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Antenatal Exercises for a good pregnancy

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One of the most beautiful experiences a woman can have is that of being pregnant. However, a first-time pregnancy often brings with it a lot of uncertainty and hesitancy. To ease this pressure, I decided to share my experience of pregnancy and how I overcame the uncertainties and other challenges.

Ideally, a woman should enjoy her pregnancy, indulging herself without being overly concerned with the weighing scale. I understand that the body undergoes several changes during this period, which can create mental and physical stress. Hormonal changes also occur, with one of the major hormones, RELAXIN, causing joint to become hypermobile and increasing ligament laxity, which can lead to pain and inflammation.

How Do We Balance This Situation with Recommendations for Pregnancy?

Just two words – Prenatal Exercises

Yes, you heard it right!

A sensible workout plan and willpower during pregnancy were key for me. Being open to maintaining self-control and moderation with indulging truly made all the difference.

It is recommended that women who have normal, healthy pregnancy should get 30 minutes of exercise on most days of the week (at least 5 days).

Let’s take a look at how these exercises help during pregnancy:

  • Reduces aches and pains during pregnancy
  • Improves stamina and provides more energy to cope with the growing demands of pregnancy
  • Improves posture and sleeping patterns
  • Helps in more controlled weight gain
  • Increases the chance of a normal delivery
  • Enhances psychological well-being
  • Increases circulation, thereby reducing swelling and edema
  • Reduces the risk of gestational diabetes and pregnancy-induced hypertension

Keep these tips in mind while exercising:

  • Always warm up before exercising, and cool down afterward
  • Avoid any strenuous exercise in hot weather
  • Drink plenty of water and other fluids
  • If you attend exercise classes, make sure your instructor is properly qualified and knows that you’re pregnant including how many weeks pregnant you are
  • Swimming is a good cardio exercise as the water supports your increased weight, but it should be done under the supervision of a professional trainer.

If you’ve never worked out before, start slowly. Listen to your body and proceed accordingly. There’s no point in rushing and risking injury. Additionally, there are certain situations in which you should stop exercising immediately:

  • Excessive shortness of breath
  • Chest pain or palpitations
  • Pre-syncope or dizziness
  • Painful uterine contractions or preterm labour
  • Leakage of amniotic fluid
  • Vaginal bleeding
  • Excessive fatigue
  • Abdominal pain, particularly in back or pubic area
  • Reduced fetal movement.

I hope this blog encourages you to maintain or increase your fitness level during pregnancy. I’ll be sharing my workout routine in my next blog for you to use as a reference or adopt if you feel so inclined. Until then, stay tuned, and feel free to comment if you have any questions and don’t forget to share it with someone who may need it. You can find more articles on Women’s Health here. You can also use the Women’s Care feature in the GOQii App to track your menstrual cycles, pregnancy and more. Download the app now.

#BeTheForce 

Disclaimer: The information provided in this blog is for general awareness and educational purposes only. It is not intended to replace professional medical advice, diagnosis, or treatment. Always consult a qualified healthcare provider for personalised medical guidance or concerns related to your health.

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Dealing with Bone Problems in Menopause!!

The other day one of my patients who is in her 60s fell while walking and she got a hip fracture. When I asked what the reason for your fracture was? She said it’s my old age. I asked if you would have fallen like this 30 years back, would you have got a fracture? She said No.

As we age, naturally our bones start becoming weaker. But there are certain milestones we need to be aware of. And menopause is one important milestone in women’s life.

The menopause is NOT JUST the end of your period cycle. A lot more changes happen in your body before, during and after menopause. And changes in your bones are very important because bone is NOT JUST a hard and brittle skeleton but it’s a living organ, alive with cells. Bones are constantly renewed. And during menopause women may lose bone mass rapidly for several years.

Why is Bone Health Important During Menopause?

Oestrogen hormone is crucial for bone formation. During menopause, oestrogen levels decrease, leading to rapid bone density loss and increasing the risk of osteoporosis, which weakens bones and heightens fracture risk. Bone loss begins 1-3 years before your last period, accelerating rapidly after menopause and continuing for the next 5-10 years, with an average annual bone density loss of 2%.

What to Check for Osteoporosis Risk?

Be aware of conditions that increase osteoporosis risk, aside from menopause:

  • Low Bone Mass: High risk if you had lower bone mass in your younger years.
  • Early Menopause: Increased risk if menopause occurs before age 45.
  • Lifestyle Factors: Smoking and alcohol use elevate risk.
  • Medications: Taking depression medicine or steroids adds further risk.

