Debunking Two Common Myths About Prenatal Exercise

If you’re pregnant and looking to stay physically active, you’ve probably come across a lot of information about exercise during pregnancy, some of which can be confusing or even misleading. In this article, we'll focus on two of the most common misconceptions that frequently appear in searches and provide you with accurate, up-to-date information based on guidelines from the American College of Sports Medicine (ACSM) and the American College of Obstetricians and Gynecologists (ACOG).

Misconception #1: "You shouldn't start exercising if you weren't active before pregnancy"

One of the most persistent myths about prenatal exercise is that if you weren't physically active before pregnancy, you shouldn't start during pregnancy. This misconception can prevent many moms-to-be from reaping the benefits of exercise during pregnancy. Back in the day guidelines were much more conservative out of caution and frankly because the research just hadn’t been done. However, both the American College of Obstetricians and Gynecologists and the American College of Sports Medicine encourage people with uncomplicated pregnancies to engage in regular physical activity, regardless of their pre-pregnancy fitness level. These expert obstetric and exercise organizations are very clear about the benefits of prenatal exercise which include preparing your body for the physical demands of pregnancy and childbirth, better weight management, reduced risk of gestational diabetes, and enhanced mental well-being.

You might find that pregnancy it’s an ideal time for you to start an exercise program. It’s a time in your life when you’re pausing to think about wellness, consider your health, and begin to adapt your habits and schedule. Exercise and physical activity can be incorporated into those thoughts and you can begin to prioritize physical activity as you make changes.

If you are new to exercise or haven’t been exercising consistently, the first step is shifting your mindset. Exercise should be used to support your pregnancy, so past exercise goals or routines may not apply to this stage of your life. Secondly, when you’re ready to get started, you should approach it as a gradual progression. This means little by little you’ll increase the duration of your workouts, the intensity, and the challenge level of exercises. You can begin with as few as 5 minutes of mobility each day and move toward being physically active for 30 minutes most days of the week. 

As always, your healthcare provider should be your resource if you’re concerned that you have complications or contraindications to exercise. However, if you have a healthy and uncomplicated pregnancy, I’d like you to get moving!

Misconception #2: "You should keep your heart rate below 140 bpm while exercising"

Another common misconception is the outdated guideline that pregnant women should keep their heart rate below 140 beats per minute (bpm) while exercising. This advice, once widely promoted, is no longer supported by ACOG or ACSM. No one "target" heart rate is appropriate for all pregnant moms.

Instead, both ACOG and ACSM recommend that pregnant women engage in moderate-intensity exercise, which can be gauged by the "talk test" – being able to carry on a conversation while exercising, but not being able to sing. This level of intensity typically corresponds to a heart rate of 60-80% of your maximum heart rate, which varies depending on your age and fitness level. However, this guidance is not a “maximum” and it is not to create fear of going over that moderate intensity. Many elite athletes work at higher intensities, and research shows that HIIT exercise is safe for moms and babies. So rather than focusing on or fearing the heart rate, or number, focus on getting your body moving at a moderate intensity.

Hopefully, these two misconceptions about prenatal exercise will continue to dissipate so more moms embrace physical activity during pregnancy. By understanding that it's safe and beneficial to start an exercise program during pregnancy, even if you weren't previously active, and by focusing on moderate-intensity exercise rather than a specific heart rate limit, you can confidently use exercise as a tool in your prenatal care plan. Use the power of exercise to feel strong and confident throughout each trimester!

If you’re looking for tips to get started, download 5 Tips to a Strong Core.

The Rise of the Active Mom Movement

If you're reading this, chances are you're part of the powerful movement of moms committed to exercising through pregnancy and beyond. You should feel empowered and proud to be part of this growing revolution. I recently presented at a global conference for the fitness industry and shared information on trends, challenges, and opportunities. I thought you might be interested to see what’s happening in Mom Fitness too!

A Glimpse at Mom Fitness Today

I’ve been fortunate to witness just how many moms are prioritizing physical activity and fitness during and after pregnancy. At Active Mom Fitness in Philadelphia, PA we use functional strength and core training as a tool so that moms can comfortably adapt to the body’s changes during pregnancy and safely return to physical activity after having a baby. It’s evident with apps like Peloton adding natal options, and the number of elite athlete moms competing during and after pregnancy, that exercise and sport during and after pregnancy is here to stay.

