Huffington Post: Live Segment How to Stay in Shape During Pregnancy

I was asked to join HuffPost Live!

Watch me on the Huffington Post with 2 other Fitness experts talk about how to stay in shape and exercise safely during Pregnancy. For more information have a look at my new blog on the main website: Ten Tips To Stay in Shape During Your Pregnancy

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Twin Pregnancy- Third Trimester Exercise and Wellness

We have followed Gemma since April 2013 during her twin pregnancy! Now at 37 weeks the babies will be here very soon.

Throughout the majority of her pregnancy Gemma has been so lucky in that she has felt absolutely fine and had no sickness or fatigue. In fact it was only on her last personal training session with me just before the 34 week mark that she felt quite tired and was starting to feel a little uncomfortable, especially after 2 very busy weeks at work. This is amazing for a multiple pregnancy!

The following day she went into premature labour which took 48 hours to stop with medication.

Since then Gemma has made it to her C section date which is scheduled for tomorrow Tues 17th September 2013 and she will be just over 37 weeks!

SLOW DOWN 
It took the scare for Gemma to slow down and stop working as hard. I know just how hard it is to slow down especially when you are feeling so good during your pregnancy.  Many of my clients also feel this way especially if self employed you just don't stop, you can't and the downside is that you can't really switch off either. You must listen to your body you need to rest.

Exercise:
Gemma's exercise over the last 4- 6 weeks has reduced in both intensity and duration. She has managed 2-3 easy to moderate strength sessions each week.

Our focus during her training sessions has continued to be on preventing lower back and pelvis pain. 
We addressed changes in her posture as the weight of the babies pulled Gemma's pelvis into excessive lumbar extension and continuing to prevent pregnancy abdominal muscle separation- diastsis recti.

Here are 3 video's:
Third Trimester exercises- exercises to help you prepare for birth, prevent diastasis recti and lower back pain.

28 weeks

31-32 Weeks

33 Weeks 

34 Weeks- Easy Exercise

I met with Gemma just last week to catch up and see how she was feeling, if she was managing to relax and how she has coped with not doing anything. She had been sneaking in some bicep curls, tricep dips and side leg lifts, well done.

These exercises can help you recover post a section and would help maintain the glute strength we had been working on over the past 8 months.

Gemma looked fantastic and still couldn't believe that the twins would be here within the week. 

Having really slowed down the past 2-3 weeks she was now rushing around to finish things off and sure enough had had a few braxton hicks. The plan for the next few days was to completely rest and enjoy putting her feet up on the last weekend before her scheduled section. It was especially important that the babies didn't make an early entrance as her obstetrician was not on the weekend roster. Gemma did not want to risk the babies being delivered by a different Doctor.

Still NO diastasis recti either! So if you want to prevent diastasis during your pregnancy follow the exercises in the Twin Pregnancy Series and purchase your Fit2BirthMum program from my website: http://pregnancyexercise.co.nz/services/alias

Gemma will unfortunately have a diastasis post a section as the abdominal muscles need to be separated during the operation! But she had been gifted by http://abdomend.com.au a C section recovery belt to aid recovery and healing, thanks Abdomend.

 I am going to write a blog on Gemma's recovery and how the belt and the Birth2FitMum program help her recovery post the birth of her babies. I will also post baby photo's! 

I will finish this blog by wishing Gemma and her babies all the best for a safe delivery. Can't wait to see them and find out what they are!

The Twins Safe Arrival: http://positivelypregnant-mummytrainer.blogspot.co.nz/2013/09/the-twins-have-arrived.html

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New Pregnancy Book Challenges the old Rules!

During Pregnancy we are bombarded with information telling us how we should, eat, drink, sleep and exercise to keep ourselves and our babies in the best possible health.

It can be extremely hard to work out what's right as with most topics one person says one thing and another can completely disagree.

Take for instance my profession Pre and Post Pregnancy Exercise.
I advise all women not to do Full push ups, crunches, frontal planks and pilates 100's after 15 weeks pregnant as it increases diastasis recti-abdominal muscle separation BUT there are still so many other professionals promoting these 'wreck your belly' type of exercises!

So when one woman Emily Oster has come out and stood up against many controversial issues surrounding pregnancy it is bound to create a stir especially when she suggests that drinking wine is ok! Her new book is called 'Expecting Better'!

There are many topics discussed in the book but a couple discussed below in the news piece are: sushi, alcohol and bedrest.

New Book Challenges No Drinking During Pregnancy 

Here is the latest news report, comment with your thoughts!

New Pregnancy Book: 'Expecting Better' 

Watch on Fox News

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CrossFit During Pregnancy- is it Safe?

