Updated: May 18
Pregnancy is associated with significant anatomical, hormonal, metabolic, and cardio-pulmonary changes (1). Isn't it awesome that our bodies can adapt to these changes and as a result, create new life! Talking more and more to my clients or friends who are pregnant, we have discovered that there is not much out there on how to modify your workouts but continue to stay strong during your pregnancy.
You may want to work out while you are pregnant, especially if you were before, am I right? Are you feeling lost and unsure if your prenatal workouts are still right for you? Shoot, with the fatigue, nausea, difficulty eating, and mental exhaustion, to name a few, this can put you on the sideline in your first trimester.
Does this sound like you? Are you unsure how to modify your workouts or what specifically to monitor when you work out? If so, READ ON-READ ON.
First let’s talk about how important it is to advocate for yourself at your 20-week checkup with your doctor. Whether you were able to work out, or not in your first few weeks, be prepared to ask your doctor questions about any concerns you have with working out throughout your pregnancy.
Common questions my clients will ask include:
Is it too late to work out in my second or third trimester if I was not feeling well during my first trimester?: The answer is NO, it is not too late. If your doctor did not provide information against working out during your pregnancy, including contra-indications or complications involved with your pregnancy, then green light means GO! But be mindful of slowly getting back into your prenatal fitness level, and build up to your desired ability.
When I workout I feel like it is very challenging to breathe- is this normal? YES. Your major breathing muscle AKA your diaphragm, which lives in your abdominal cavity under your ribs is becoming squished by baby, so it is not able to expand as much as it normally would when you are not pregnant. THEREFORE, breathing is going to be more difficult and that is just something you will need to work on more closely.
Check out our blog post on breathing exercises and positions to assist in breathing- coming April 2021.
What do I need to monitor when working out to make modifications in my second and third trimester? - The MOMENT we have been waiting for!
When you are working out during pregnancy, you need to be able to monitor your response to exercise more than ever and monitor how you feel during the workout. An appropriate warm-up period should be considered to prepare your body before performing a lifting/running/yoga routine and before increasing the intensity. This should take 10-15 minutes and is highly recommended in preparing your body (2)!
Next, you should be monitoring your heart rate. This can be monitored by taking(220 minus your age) to find your maximum heart rate approximately, depending on your level of fitness. Next, calculate 55-75% of that number to find an appropriate heart rate zone for you. When we workout, blood, and oxygen are pumped into our muscles, taking away blood and oxygen from the baby. I know this sounds scary, but this is normal, and if you monitor your heart rate, that will help you from knowing when you are doing too much and placing a high demand on your body (2). Keep a happy medium and your body and baby will thank you!
Monitor your intensity by seeing if you can talk during your workout. TALK TEST what what- yes this is a real thing, and if you do not have a workout buddy, talk out loud and if you can continue to breathe during the workout. You will know if the exercise intensity is excessive if you are unable to carry out a verbal conversation while working out (2).
Lastly, monitor your RPE- the rate of perceived exertion. This scale is a scale that you determine based on how difficult the workout seems to you. It is measured from 6-20 (very light to very hard). Ladies, keep this intensity below or between 12-14 (somewhat hard- hard), which is shown to be appropriate for most women while they are pregnant. This is not the time to say “I am going to do my MAX 1 repetition deadlift," unless you have been doing that all along and your body is used to it.
Okay, now you know what to monitor during your workout, how do I plan my pregnancy workout!?
Ever heard of the FITT principle? Well, if not, I will tell you, girl. FITT stands for frequency, intensity, time, type.
Frequency- the American College of Obstetrics and Gynecology recommends 150 minutes per week of mod intensity exercise with a mix of strength training and cardio
Intensity- Check out the above recommendations to see how to monitor the correct intensity for you
Time- 15- 30 minutes per workout, but it could be more as long as your body is feeling good or you have been doing longer workouts
Type- What do you like?- running? walking? yoga? lifting? YOU Pick, but just know your body may say, “Hey I am NOT feeling this type of workout anymore” (2).