Unfortunately, the fitness industry hasn’t quite caught up with this demand. Maternal exercise researchers are moving us forward, but we’ve gone years without sufficient prenatal or postpartum-specific studies to inform exercise programs, especially when it comes to more vigorous activity and sport. There is a recent study that I hope fitness professionals get their hands on. Researchers show that both the mother and the fetus can tolerate high-intensity exercise (they did 10, 1-minute intervals at 90% or more of their maximum heart rate). Of course, every pregnancy is different, and your individual fitness level, abilities, and pelvic floor muscle tolerance matter. But isn't it motivating to see more evidence backing this up so you can feel safe doing the activities you enjoy?? I hope maternal researchers continue to push this field so that moms have evidence-based exercise programs to follow through motherhood.

A stat that I hope improves is that up to 60% of pregnant mamas aren't getting adequate exercise guidance from their doctors. Although doctors are not trained in exercise prescription, with collaboration between obstetricians and qualified pre/postnatal exercise specialists this gap can be closed. Moms don’t deserve to feel overwhelmed and alone navigating exercise through motherhood, we have enough on our plates! The increased awareness through professional athletes competing and moms like yourself demanding more support will help our cause, but there is still work to be done.

It’s Not Easy

Despite this movement toward more exercise and activity through the stages of motherhood, moms face very real barriers. You may have to deal with mixed messages about exercise. One day it's "put your feet up," and the next it's "slay your bounce-back goals!" You have misguided influencer narratives to contend with and old-school thinking to debate.  

One element that I always educate fitness professionals about in my continuing education courses is the fear factor. If you've ever felt intimidated, anxious, or confused about working out during or after pregnancy, you're not alone. For many a difficult conception journey, traumatic birth experience, or even mom guilt can enhance anxiety and fears around exercise and you may need support to navigate those feelings.

And of course, there are always the obvious challenges like fatigue, aches, nausea, and the whole life-changing experience of new motherhood thing. That is where a community like Active Mom Fitness can be helpful. You’re motivated not just by your personal trainer, but getting practical suggestions and support from moms going through the same experience. Additionally, every exercise class or session is designed with those factors in mind. Trust me, as a mom myself and after working with hundreds of moms, “I get it” and I want to help you get through it so that you can exercise until your due date, and feel confident getting back to physical activity after having your baby!

What Was The Point of This Article

I just wanted to let you know that: 

1. If you’re continuing to set goals, seek support, and keep moving then you’re part of this amazing growing movement of Active Moms and you should be proud. 

2. Based on the research, the field of pre/postnatal exercise and sport is growing, but we’re not where we need to be. However, when it comes to healthcare and fitness, work with people who are seeking updated evidence so they can provide you with the best support

3. There will always be challenges. Know it’s a journey through motherhood and it doesn’t have to look perfect. Find someone who can help you navigate the challenges and sift through the noise.

Let’s keep moving, moms! 

If personal or group training doesn’t work for you, know that the self-paced library is building and I’ve taken the approach that I use in the studio and put it into digital step-by-step programs so moms in or outside of Philadelphia, PA have access to quality programs designed just for moms!

If you’re just getting back to exercise after having a baby (6 weeks to 6 years out!) try this self-paced core progression. If you’ve just finished pelvic floor PT, transition back to exercise with this program (2 coaching sessions included!).

Have You Been Cleared for Exercise?

If you’re currently pregnant and have been consistent with exercise, you’re probably already planning your return to exercise postpartum, especially if exercise has always been a part of your life. I know most of my clients who have continued to stay active during pregnancy have goals to return to fitness as soon as their doctor gives the OK postpartum.

If you’ve recently had a baby, you may be awaiting your postpartum appointment to find out if you are “cleared for exercise”. Getting cleared for exercise can feel liberating if you’ve been missing that sense of control over your body. However, it’s important to understand what being cleared means as well as how to return to physical activity after pregnancy.

What Does "Cleared for Exercise" Mean?

Being cleared for exercise is your doctor’s medical opinion that you are physically ready to start increasing physical activity, or that it’s generally safe for you to exercise. This typically happens at your 6-week postpartum check-up, but if you’ve had complications like tearing or are recovering from a c-section, that may happen a bit later. 

