Fitness
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Stay Strong!

8 Simple exercises that build strength and minimize discomfort

There are many great advantages to maintaining or improving physical fitness in pregnancy, but sometimes it can be hard to know where to start. Your rapidly growing belly can also present some unique challenges that might necessitate adaptations to your pre-pregnancy routine.

In combination with frequent activities that improve your cardiovascular fitness — such as power walking, swimming, stationery biking, etc. — the exercises that follow can help decrease your risk for pregnancy complications, improve your overall fitness, minimize common aches and pains, and prepare your body to carry around a child for the next few years.

On two to three days per week, you should aim for 2 to 3 sets of 8 to 15 repetitions of each exercise with a 45-to 60-second rest between sets. The only piece of equipment you will need is a resistance band, which you can purchase inexpensively at most sports equipment stores or in the fitness section of a superstore.

Walking

1 Squats
These are great for building lower body strength and keeping your body strong, as joint laxity increases during pregnancy and in the postpartum period. You can do squats with your legs shoulder-width apart or in a plié position (toes angled outwards), which may be more comfortable as your belly grows. While keeping your chest up, lower down and come back up in a controlled motion (aim for two seconds down and two seconds up). Watch that your knees do not extend further than your toes throughout the exercise.

2 Push-Ups
These will help strengthen your arms, in preparation for carrying around your baby and all of that great gear from your registry. Place your hands on the back of a couch or countertop to allow more room for your belly. Keep your hands under your shoulders, and lower your chest toward your hands. Try not to let your hips hike up in the air as you lower and lift.

3 Standing Trunk Tubing Anti-Rotation
Using a resistance band anchored around a fixed surface (such as a sturdy column or bannister), stand with your body parallel to the band and step away from the tubing across and away from your body, then back, without rotating your trunk. Turn 180 degrees and repeat on the other side. To make it harder, step further away from the tubing.

4 Standing Pelvic Tilts
Lean into a wall with your feet placed slightly in front of you. Keep your upper back against the wall and slowly rock your pelvis forward and upward in a gentle thrust, then rock back until your buttocks are again touching the wall. This motion will help increase range of motion in the hip joints, which will help protect your lower back as your belly grows.

5 Arm Curls
Stand with both feet on a resistance band. While holding the band in both hands with palms up and elbow by your side, lift and lower your arms. This is great for building the upper-body strength needed for holding your baby in one arm while trying to multi-task.

6 Lunges
These are excellent for preparing the lower body for labor. Stand perpendicular to the back of a couch or countertop and use one hand for support. In a staggered leg stance no wider than hip width, maintaining knee-over-toe position and with your back heel lifted off the ground, lower your body toward the floor and back up.

7 Planks
It’s important to maintain trunk and core strength as your center of gravity changes. Like push-ups, planks can be done on the floor on your forearms or standing with your arms on the back of a couch or countertop as your belly grows. Line your elbows or hands under your shoulders, keep your head looking down and hold for 15 to 60 seconds. Think of your body forming a line from shoulders to heels with your hips facing the ground the entire time.

8 Bird Dogs
On a carpet or mat, face the floor on all fours with your hands under shoulders and knees under your hips. While facing down so you don’t put any extra stress on your neck, lift and lower your opposite arm and leg at the same time with a slight pause at the top. Switch sides to complete the set. Try to keep your hips facing the floor at all times. This exercise is great for maintaining flexibility in the lower back area, which can be tighter (and more uncomfortable) as your pregnancy progresses.

Talk to your provider before starting any new exercise regimen. Adequate hydration is extremely important — ideally 8 oz. of water before, during and after working out. And always let your body be your guide: Rest when you need it, and gradually increase your repetitions and intensity.

Lynsey Caldwell Owen, MD, FACOG, is an obstetrician/gynecologist at Arlington Women’s Center in Arlington, VA.

Caity Davis and Jill Stump, owners of FitOne Studio in Alexandria, VA (www.fitonestudio.com), are nationally certified personal trainers through the American Council on Exercise (ACE) and the National Academy of Sports Medicine (NASM).

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Written by Lynsey Caldwell Owen, MD, FACOG, Caity Davis and Jill Stump

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