24 Nov Exercise and Pregnancy

Many women have concerns about exercising in pregnancy.  In fact this is one of the most important times for most pregnant patients to stay active.  Increased weight during pregnancy can lead to heart problems, sleep apnea, gestational diabetes, preeclampsia, and blood clots.  Obese pregnant patients are also more likely to require cesarean sections and typically have higher complication rates.  Miscarriages, premature births, stillbirths and babies with birth defects are all increased in obese moms.  Despite this nearly 1/2 of all women in the US gain too much weight during their pregnancy.   Pregnancy should be looked at as an ideal for lifestyle modification.  The earlier you start the better.  Walking is likely the best form of exercise, but cycling, swimming, low-impact aerobics, Pilates, yoga and other other forms are likely beneficial.  Running and jogging are likely safe for pregnant women who participated in these regularly prior to pregnancy.  Recreational activities such as contact sports and scuba diving should be avoided.  After the first trimester I would avoid exercising for prolonged periods on the back and any intense weight lifting.  Remember to stay hydrated and avoid extreme temperatures.

According to a recent committee opinion from the American College of Obstetricians and Gynecologists,  20-30 minutes of moderate-intensity aerobic and strength training  most days of the week is recommended for uncomplicated pregnancies.

Check with your Ob/Gyn first before exercising during pregnancy to make sure there are no reasons why you should not exercise.

Maintaining a health weight is important no matter what stage of life we are in.

Here’s to the Journey!

(David W. Ball, MD, an Internal Medicine physician, founder of NuVitality Health – a wellness education company, and co-founder of Life Changing Fitness – a fitness facility for Every Body)