In other words, your doctor will either tell you it’s safe, or that it’s not. Which, don’t get me wrong is important information. You shouldn’t begin to increase physical activity or exercise if you have contraindications. However, the trouble with the yay or nay approach is that it’s one size fits all. Postpartum exercise clearance usually comes with the advice that you should ease back into it and listen to your body. This is not inherently bad advice, but it’s pretty subjective and doesn’t educate you on what a proper progression looks like, or why easing back into it is essential. Fortunately for you, if you’re reading this, you probably already have an understanding that there are important considerations when returning to exercise after having a baby. In the rest of this article, I’ll provide you with tips and strategies to guide you in your return to fitness.

What do the postpartum exercise guidelines say?

At the time of this article (12/2023), postpartum exercise guidelines have not been published. BUT, there is encouraging news that they’re finally in the works and should be released soon. I’ll link to them when they come out, but in the meantime, I’m going to provide you with some tips inferred from the research that exists, my background in exercise science, as well as the practical experience I have working with pregnant and postpartum moms.

Do you need to see a pelvic floor physical therapist or postpartum exercise specialist?

The ideal answer is yes, it would be great if everyone was able to receive personal guidance from a professional after having a baby. The more realistic answer for most people is that it depends. If you have any concerning symptoms like incontinence, pelvic or back pain, abdominal separation, or others then I strongly encourage you to see a pelvic floor physical therapist as a starting point. If you live in a major city there are probably those that accept insurance, as well as cash-based, but you should be able to see someone. Additionally, if you are concerned about excessive fatigue, anxiety, or depression, I’d also recommend seeing a professional before beginning a structured exercise program beyond general physical activity. If you were not active during pregnancy or you’re new to strength training or core exercises, a postpartum exercise specialist can save you a lot of time and energy in the long run by helping you determine which exercises are best for you.

Time for the Tips

Aerobic

The general physical activity guidelines for adults recommend 150 minutes per week of moderate or moderate-vigorous physical activity, with activity occurring on most days. The postpartum guidelines may skew a bit, but will not be drastically different. In any case, that duration and intensity is what you’re working up to and not where you’re starting. For most moms that I’ve worked with, getting out and pushing the baby in the stroller for 10-20 minutes every day is a great starting point. Walking is great because you can still spend time with your baby, being outside may boost your mental health, it’s a low-impact activity ensuring you’re not stressing your healing pelvic floor too soon, and it’s a trackable activity that you can strategically progress to longer durations, distances, and intensities. 

Strength

Here’s where I plug the method I developed called the Core, Function & Fitness approach. The idea is that the core is the foundation of fitness and where you should prioritize your efforts. During the postpartum period, this most often means addressing any pelvic floor concerns and coordinating breath with your deep ab muscle activation. Initially, this could be through pelvic tilts or heel slides but can progress to exercises like the deadbug. After you’ve made some progress in core strength and function, you can add in functional strength training. So this might mean you’re spending 5-10 minutes on isolated core exercises and then doing a full body circuit focusing on muscles you need to move through your day pain-free, as well as the major movement patterns. For example, lengthening chest muscles and strengthening upper back muscles is usually a necessary focus for moms due to the feeding posture. 

After you’ve laid a solid foundation of core training and strength training you can continue to increase the duration, frequency, and intensity of your workouts, while also setting more specific goals like running.

Don’t Forget About Lifestyle Factors

To benefit from exercise, there are more factors than the workout or activity. Things like sleep, nutrition, hormones, childcare, the ability to be consistent, and the ability to recover all determine whether you’ll get the benefits you’re expecting from exercise. For this reason, not jumping back into structured workouts until you are more healed, getting a bit more sleep, and have found ways to stay hydrated and eat a balanced meal is a reasonable decision and it’s smart. Now this doesn’t mean you should do anything. You should begin to increase physical activity and address core strength at a minimum, but it means that rather than aiming for pre-pregnancy 60-minute workouts at the gym, your starting point might be daily walks and two minutes of isolated core work when the baby is doing tummy time.

On the flip side, if you have childcare help, you’re feeling healed and sleep deprivation isn’t an issue, you may be feeling like you’re ready to get back to your old routine. To that I’ll say, remember that your abdominal and pelvic floor muscles and tissues are still healing and your hormones are still fluctuating, so even if you’re feeling good, I’d suggest the same gradual core, function then fitness framework. You may move through the progression quicker than someone else but don’t skip the gradual transition.