Can I CrossFit during Pregnancy?

When there is a new exercise phenomenon around there comes the question sooner rather than later which is- ‘Is this OK to do if I am pregnant?”

As a pre and post natal exercise specialist I will guide you through the ins and outs of CrossFitting during your pregnancy.

Let’s first have a quick look at CrossFit- CrossFit is a functional exercise program with the emphasis on intensity. I have based many of my own sessions over the past 2 years on using a similar format and enjoy putting my clients through challenging W.o.w sessions (They are my workouts of the week!).

Many of the main exercises CrossFitters do during a session are perfectly safe to do during a pregnancy and can have many benefits for a pregnant athlete example squats, lunges, and lifts. The 'functional' exercises use many muscle groups at once and demand good core strength and posture. The variety of the classes are motivating as sessions and exercises change frequently.

Here are my guidelines if you are CrossFitting during your Pregnancy

1: Take the intensity down and train at your 70-80% during pregnancy. This intensity is more than adequate and training at this intensity will not lead to any extra tiredness or fatigue. Intensity video guide-http://youtu.be/mjyE9I5sU6U

2: When taking part in WODs think about technique rather than time. Rest more frequently in-between each exercise if you need to and rounds, especially in first and third Tri-Mesters

3: Joints become flexible due to the pregnancy hormones relaxin and progesterone so I wouldn’t advise stepping up or jumping on to high boxes after 15 weeks, you are much more likely to 'go over' on your ankle during your pregnancy.

4: Reduce height of any jumps but continue jumping until you feel uncomfortable you can normally continue with low side or frontal jumps until 30+ weeks.

5: Reduce your weights as and when you feel necessary stick to the 70-80% intensity rule of thumb when training during your pregnancy. Centre of gravity changes significantly from 20+ weeks this will demand changes to lifts and how weights are carried/lifted.

6: 'Kippings' and Chin ups: I have seen women do these in their third Tri-Mester but I would personally definitely not recommend. I didn’t feel comfortable doing these after 15 weeks and there are a couple of reasons why you shouldn’t:-

1, Can increase round ligament pain

2, Can increase your pregnancy diastasis recti!  Avoid diastasis during pregnancy- http://positivelypregnant-mummytrainer.blogspot.co.nz/2012/03/how-to-avoid-reduce-abdominal.html

7: Avoid all frontal planks, press ups and crunches  after 14 weeks- these exercises will increase pregnancy diastasis recti- that’s abdominal separation if you haven’t heard that term before have a look at the post above.

8: Low Blood Pressure is a common symptom of pregnancy so you may want to watch exercises/circuits that have you standing up then exercising down on the ground. Burpees can send you dizzy and light-headed these may be best avoided.

9: Avoid exercises that place a high demand on both the upper and lower body at the same time. This can drive blood flow away from baby also making you feel dizzy and or faint:.

10: Handstands- Do with caution, this is an exercise suggested sometimes to do in late pregnancy to help turn a baby in to optimal foetal position. I am also owner of http://turningbaby.com and I too tried handstands around 30+ weeks to try to turn my second baby but they were far too painful even in the pool, so beware! 

Above all listen to your body, you are your best training coach

Every women is different and depending on how fit and strong she is at the start of her pregnancy will determine the exercise she can do during her pregnancy.

Some women have been CrossFitting for years before pregnancy and what may look extreme from the outside may feel perfectly OK and easy to her, the Crossfitting female.

You should NEVER feel exhausted after a training session and you should always if you had to be able to continue exercising for a further 10-15 minutes.

Keep hydrated too!

Make sure you trust your trainer and coach. Pregnancy is no time to be 'prooving a point'.
Often women during their first pregnancy may feel pressured into holding a high level of fitness and may push themselves a little too hard. Based on my own experience, pregnancy is a time to slow down and enjoy moderate training!

I am not an affiliate of CrossFit I am a pre and post natal exercise specialist of more than 15 years.

For further information about exercising during a pregnancy and for specific pre and post natal exercise and health programs visit my website http://pregnancyexercise.co.nz  

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How to Carry A Baby Post Pregnancy

Why standing with poor posture whilst carrying a baby increases lower back pain and prevents diastasis recti from healing?

 

Me and my 3rd Daughter Beau

 

As a corrective exercise specialist and personal trainer I assess clients posture frequently. I do this by testing muscle length so I can see which muscles are long and weak or short and tight. The way we sit, stand, play and pregnancy effects our posture. If we continue to hold poor posture because of weakened core muscles it will cause problems. Poor posture and weak muscles generally equates to muscles aches and pain!