Steps for healthy Bone Life

  1. Seek Medical Help: Osteoporosis is often called a silent disease because it has no symptoms until a fracture occurs. Don’t wait for a fracture to find out about your bone health. Talk to your doctor about the need for osteoporosis screening. Hormone treatments can also be used to help manage bone density.
  2. Do Weight-Bearing Exercises: Exercise is crucial in preventing osteoporosis. Weight-bearing activities like walking, running, and lifting weights help strengthen bones. Start with light exercises for about 30 minutes daily and include strength training 2-3 times a week. Activities like brisk walking, cycling, swimming, and controlled dancing can be very beneficial.
  3. Eat Calcium and Vitamin D: 50-70% of your bones are made up of calcium. Vitamin D is essential for calcium absorption. Include dairy products, green leafy vegetables, almonds, fish with bones, and soy in your diet. Exposure to sunlight is the primary source of Vitamin D, but dietary sources include egg yolk, fatty fish like mackerel, salmon, tuna, and fortified foods. If necessary, consult your doctor about supplements.

Additional Tips

  • Quit Smoking: Smoking increases the risk of osteoporosis.
  • Limit Alcohol: Reducing alcohol intake can help protect your bones.
  • Reduce Caffeine: Switch to decaf drinks to minimize the impact of caffeine on bone health.
  • Maintain a Healthy Weight: Both overweight and underweight conditions can increase the risk of osteoporosis.

If you or someone you know is at risk for osteoporosis, it’s crucial to take preventive steps before a fracture affects the quality of life. By following a triangle of exercise, diet, and medical help, you can continue to enjoy activities like hiking, dancing, or playing with your grandkids. Take care of your bone health as soon as possible to avoid osteoporosis from becoming a significant issue in your life. For further information or guidance, reach out to our certified experts by subscribing to GOQii’s Personalised Health Coaching here.

#BeTheForce

Disclaimer: The information provided in this blog is for general awareness and educational purposes only. It is not intended to replace professional medical advice, diagnosis, or treatment. Always consult a qualified healthcare provider for personalised medical guidance or concerns related to your health.

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Should Women Workout During Their Menstrual Cycle?

Should Women Workout During Their Menstrual Cycle?Should women workout during their menstrual cycle? It’s a question asked by most women who have either started working out, have been in sports or trekking, etc. How can a woman or girl stop working out for a span of 4-6 days, especially the ones who are active? There could be varied opinions on the same.

How Does Working Out During A Menstrual Cycle Help? 

If we put in a little logic, it does show us that a workout during their menstrual cycle would help women feel better. How is that? In general, when anyone works out, the body tends to release endorphins, the feel-good hormone and makes one feel good and happy. In the case of women, this is especially true, when the other hormones are already making her feel irritated, low on energy and weak during her periods.

Another positive is better circulation and higher metabolism – both of which will make sure that all the processes in the body are working well, thereby also making the woman’s uterine muscles relax, which otherwise are constricted during periods and can be a major cause for cramps. Better circulation can even help in relieving headaches and other small aches, which otherwise happen with iron deficiency during this phase.

Should Women Workout During Their Menstrual Cycle?Having said this, the intensity of workouts should not be very high, it should be low to moderate. Before starting off, you may not feel like doing so but, as you start with a light warm-up such as a slow walk, followed by some stretching, it will make you feel better and thus, take the workout forward slowly and steadily. In fact, light stretching will even help you get rid of congestion in the pelvic area.

When You Should Avoid Working Out

Women, who suffer severe pain and more bleeding should avoid it, as exercise can make them feel weaker and can make it very painful. Again the question pops up, why and how?

During periods, the woman’s Uterus and the veins inside are a little sensitive. Any pressure on it, be it in the form of exercise or any other activity, can cause more pain. Women who already encounter a lot of pain should avoid taking the risk of working out and should rest for 2-3 days and then get back to their routine. Failing to do so can cause more weakness with loss of blood due to excessive bleeding.

Albeit, you can do some light walks, stretching, or yoga. You can try swimming too as it equally helps in feeling fresh, light and helps easing off the pain. As a precautionary step, always remember to eat something before the workouts to get the dash of energy you need to workout.

We hope this article helps you! For more articles on Women’s Health, check out Healthy Reads. You can also download the GOQii App to keep a track of your menstrual cycle or speak to an expert by subscribing for GOQii’s Personalised Health Coaching here.