The Takeaway

This article is just one piece of the postpartum exercise puzzle, but I hope it gave you some perspective on getting cleared for exercise. To summarize:

• Prioritize healing

• Remember that lifestyle factors should support the type of workouts you’re doing

• Core, then add functional strength then set fitness goals

Being an active mom is a lifestyle and will look different as you move through different stages of motherhood. The fourth trimester is not even the first chapter, we’ll call it the introduction.

Ready for more tips? Download 5 Tips for a Stronger Core After Pregnancy.

Feeling Overwhelmed When You Think About Returning to Fitness?

As we all know exercise has many physical and mental health benefits. We all are also probably somewhat familiar with exercise guidelines and recommendations. So why does beginning an exercise program after having a baby feel so difficult? The answer is that there are many real challenges for new moms. Being a military mom adds another layer of barriers and stressors. Sleep deprivation, lack of time, changed priorities, minimal support from family, fear, birth complications, pain, lack of postpartum exercise and healthcare resources, and pressure to lose weight and perform, are all very real barriers (not excuses!). Although every mom’s journey back to exercise will be different, these three general strategies can make your return to exercise a little less overwhelming.

1) Understanding Changes to Your Body: Having information and knowledge about the anatomical and physiological changes during and after pregnancy will validate why you feel weaker despite exercising during pregnancy, or why you can’t seem to lose the last five pounds, or why you’re experiencing soreness like you never have before. Understanding how the changes to your body impacts fitness is essential, yet most postpartum care doesn’t include such information. Having this understanding will help you make sense of why workouts feel so difficult, why you’re not seeing progress at the rate you’re used to, and hopefully allow yourself some grace during those first few months after having your baby. 

There could be an entire book about this, but hormones play a huge role in muscle development and exercise recovery. Hormones don’t stabilize immediately after giving birth, and even when they begin to “balance out”, other hormones due to lack of sleep and stress can keep your hormones at levels that will impact your ability to lose weight, workout at higher intensities, and recover after a workout. Additionally, hormones can have an impact on your mood, affecting your motivation to exercise and desire to hit the gym like you used to. If you’re breastfeeding, you’ll have an even longer delay of hormones getting back to pre-pregnancy levels, so having the understanding that breastfeeding doesn’t automatically make it easier to change your body composition due to so many other factors, is also really important.

In addition to hormones, you need to have an understanding of tissue healing. You may be feeling stronger and ready for more physical activity, but whether you’ve had a vaginal delivery or c-section, your abdominal wall and pelvic floor tissues can take 9-12 months to fully heal and regain strength. Having this understanding is important so that you’re not choosing exercises that will do more harm than good, hence stunting your progress and inhibiting fitness results. Exercise is important in healing, but not over stressing the tissues is crucial in progressively increasing strength and function. This means if running feels overwhelming, that’s OK. Recent guidelines suggest that running and other high impact activity shouldn’t even happen until at least 12 weeks postpartum, and after proper strength training.

Hormones, tissue healing, and other factors don’t mean that you can’t exercise, in fact you absolutely should. Those factors also don’t mean that you won’t see results. What those changes to your body do mean is that you shouldn’t expect to exercise at your same pre-pregnancy level right away, and that initially, your program will probably need to look different. Having this understanding about the changes to your body means you’ll be able to gradually progress in fitness. As long as you’re moving forward with no setbacks, you’ll get there.

2) Prioritize: Being able to prioritize will help ease some of the pressure and stress around exercising. You’re probably used to thinking of fitness as aerobic, strength, and flexibility. And you’re correct, these are all major components of fitness. However, as a new mom it’s important that you make the most of your time and energy. To set yourself up for success, you should prioritize the type of workouts and exercises you’re choosing. Your first priority should be on healing. This includes any tears, incisions, scarring and any emotional trauma, depression, or anxiety. So if you once prioritized high intensity cardio and heavy weights, you’ll need a mental shift to feel good about the workouts your body needs. Next you should prioritize core strength and function, specifically addressing any concerns for abdominal separation, back pain, or pelvic floor dysfunction (pain or incontinence). Next make sure you’re functional. Functional strength training is somewhat of a trendy term, but for moms it means that you can perform all of your daily movements and demands of caring for a baby without pain. As it relates to exercise, it means you have mastered all of the major movement patterns (squat, lunge, hinge, push, pull, rotate/anti rotation) with good technique, and ability to recover. Your last priority is progressing to more vigorous physical activity and your traditional fitness goals. After you have the foundation of core strength and functional movements, you should be able to advance comfortably and with reduced injury risk. This is a simplified progression, but I like to think of Core, Function and Fitness as a pie chart with different percentages. You’ll always be working on all parts, but the percentage of each will change based on your priorities and needs.