What we need to do

I try to stand level and balanced as often as I can when I'm holding my children. I know how standing on one hip and swaying forward leading from my abdominal muscles can cause back problems and prevent abdominal muscles from healing pre and post pregnancy.
I do know though as a busy mum myself just how hard it actually is to maintain good postural habits throughout the day. This is why I suggest that you aim to change a little each day and by doing this it will eventually start to make a difference.

Don't Sway your back sticking your stomach muscles forward 

You can do correct exercises post pregnancy but if you continually hold your baby with your stomach muscles pushing forward then your abdominal separation (diastasis recti: self test) caused by your pregnancy wont heal and you may even make it worse!
Have a think about what you are doing when you are standing with this poor posture: it stretches and puts strain on already weakened abdominal muscles and connective tissue potentially separating them further. You wont see the results you really want unless you change your posture and carrying technique.

Avoid Hip Hitching

If you continually stand on one hip whilst carrying baby or small children then you will weaken one side of your body whilst tightening the other causing asymmetrical imbalances. This can cause pain in your lower back, hip, knees and even shoulders!

You may even hold both these poor postures, standing on one hip and pushing your hips forward! You need to change this.

Pre and Post Natal Hormones

The pregnancy hormones relaxin and progesterone that weaken muscles and ligaments during pregnancy so that your body can adapt to a pregnancy are mostly to blame along with a growing uterus and baby!
Pregnancy hormones are still in your system 4-6 months post birth. It is these hormones that can accelerate muscle pain caused from poor posture. You may have been pain free before your pregnancy but now poor posture, muscle imbalances and pre and post pregnancy diastasis recti can cause pain. For more on Correct Posture: Click here

Try these corrective exercises:

Activate your transverse abdominal muscle (TVA) and pelvic floor muscles whilst you are lifting, changing and carrying your children. To make sure you can activate this important muscle correctly have a look at my video guide: TVA- Activate Correctly .

Stand as often as you can with your hip bones level. Place your hands on your pelvis to see if you can feel when your hips are level and see how the feel when they are not.

   Do specific exercises post birth but also make sure you think about the above points and by doing both you should recover quicker, have less pain and heal your diastasis recti!

Follow the above video and correct how you carry your babies from newborn to toddler.

 For a 12 week Post Pregnancy Exercise Program which covers ALL your post pregnancy exercise. Visit my website http://pregnancyexercise.co.nz

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How to Activate Transverse Abdominal

Every women needs to activate her T.V.A-Transverse abdominal muscle and pelvic floor muscles after giving birth. This is the exercise you need to do during the first 1-10 days post birth. If you have had a ‘C’ section it is better to wait for 5-14 days before you start.

Why is it Important? 

It is important to start activating your TVA along with your pelvic floor muscles as this is the first part in your rehabilitation from your pregnancy, labour and birth.  These muscles have been severely stretched and even more so after a ‘C’ section. During your pregnancy and you will have lost or have minimal neural connection to the inner core muscle now.

If you have strong TVA and pelvic floor muscles you can hold good posture whilst you are breastfeeding, carrying and lifting your baby. It will decrease the risk of back and hip pain and reduces possible post pregnancy incontinence.

Exercising the muscles sooner rather than later will help to start to correct a diastasis recti (post pregnancy abdominal separation) ultimately leading to a flatter stomach and if you want to eventually get back into a regular exercise routine activating these muscles daily is a must to prevent injury.

Where are these Important Muscles?

• The transverse abs run from our sides (lateral) to the front (anterior), its fibers running horizontally (transverse).
• The muscle runs transverse and is the deepest of the major abdominal muscles (the others being the rectus abdominis, and the internal and external obliques).
• It ends (the muscle insertion) by joining with the large vertical abdominal muscle in the middle (the linea alba), where the fibers begin to curve downward and upward depending on what direction it has to go to meet the linea alba, and below the sternum it combines with next most superficial muscle (the internal oblique). This insertion runs down by the belly button where it passes over the thick abdomen muscle (the "6/8-pack") and all the ab muscle fibers join together.

The transversus abdominis (TVA) helps to compress the ribs and viscera, providing torso and pelvic stability. The transversus abdominis also helps pregnant women deliver their baby.

Watch my video guide to Activate your TVA's correctly

.

Make sure this is the first Exercise you do after Giving Birth and do it sooner rather than later.

You don't have to engage the muscles lying down you can think about engaging your TVA and Pelvic Floor muscles together during the day.

Have a look at your stomach when you are standing, sitting and when you are holding your baby and try to activate your T.V.A muscles.

First think about activating your Pelvic Floor Muscle then draw your belly button in towards your spine, I think about either trying to zip up a pair of jeans or imagine you have a corset on and it is being pulled tighter, it is a subtle contraction.
 You should see your tummy muscles draw in; if you can see this happening, you are activating the correct muscles. You could use a mirror to help, stand sideways and watch yourself activating these muscles.

