Strength Training during Pregnancy

September 8, 2019

 

Maybe you have recently found out you are pregnant or perhaps you are already into your second trimester; regardless of where you are in your pregnancy, congratulations!

 

Research by OB-GYN bodies around the world (ACOG, UKCMO, HSE) state that exercise during an uncomplicated pregnancy is beneficial for both the health of the baby and of the mother. Below are some of the strength training exercises that we do with our Small Group Personal Training for Pregnancy clients and members during their pregnancies.

 

Please note that it is recommended to always get signed off by your health care provider before beginning exercises, as is working closely with a pelvic health physiotherapist during and after your pregnancy. 

 

 

 

Strength Training during Pregnancy

 

Your body changes significantly during pregnancy; your breast grow, your growing uterus and baby cause your centre of gravity to shift forward which can tilt your pelvis forward, increase the downward pressure on your pelvic floor, and cause your shoulders to round forward. While taking a balanced approach to training muscle groups during pregnancy, there are some areas that take precedence; your pelvic floor and core*, upper back and posterior chain (glutes, hamstrings). Strengthening the muscle groups mentioned above through light resistance work will help support your body as it goes through these changes in pregnancy. 

 

* By “core” we are not talking about the “6-pack abs”. Instead, we are referring to the deep central stability muscles that wrap around your entire core to support the spine and abdominal organs. These are your diaghram at the top, pelvic floor at the bottom, multifidus/erector spinae at the back, transverse abdominis around the sides and rectus abdominis at the front. These all work together as a unit to keep everything supported and happy. They are further supported by the glutes to provide a stable base for day-to-day movements and exercise.

 

 

Depending on your fitness level and how you are feeling, 2-3 strength training sessions a week will allow you to focus on these areas and continue to build strength to not only support your body through pregnancy but also get you strong for all of the post-pregnancy activities you will have to do - think bending forward to lift your baby, holding and feeding your baby, carry a changing bag while taking buggy out of the boot of the car, etc. 

 

Below are some of the exercises we do in our Small Group Personal Training for Pregnancy and general classes with pregnant members. Again, we take into consideration how our clients are feeling that day, check in to see what feels good and what doesn’t; through open communication, they guide us as to what is the best exercise for them that day. Although women might train on their own while pregnant, we recommend that you carry out these strengthening exercises (along with moderate aerobic exercise and pregnancy-specific mobility work) with a trained professional, who can help guide you through the exercises, alternate the exercises depending on how you are feeling at that given day in your pregnancy, and answer any questions that you may have. 

 

Some things to consider:

  • Do what you can, take each day as it comes, and do what feels good.

  • Exercises to 7/10 on the RPE scale (rate of perceived exertion) during your second trimester onwards.

  • Incorporate pelvic floor work and connection breath as much as you can.

  • Stay hydrated and cool - don’t overheat.

  • The hormone relaxin will be kicking in and this can make your joints more relaxed and hypermobile. Be conscious of this and always stick to a range that feels good for you.

  • Don’t bump the bump.

  • Always stick with the advice given by your health care provider

 

Check out this post to see some of Aoife’s tips for training during pregnancy.

 

 

First thing is first - Connection Breath & Pelvic Floor Lifts

 

As I mentioned above, it is very important that you incorporate pelvic floor exercises into your day-day-day life. Taking time to breathe deeply, let your pelvic floor relax and then gently lifting up though your pelvic floor not only helps prepare your body for supporting the growing baby but the act of taking time to sit, breathe deeply and relax has many psychological benefits too. 

 

The relaxation part of this exercise is as important as the lifting and squeezing part.  Some women have overactive (hypertonic) pelvic floors which means the pelvic floor muscles are ‘switched on’ constantly; learning how to breath ‘into’ the pelvic floor and relax is necessary for contracting maximally when needed. Once you have mastered the breathing and lifting below, this breathing can be incorporated into your exercises; you want to inhale and lift through the pelvic floor on the concentric (i.e. the harder) part of the exercise - think the standing part of a bodyweight squat or the pressing part of a pallof press.

 

Pallof Press - Incorporate Pelvic floor lifting into your workouts

 

 

Deep Breathing Exercises:

  • Sit on a chair or bench, ensure good alignment by sitting on top of your sit bones and having your rib cage stacked over your pelvis.

  • Take a few breaths to start, relax into it.

  • Place one hand on your belly and the other on the side of your rib cage.

  • As you breathe in, feel your belly relax and expand like a balloon. 

  • As you breathe out, feel your stomach deflate.

 

Connection Breath & Adding Pelvic Lifts:

 

The next step is to try to connect your breathing with your pelvic floor.

  • On the inhale, feel your belly relax and expand like a balloon and also imagine breathing down and into your pelvic floor, filling it with air.

  • On the exhale, imagine lifting your vagina and anus up. Starting from the back, think about squeezing your coccyx to your pubic bone and lift up gently through the centre.

 

As you move into your second trimester, it is recommended to reduce high-impact exercises, such as running, plate hops, skipping, etc., as they can contribute to pelvic floor dysfunction. If you wish to continue high-impact exercise throughout your pregnancy, we strongly recommend working with a pelvic floor physiotherapist to make sure it is able to handle the increased load correctly.

 

 

Strong Upper Back

 

As your breasts and uterus grow throughout your pregnancy, your centre of gravity shifts forward and it is important to strengthen the muscles of your upper back to help counteract that shift. To counteract this forward shift, you can find yourself leaning back in order to stay balanced and this puts a strain on your back.  Strengthening these muscles as early as you can helps to make you stronger and more able to handle the extra stress placed on these muscles.