3) Mental Shift: This has been touched on a bit already, but the first step in returning to exercise is mental. The fitness requirements of the military are relevant, but this comes secondary to how you view postpartum physical activity, especially now that you have a year to meet your military fitness and body composition goals. Your body has changed so your workouts will and should as well. The goals you once set were for a different body. Exercise should be a tool and if you begin to look at it that way, you will choose and plan your workouts differently, and with less stress. During the first few months, what type of exercise will help you heal? What type of exercise can you do without childcare? What workouts are realistic with the time you have? If you’re not sleeping, when is the best time of day to exercise and the appropriate intensity? Shifting your perspective about fitness and exercise is not a sign of weakness, but rather a helpful and smart tactic.

Now that you have those three general strategies to help you overcome the numerous barriers you face as a mom returning to exercise, I want to make it very clear that being a mom does not have to negatively impact your fitness. Moms actually have an advantage when it comes to fitness. By training in a very specific way and a way that you’ve never trained before, you have the ability to have a stronger core, be more functional, and feel stronger than you’ve ever been. Why? Because now your training will probably include pelvic floor muscles and breathing techniques, making your core function optimally. By caring for a baby, you’ll probably need to address posture, aches, and pains caused by muscle weaknesses/tightness, that you just ignored before. Your workouts as a mom will now have more meaning and serve many more purposes. If you can understand what your body needs, prioritize the proper exercise progression, and change your mindset, you will feel strong and confident in your body again.

Looking for a little more guidance? Take this Free Self-Assessment.

3 Ways Your Baby Benefits From Prenatal Exercise

It can be hard to stay motivated to exercise during pregnancy. Most moms that I work with are driven by wanting to maintain a healthy weight, avoid aches and pains, and prepare for labor and postpartum recovery. However, some of the most overlooked, but really amazing benefits are about the baby. Here are three ways your baby benefits from you being an active mama-to-be:

1. A head start in brain development

   If you exercise even just 20 minutes, three times per week, your baby might get a head start in brain development. Research shows more cerebral activation after birth in babies born to moms that exercised during compared to sedentary moms.

2. Healthy birth weight

   Long term studies show that if you exercise regularly during pregnancy, you’re more likely to have a baby born at a healthy birth weight. Why is this important? A healthy birth weight has been tied to risk reduction later in life for diseases like cardiovascular disease, diabetes and obesity. 

3. Better heart health

   Research shows that babies born to moms that exercise during pregnancy developed stronger hearts. This is indicated by a slower heart rate and heart rate variability. The assumption is that your baby’s heart synchronizes with your during exercises, giving your little one the same cardiovascular benefits as you. 

Personally, I exercised my entire pregnancy but did not end up with the benefit of an easy delivery. After I recovered from my C-section, I was comforted knowing that all of my prenatal workouts still paid off by most importantly enhancing the health of my daughter. So whether you’re trying to get the motivation to go to your prenatal strength group, or processing an unexpected birth, know that your baby benefits from your physical activity. It can be scary exercising during pregnancy, with fear of doing something harmful to the baby. Don’t let lack of guidance be your barrier.

Need a simple starting point? Download 5 Tips for a Stronger Core During Pregnancy.

Do Prenatal Exercise Guidelines Provide Enough Guidance?

