic pressure. Finally, I adjusted my deadlift stance from a standard position to a sumo stance to accommodate my growing belly.
THIRD TRIMESTER (27 WEEKS-DELIVERY):
In the final few months of my pregnancy, my baby had grown considerably in size. This made me a lot more uncomfortable, especially near my ribs and pelvic floor. In fact, I know women who have broken ribs from the pressure their baby places on their torso. Needless to say, it became much harder to breathe toward the end of pregnancy.
For these reasons, I began adding in shorter workouts with more rest. Most of my sessions lasted about 20 minutes, and I relied on walking and biking to contribute to some of my low intensity cardiovascular efforts.
I also focused on preparing my pelvic floor and core by practicing core compressions in all of my workout warmups and cool-downs. Strengthening these areas is critical to a smooth vaginal delivery and recovery. If I hadn’t been in quarantine during my third trimester, this is when I would have relied on a pelvic floor specialist for a physical therapy program. However, in this digital age, there are many fantastic online resources.