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Five Ways to Prepare Your Body for Pregnancy By Marianne Ryan

Posted May 20th, 2013 in Fresno birth, Fresno Birth Doula, Fresno VBAC by Kathryn DiPalma

Great article by Marianne Ryan.

Whether having children is in your 10-year plan or you’ve decided now is the time to start trying, it’s never too early to begin preparing your body for pregnancy. Ensure your body is ready to carry a baby by addressing before pregnancy any pain or problems associated with posture or weakness. Unfortunately, these issues can worsen during pregnancy and cause pain and dysfunction. The good news is a physical therapist can evaluate, diagnose, and treat pre-pregnancy musculoskeletal issues and continue to help you during pregnancy and post-childbirth.

Tips to Help Prepare Your Body for Pregnancy

1. Strengthen your pelvic muscles. To strengthen your muscles, use pelvic floor contractions (commonly referred to as Kegels), which involve gently squeezing the sphincter muscles (rather than the buttocks and thighs). These tightening exercises help prevent leakage when a woman sneezes, coughs, etc, and also can help reduce pelvic pain during pregnancy. However, many women do Kegels incorrectly (perhaps because muscles are too tight and need to be relaxed before strengthening). Physical therapists who specialize in women’s health can instruct women in how to perform these exercises safely and correctly.

2. Prepare for “baby belly” by focusing on your core. Core exercises can help prevent diastasis recti —abdominal muscle separation. As your belly grows, the abdominal muscles that run vertically along either side of the belly button can be forced apart, like a zipper opening. If these abdominal muscles separate from each other too much, the result can be low back pain, pelvic pain, or other injuries as your body tries to compensate for its weaker core. This also can result in the post-pregnancy “pooch” many women find undesirable. But beware, some exercises, such as sit-ups, increase the likelihood of developing diastasis recti.

3. Take a breath! Learning proper breathing and relaxation techniques from your physical therapist will help prepare your body and mind for a healthy pregnancy. It is important to learn to properly exhale before performing any exercise. With proper technique, your core and pelvic floor muscles will contract automatically, and this will lead to optimal stability and injury protection.

4. Begin a regular fitness routine. Exercise will help reduce the amount of cortisol (stress hormone) in your body and will boost your muscle and cardiovascular strength—strength you’ll need to carry that extra baby weight. Once you become pregnant, consider engaging in relatively low-impact activities such as swimming, walking on even surfaces, biking, or using an elliptical machine. Runners should be aware that loosening of their ligaments may make them more susceptible to knee and ankle injuries. Also, when the muscles and ligaments that support a woman’s pelvic organs weaken, the repetitive jarring of running can cause these organs to descend. This is known as pelvic organ prolapse. Physical therapists strongly recommend that, to prevent this condition, women wear undergarments that offer pelvic floor support, or compression shorts that support the pelvic floor both during and after pregnancy.

5. Practice good posture. Poor posture can have a major effect on every part of your body, particularly with regard to pain during pregnancy. A physical therapist can evaluate your posture and suggest muscle-strengthening exercises and lifestyle education (such as not sitting at a desk for long periods, and carrying your grocery bags properly). Establishing healthy posture habits—pre-baby — will better prepare your body for the extra weight of pregnancy and lessen your chances of low back and pelvic pain.

So, in the midst of all the planning and excitement, don’t forget to focus on yourself, the mom-to-be. You have a big job coming up. Take time to prepare your body for the rewarding challenges ahead.

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