Parenting

Benefits of regular exercise during pregnancy include backache and swollen ankle relief

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Pregnant woman working with yoga teacher in studio.
Pregnant woman working with yoga teacher in studio. (Photo: Getty Images)

Just remember to take it easy, Dr Karabo Tlale advises. 'If it feels too uncomfortable or becomes painful, then rather stop and seek help,' she adds.

Exercising while pregnant can help you stay in tip-top shape and boost your confidence, especially as your tummy gets bigger.

But you need the blessing of your healthcare provider before hitting the gym, says Dr Abigail Lukhaimane, an obstetrician and gynaecologist. "One of the key rules of exercising while pregnant is to always ask first, and if you're unsure, then don't do it."

Generally, low-impact movements are the best form of exercise for pregnant women. This is because you only need to double your heart rate and not try to push yourself too hard.

"So activities like swimming, pilates and all kinds of non weight bearing exercises are really good," Lukhaimane explains. But, if you're an avid runner, jogger or fast-paced walker, any of those will also do.

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Just remember to take it easy, Dr Karabo Tlale advises. "If it feels too uncomfortable or becomes painful, then rather stop and seek help."

The benefits

A mother who's been exercising while expecting, generally, tolerates the pregnancy better. She'll also cope during delivery and recuperate better. Other benefits, Tlale adds, include preventing gestational diabetes - if a mother starts gaining too much weight during pregnancy, it makes delivery and healing much more complicated.

Lukhaimane also mentions the advantage of muscle memory.

"The advantage of this is that your muscles will ‘recall' how you functioned pre-pregnancy, and allow you to get back into your fitness routine or regain the physical strength you had in your non-pregnant state."

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Once you've delivered your precious cargo and resume training, your body falls back into its old routine much easier. You also tolerate rigorous exercise better, helping you to get back into shape faster.

Home exercises for every trimester

First trimester:

Swimming

This low-impact exercise boosts your body's ability to use oxygen and improves sleep. Aim for 20 minutes, three days a week.

Second trimester:

Yoga or Pilates

It alleviates backache by stretching and releasing tension. Your energy levels and mood also get a boost, and equips you to deal with pregnancy pains. Remember that exercising on your back is not ideal when you're well into your second trimester.

Third trimester:

Squats

Doing squats from 36 weeks, help the baby's head engage when pushing during delivery. Do them with assistance. Start with 30 seconds at a time and work towards two minutes, five or six times a day. If you experience any pain, then stop immediately.

Throughout pregnancy:

Kegels

Pelvic-floor strengthening exercises may help ease postpartum symptoms, like hemorrhoids and urinary incontinence. Each kegel should last 10 seconds. Aim for three sets of 20 daily.

What not to do

Exercises that should be avoided are those that affect the pregnancy by position, Lukhaimane points out.

"Your centre of gravity changes as the pregnancy advances, so you'll find that certain exercises might become more difficult to do. You can't expect to do situps or stomach crunches when you're in the third trimester of pregnancy, for instance."

And don't hold your breath while exercising, Tlale suggests, as both you and the baby need a constant flow of oxygen. Jerky or twisting motions should also be avoided as they add more strain to your already stressed joints.

Don't overdo it, Lukhaimane stresses, adding that you could be compromising the baby's growth, because over-exercising could lead to weight loss on both the mother and baby's side. "This hinders the baby's full growth potential," she says.

Pregnancies that have already been diagnosed as high risk should be very cautious and seek advice from their treating obstetrician prior to exercising. "These would be patients with short cervixes, placenta previa patients that are at risk of second trimester miscarriages, or those who've had previous episodes of bleeding," Lukhaimane cautions.

Myth busters

Dr Tlale debunks some myths related to exercising and pregnancy.

  • Myth 1: If you didn't exercise before you were pregnant, it's not safe to start now. It's never too late to start exercising, even if you were not a fan before your pregnancy. It's best to first chat to your doctor, before starting any programme, for advice on what type of exercise, frequency and intensity would be best.
  • Myth 2: Experiencing shortness of breath during pregnancy is a sign that women should not exercise. Shortness of breath is due to the compression of the lungs by the enlarging uterus. You can still do low impact exercises under the supervision of an instructor.
  • Myth 3: Weightlifting is too stressful on your joints. Weightlifting is not stressful for the joints, but it's like manual labour, so if you experience abdominal pain, for example, it should be avoided.
  • Myth 4: You should stop working out as you get further into your third trimester. Exercise is allowed in pregnancy, but you must listen to your body. Low-impact exercises are recommended as they tone the muscles and promote blood circulation. If you do high impact exercises like cardio, you need an instructor to set the pace.

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Zizipho Mqingwana