#BeTheForce

Disclaimer: The information provided in this blog is for general awareness and educational purposes only. It is not intended to replace professional medical advice, diagnosis, or treatment. Always consult a qualified healthcare provider for personalised medical guidance or concerns related to your health.

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Excercises: Pre-Pregnancy: A good start is half done!

Planning to start a family is a crucial decision, in fact, a life changing one, and preparing yourself well for the most important time of your life, will ensure a healthier you and a healthier baby. If you have made up your mind for the next big move, this blog will give you an insight into the exercise part of this beginning.

A workout routine developed before getting pregnant will help you stay in the healthier BMI range, will help you beat stress through release of the feel-good hormone – endorphins, and will help you sleep better through the night, thus will create an optimal environment for natural conception. Additionally, it will help you sustain a healthy pregnancy and develop your stamina for the rigors of childbirth and recovery, and finally, it will assist you in getting back in shape and to your pre-pregnancy fitness levels!

A good deal eh? So let’s learn how you can plan your exercise regime:

A) If you are a beginner: take it easy and gradually. 20 -30 minutes at a minimum three times a week will be good to go.

  1. Start with a low impact aerobic exercise – walking, dancing, cycling. These will race up your heart and exercise your lungs.
  2. Another good one is Swimming – it will make you feel lighter and work out your whole body without straining your joints.
  3. Relaxing workouts include yoga, which with the right postures will help in toning your reproductive organs too.
  4. A Pilates workout under guidance will help strengthen your core and pelvic muscles.
  5. Weight training under supervision will work out your muscles to prepare them for infant care. Use lighter weights and learn the correct training technique, but remember weight training is to be avoided during pregnancy.
  6. Practice exercises for pregnancy and active labor – these will include squatting, lunges, pelvic floor exercises, and breathing exercises. Starting to do them now will make it easier to continue after the big news.

B) If you are a pro: you are doing one of the best jobs for yourself and your fertility. But like with every other good thing, too much of it can still do more harm than good when you are trying to conceive. This is so because exercises are considered as a stress to the system and the body shuts down its reproductive functions in stressful events. Moreover, workouts are linked to changes in a woman’s hormonal system that may interfere with implantation of a fertilized egg. Then, is it fine for a man to exercise intensely during pre-conception phase? No actually not. The male partner must also re-evaluate his workouts and dial down the intensity of his routine so as to avoid the risk of decreasing his sperm counts (which happens due to excessive heat generation during exercises).

Now the question is when do you draw the line?

Well, it will depend on your BMI

#If you fall in overweight BMI range (>27), there is no reason to tone down your exercises, since obesity impairs fertility more than excessive exercising.

#If you fall in normal weight BMI range, bring down your workout intensity from vigorous to moderate. Like if you are running, start jogging and avoid vigorous gymnastics, aerobics, cycling and even swimming. Make them more leisurely so that you are not devoting more than 5 hours a week to these workouts.

#If you fall in underweight BMI range (<18), check your workout intensity and lighten it again so that along with good nutrition, you can soon move up to healthy weight range for early conception.

Now a word of caution for Female Athletes- if your form of exercise (including power yoga) is above moderate and leaves you extremely weak, winded, and gasping for breath or alters your menstrual cycles, then it’s time to tone down the frequency, pace, and duration of your workouts. This surely doesn’t mean you can’t run/cycle or must leave your weight lifting career for making a baby, but then, of course, this won’t be the ideal time to prepare for a marathon/triathlon or for buffing up for an upcoming championship.

Furthermore, certain contact Sports like Judo, Karate, Football etc., which may cause sudden jolts/falls and abdominal punching, may become unsuitable when you eventually fall pregnant. So trying now to hone your skills in them or, for that matter, in activities like downhill skiing, horseback riding, scuba diving, mountain biking etc., may not be useful. Save them for your post pregnancy to do list!

Lastly, a well-rounded preparation consists of other factors too. So a wholesome diet, folate supplements, sound sleep, no alcohol/smoking, avoiding caffeine and reducing stress will form a crucial foundation of your prenatal preparation along with, as I mentioned above, EXERCISING regularly.

Hope you find this article useful and that it answers all your questions regarding exercises before your Big Fat Positive. Take care and I’ll see you in the next chapter of Pregnancy! For further information or guidance, reach out to our certified experts by subscribing to GOQii’s Personalised Health Coaching here.

#BeTheForce

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