 

Exercises that target the muscles between your shoulder blades (traps, rhomboids) and external rotator cuff muscles, all help to balance out the forward shift of the shoulders as well as contribute to core stability and correct form when performing other exercises. In FFS we incorporate a lot of rowing and pulling exercises for our pregnant clients; think banded seated rows, single-arm dumbbell rows, TRX Rows, band pull aparts, and cuban rations. Strengthening these muscles, along with the muscles of your shoulders (think overhead pressing and lateral delt raises), prepares you for the lifting, carrying and holding that you will do as a new mum. 

 

Single Arm Kettle Bell Row 

 

Band Pull Aparts

 

 Seated Shoulder Press

 

 

Strong Posterior Chain

 

Just as the forward shift in your centre of gravity can be counteracted by a strong upper back, a strong posterior chain is equally important to help reduce symptoms associated with the forward shift of your pelvis. 

 

So what do we mean by the posterior chain? We mean hamstrings, glutes, the muscles along your spine (erector spinae and multifidus) as well as your lats. These all work together to help us stabilise as we walk and they are the primary muscles that work when we hinge forward. A weak posterior chain, weak core muscles, and tight hip flexors are all associated with ‘lower crossed syndrome’, which is common amongst office workers who sit all day. This LCS can be exacerbated during pregnancy. 

 

Exercises like Kettle Bell Romain Deadlifts, Hip Thrusters, Mini-band clams, Lunges, and Kettle Bell Swings will all help to strengthen your posterior chain. Not only will strong glutes and hamstrings help to balance out any LCS but getting a strong hinge pattern will come in handy for picking up your baby from its crib, popping open the buggy, and closing the car door with your hips while holding multiple items in your arms at once.

 

Kettle Bell RDL

Hip Thruster - Position 1

Hip Thruster - Position 2

 

Mobility, Warm Ups and Cool-Down

 

Of course, mobility and releasing tension in your body plays a huge part too. Ensuring you get a decent warmup, with a mixture of self myofascial release, mobilisation exercises, and some light aerobic work is recommended to get your body ready for exercise. This along with a decent cool-down that targets areas which typically become tight during pregnancy (anterior shoulders and chest, lower back, glutes, lats) can help alleviate and release some of the muscle tightness in your body. Exercises like adductor rock backs and band dislocates are good mobilisation exercises, whereas a static adductor stretch or seated piriformis stretch are all great cool-down options.

 

Shoulder Mobilisation - Band Dislocates

 

Cool Down Stretch - Seated Piriformis Stretch

 


Final Considerations

 

As my colleague Aoife discussed in an earlier post, there are a number of benefits to exercising during an uncomplicated pregnancy and you can see some common FAQs that we get from pregnant members and clients about exercising during pregnancy.

 

There are some exercises that should be avoided and it is always recommended to get sign off from your health care provider to exercise, especially if you have any of these conditions that can be contraindications to exercise during pregnancy. If you experience anything unusual, stop and get it checked out by your HCP. Finally, it is important to work with a women’s health specialist and incorporate pelvic floor exercises into your daily activities to make sure your pelvic floor is strong and healthy. 

 

 

Small Group Personal Training for Pregnancy

 

If you’d like any additional information on any of the above feel free to contact me (sinead@ffs.ie).

 

Small Group Training for Pregnancy is starting in our new, state of the art gym, FFS Gym Ivy Exchange, is conveniently located across the road from the Rotunda.  Beginning on Tuesday the 17th of September at 1:45pm. The 6 week course Includes 12 x 45 min classes, comprehensive 1-to-1 induction, bonus 1-to-1 session for a missed class, nutritional guidance.

 

Send me a email if you’re interested or if you would prefer to do 1:1 Personal Training. 

 

 If this location does not suit, Coach Aoife also offers SGPT for Pregnancy on Leeson Street.

 

Want to find out more?

 

Contact Coach Sinead

If you are interested in 1:1 Personal Training or lunchtime  Small Group Personal Training suited to pregnancy then email sinead@ffs.ie for more information or get her on Instagram @sineadbrophy

 

Small Group Personal Training for Pregnancy
The next lunch time group starts in FFS Gyms Ivy Exchange on Tuesday, 17th of September. Email sinead@ffs.ie for more information. If this location does not suit, Coach Aoife also offers SGPT for Pregnancy on Leeson Street.

 

PDF Guide 

You can download a PDF version of the FFS guide to exercise during pregnancy here.

 

 

Other Sources & Additional Reading

ACOG Exercising during pregnancy

ACOG Back Pain during pregnancy

CMO Physical Activity for Pregnancy

HSE Pregnancy Health

Moms Gone Strong (by Girls Gone Strong)

Burrell Education Modern Pregnancy & Exercise

 

 

About the Author

 

 

Coach Sinead is the success story of FFS Academy. She started training as a member in 2017 and was one of the proud graduates of the first FFS Academy launch. Sinead is now a certified Personal Trainer, Animal Flow® Instructor, and Modern Pregnancy Exercise & Wellness Trainer.

 

Sinead is particularly interested in the female athlete, from how the menstrual cycle impacts training to coaching women in strength and aerobic training during pregnancy. Sinead is heading up Small Group Personal Training for Pregnancy in the new FFS location across the road from the Rotunda, FFS Ivy Exchange Parnell Street - Dublin 1. If you are interested or would like more information, please contact sinead@ffs.ie and she will be in touch.

 

 

Email Sinead at sinead@ffs.ie

Find Sinead on Instagram at @sineadbrophy

 

 

 

 

 

 

 

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