5 Things Your Prenatal Fitness Trainer Should be Doing
/Trying to navigate prenatal exercise classes and advice can feel overwhelming. Figuring out what is best for your changing body can create feelings of fear, uncertainty and doubt. Information on the internet is often contradictory, and if even you understand the prenatal exercise guidelines, you may not feel confident in implementing them. Whether you’ve worked with a personal trainer before or not, pregnancy is a great time to enlist the additional support you need. In fact, the newest guidelines from the American College of Sports Medicine recommend an individualized program during pregnancy. If you have the access and means to do so, working with a qualified prenatal fitness professional can ensure your program is safe and effective. As a prenatal fitness expert myself, I know the role comes with a lot of responsibility and take that very seriously. So how do you know if the fitness professional you choose is prepared to coach you through pregnancy?
Here are 5 things your prenatal fitness trainer should be doing
Assessment: Assessment refers to establishing a baseline in strength, aerobic capacity, and mobility. However, it also includes exercise history, preferences, needs, and injuries. The benefit of working with a personal trainer is customized programming, so at the very minimum, the fitness professional you work with should perform a thorough assessment. As you progress through pregnancy, they should continue to note and evaluate changes in your core function, workout recovery, and daily discomforts.
Understand trimester trends: Reading online or scrolling Instagram would make it seem that there are “bad” and “good” exercises for each trimester. This is not the case. Everyone’s needs and abilities during pregnancy vary. The professional you work with should never program exercises based only on your current trimester, nor should they make assumptions about what you’re capable of. However, there are trends during each trimester that they should be aware of, including the fear and fatigue you might feel during the first trimester, or the disturbed sleep or pelvic pressure you might experience in the third trimester. These factors can all influence the workouts they design.
Pregnancy continuing education: Hopefully you’ll do your due diligence and select a personal trainer well-trained in exercise science, and one that has taken the extra courses to provide them with prenatal exercise credentials. However, someone working with pregnant people should also have a good, general understanding of pregnancy overall. Heartburn may seem unrelated to exercise, but a professional with an understanding that this is common during pregnancy can coach you on the timing of your meals, or avoid exercises in a position that worsens your reflux.
Providing referrals: Prenatal personal trainers or prenatal exercise instructors should be well-trained in prenatal exercise design. They should demonstrate knowledge about the abdominal wall and pelvic floor muscles. However, if you demonstrate any dysfunction or pain they should refer you to the appropriate health professional. This doesn’t mean they shouldn’t work with you, but no matter how knowledgeable they are, it is outside of their scope to diagnose or come up with a treatment plan. They may be certain that your symptoms indicate symphysis pubis dysfunction, but the only support they are qualified to provide is making sure that your exercise program does not exacerbate symptoms, and can help you strengthen and lengthen the muscles that may help you experience less pain. It’s a bonus if they can work in collaboration with the physical therapist you’re referred to so that you receive the most thorough care.
Avoiding Promises: If your personal trainer uses words like “fit pregnancy” “bounce back after baby” or “easy delivery”…run! A qualified professional will be focused not on how “toned” your muscles are, but rather how you feel and move so that you can continue to be strong and active through 40 weeks of pregnancy. A qualified professional will design a program that you can stay consistent with and that strengthens/lengthens the muscles most impacted by pregnancy…thus decreasing the chance of delivery complications and possibly reducing the duration of labor. However, they shouldn’t make you any promises about the ease or length of your labor and delivery. Your personal trainer should understand that prenatal exercise can lead to better postpartum recovery, but should never suggest that you’ll “snap back” because the science tells us that tissues take a while to heal and in no way just bounce back.
Beyond those 5 things your personal trainer should be doing there are other factors that you should consider in selecting one to work with, such as convenience, relatability, ability to share information, and trust. The last thing to note is that there is a benefit to working with a personal trainer you’ve worked with before, or working with the same person throughout your entire pregnancy. This leads to a better understanding of the intensity you’re capable of, and someone who knows your ability will probably be less conservative when designing your program. However, you shouldn’t just assume that a personal trainer that you have worked with pre-pregnancy is the most beneficial to you during pregnancy, or the most qualified.
You deserve to feel strong and empowered during pregnancy. Choose someone who will help you use exercise as a tool to be healthy and feel good as you await your baby.