Now you are set up, ready to go, but notice certain moves are just not working for you, how should you make the adjustments you may ask.
What modifications should I consider?
Let's talk about when you should consider modifications. By 4 months into your pregnancy, lying on your back during workouts should be altered and replaced with lying on your side or standing. This is important to keep in mind as the weight of the baby on our descending vena cava, (the major vein that brings blood back to the heart) and could cause feelings of lightheadedness or feeling faint. If you are comfortable and able to tolerate lying on your back, GREAT but be sure to listen to your body and do not stay in this position for too long (1).
Joint laxity is a real thing- AKA joint mobility. Hormones are changing in our bodies and we need to recognize that, and know that OVER stretching is a real thing. If anything, I always advise my clients to strengthen and stabilize. This is SOOO important to keep in mind because this can decrease your chance of lower back or hip pain as you make your way into your third trimester (1). Exercises that you should consider modifying as you move into your second trimester include single-leg exercises. I know this may not seem easy to do, especially for my ladies who love to do tree pose, but know it could lead to orthopedic (muscle, bone, tendon) issues and I am trying to save you a trip to PT.
Consider modifying your core exercises. Yes, you can still get these muscles strong despite the baby pushing them apart. EVERY, let me repeat, EVERY woman will have diastasis recti during pregnancy. Diastasis recti is when your abdominal muscles separate to make room for the baby. Monitor bulging, doming, or coning during your workouts, which is when there is an imbalance in your abdominal muscles causing one to push forward and create a "dome-like" appearance. Manage pressure in your abdominals, by thinking about your breathing while you work out. It is important to breathe in as you relax, and breathe out as you exert during a workout. If you are running, maintain a normal breathing pattern. This continuous breathing will maintain a normal intra-abdominal pressure (pressure in your abdominal cavity) and allow for balance. Avoid holding your breath when possible during your workout (1).
Change your environment in which you workout- especially in your first trimester, avoid humid/warm environments as this will increase core temperature resulting in risk of infection.
Lastly, avoid exercise that involves physical contact/danger of falling, as contact sports are more likely to cause a direct trauma or add a risk of falling, which can place harm to baby and mom.
Regular exercise during pregnancy resulted in around a 40% reduction in the odds of developing complications. WE LOVE THAT! So keep moving and being mindful of your changing body as now you know how to modify your exercises and do the right thing for yourself (3).
Light-intensity to moderate-intensity physical activity does NOT increase the risk for miscarriage, and may perhaps decrease it (1). Ladies if you are nervous or have a concern, ASK your doctor and make sure your doctor is aware of your fitness goals, including- continuing to run during pregnancy or training for the cross fit games!
All in all, exercise can lower the rate of preterm birth, decrease the risk for induction, shorten the first and second stages of labor, decrease the risk of an unplanned c-section, and decrease the risk of tearing during delivery (1). I don’t know about YOU, but those reasons are enough for me. You got this, mom-to-be, now get out there and MOVE.
To find out how to specifically modify your workouts while pregnant contact us for a Complimentary pregnancy workout screen to discuss your fitness goals and discuss workouts that may be right for you.
1: Bo Kari, Artel Raul, et al. Exercise and pregnancy in recreational and elite athletes: 2016/2017 evidence summary from the IOC expert group meeting, Lausanne. Part 5. Recommendations for Health Professionals and active women. Br J Sports Med. 2018.
2: PARmed-X for Pregnancy. Physical Activity Readiness Medical Examiner's. CSEP/SCPE. Canadian Society for Exercise Physiology. 2015.
3: Meah, V, Davies, G, & Davenport M. Why can't I exercise during pregnancy? Time to revise medical 'absolute' and 'relative' contraindications: systemic review of evidence of harm and a call to action. Br. J of Sports Med. 2020.