From 1-14 days post birth this is the exercise you need to do try to think about activating your tummy muscles regularly when you are lifting, changing and carrying your baby. If you can concentrate on this for a couple of weeks post birth the connections will become stronger, the muscle strength will increase and activating these once weakened muscles will become second nature.

For a full Pre or Post Pregnancy Exercise Program have a look at my website. Pregnancy Exercise Program  and Post Pregnancy Exercise Program

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Diastasis Recti: Self Test Post Pregnancy

You can also read my blog: How to Avoid and Reduce Diastasis during your Pregnancy and check out my website for pre and post pregnancy exercise programs that you can purchase for less than $2 a week http://pregnancyexercise.co.nz

Please post any questions

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How to Avoid Abdominal Separation During Pregnancy

Diastasis recti-Abdominal Separation
How can I reduce and minimize this pregnancy condition?
Diastasis recti-
Diastasis recti is a condition where the two right and left sides of the rectus abdominis (your "six-pack" muscle) spreads apart at the body's mid-line (the linea alba). Separation occurs in response to your uterus pushing against the abdominal wall and pregnancy hormones which soften connective tissue. Separation can occur at any time in the last half of pregnancy but is most problematic after pregnancy when the abdominal wall is weak, when there is no longer a baby inside to aid support. Premature separation can also be seen as early as 20 weeks.

There are varying degrees of this condition during pregnancy
Factors during pregnancy that can cause premature separation:
Poor Posture
Daily Activities
Incorrect Exercise
Multiple Pregnancies
Subsequent pregnancies (pregnancies too close together-) when the muscles have not returned back to their pre pregnancy strength or closure

What to do
If you want to reduce your diastasis then you 1st need to address the things you do daily. Poor posture is held over numerous hours and days and daily activities can also be done for many hours. Anything you do over a long period of time will increase this condition very quickly.

Incorrect Exercise during Pregnancy
Exercise in the gym is completed in minutes and we can easily avoid exercises that increase separation if we know what they are. All frontal Planks on the swiss ball or on the floor, full or kneeling press ups should be avoided during second and third Tri-mesters and more suitable core strength exercises should be done.

This photo was taken for this article: FRONT PLANK: As you can see there is increased pressure downwards regardless of how strong the abdominal muscles were prior to pregnancy
More information on the correct exercise to do during your pregnancy check out my website: http://pregnancyexercise.co.nz

Poor Pre & Post Pregnancy Posture
Poor Posture can be harder to correct. Some of us may have had poor posture for many years.
Sway back posture is the main culprit of premature separation. Prior to pregnancy in a sway back posture the core and gluteus muscles along with the mid trapezius in the middle back are long and weak. This incorrect posture pushes the hips and tummy forward, weakening the abdominal muscles further pre & post pregnancy.

Sway Back Posture: Post pregnancy-long and weak abdominal muscles, hips and tummy pushing forward

If poor posture is not addressed and continues during pregnancy lower back pain is inevitable and increased separation will be caused due to the abdominal weakness and continued pushing forward of the uterus. Specific pregnancy strength and postural correction exercise are what is needed.
You need to check your own posture, as you can make the changes you need to today. Link: Pregnancy Posture

Daily Activity:
Possibly one of the worse daily activities that will increase separation is pushing a buggy incorrectly. Many of us will push a buggy several hours during the week!
Decrease weight if possible especially if walking up hill, I would always ask the oldest child to get out and walk if and when possible.
In this photograph this position you are leaning too far forward and rely on the buggy for support not your own muscles-your core strength, there is also alot of upper body tension through the neck and shoulders. In this incorrect pushing position you are pushing down from your tummy increasing separation.

In the correct position your hips are tucked under and you are supporting yourself as opposed to the other way round. You can use your glutes and leg muscles instead of your lower back muscles.There is no upper body tension.

Multiple and Subsequent Pregnancies
Subsequent pregnancies that are close together should not mean that you cannot prevent premature or an increased diastasis recti and just because you are carrying a multiple pregnancy doesn’t mean you will have increased separation. It is paramount that you close the separation after each pregnancy.

By addressing the factors I have mentioned and following a pre or post pregnancy program before commencing a pregnancy diastasis recti is reduced to a minimum therefore increasing your recovery and helping you get rid of your baby tummy quickly post birth.

Choose an exercise program during your pregnancy that will prevent diastasis! : Join our Fit2BirthMum Program today! Many more posts on diastasis on our main website http://pregnancyexercise.co.nz 

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