Exercise during pregnancy benefits both you and your baby. It’s one of the first decisions you can make for the health of your child. Unfortunately less than 25% of moms-to-be are meeting the physical activity recommendations. The reason? Lack of guidance. Your doctor has probably encouraged you to exercise, and may have even reviewed the prenatal exercise guidelines with you. So why do so many people feel like they don’t have enough guidance to exercise? My assumption is that most moms don’t have the experience to translate the recommendations into practice. At a time when you may be worried about safety, and feel scared that you’re going to do something to harm you or the baby, a little more specificity and support implementing the guidelines can go along way. It’s not necessarily that guidelines don’t provide guidance, but rather more moms need access to professionals that can help them understand how to put them into practice. Let’s take a look and translate the American College of Sports Medicine Prenatal Exercise Guidelines a bit further so that you don’t end up in the 75+% of moms that don’t get enough activity during pregnancy.

Recommendation One: “Accumulate 150 minutes of moderate physical activity each week. Physical Activity is encouraged everyday, but should occur over a minimum of 3 days per week.”

The Breakdown: Moderate refers to intensity. There is no longer a heart rate max. limit during pregnancy. The best way to monitor intensity is to use the Borg Scale, which measures perceived exertion. A moderate intensity generally falls between 12-14 (breathing harder, but can still talk). If you were active before pregnancy, higher intensities may be appropriate, however maximum intensities for most people should be avoided. Suggesting you accumulate 150 minutes means the amount of activity can fluctuate each day, but you’re aiming to total 150.

My Take: Structured Exercise is important, but just as important is not being sedentary. Move more to make your pregnant body feel good. I’ve seen such success with strength training that I’d recommend two days of full body 30-minute strength workouts (more if you enjoy it and have energy), and walking on most other days (around 20-30 min. each day). If you like to do different forms of cardio you can supplement the walking.

Recommendation Two: “A variety of physical activities should be incorporated, both aerobic and resistance in nature, along with yoga and gentle stretching.”

The Breakdown: Aerobic is another word for cardio workouts and refers to workouts that challenge the cardio-respiratory system (walking, dancing, possibly jogging/biking). “Resistance in nature” refers to workouts that use resistance to target muscle strength (bodyweight, free weights, machines, bands, etc.). The guidelines state yoga or gentle stretching because you can usually find prenatal options, but the purpose here is to emphasize lengthening muscles that tend to get tight during pregnancy.

My Take: In terms of resistance training, rather than focusing on training specific muscle groups, emphasize training movement patterns like squats, lunges, hip hinges, push, pull and (anti) rotational movements. This will ensure you’re able to continue to move well as your body changes. The guidelines may give you the impression by using the term “gentle”, that you need to be worried about the type of mobility work you do, but even with the relaxin hormone there isn’t a ton of evidence saying that it will contribute to injury. Yoga is a great option, but for the non-yogis, a dynamic warm up before a strength session, or some targeted stretching at the end of a walk can serve the same purpose. The goal is really to keep your joints moving as they should, despite some muscles being shortened due to the changes in your body while pregnant….hips are usually an area that feels tight for pregnant moms.

Recommendation Three: “Pelvic Floor related exercises (e.g., Kegels) should be performed daily”

The Breakdown:Your pelvic floor muscles are impacted both by hormones, change in function of abdominal muscles, changed breathing, and weight of the baby. Unfortunately most people don’t know much about the pelvic floor until pregnancy, and usually when they experience incontinence. Your pelvic floor muscles can be considered the basement of your core, so to have a functional and strong core during pregnancy, training these muscles can’t be ignored.

My Take: Aiming to daily kegels is a bit unrealistic and not super helpful for most people. However this recommendation is new to the guidelines and a very important addition. More effective than stationary and isolated exercises like kegels, is being able to incorporate both contraction and relaxation of the pelvic floor muscles during movement. I’d prefer people do this during strength training and major movement patterns because that’s when you need to be the most functional. Use kegels to teach yourself what activation of these muscles feels like, and then learn to coordinate activation with breath and movement.

Recommendation Four: “Warm-up and cool-down periods should be included in any Physical Activity regimen”

The Breakdown: Think of a warm-up and cool-down as transition periods. The warm-up should prepare your body for the type of exercise you’re going to do, and the cool-down should help you return to a resting state after working out.

My Take: Your body’s cardiovascular system changes quite a bit during pregnancy. The higher blood volume can mean a higher heart rate. A warm-up and cool-down can help you gradually increase and decrease your heart and respiratory rates, so for those of you that didn’t make much time for that before, you may find it more beneficial during pregnancy. However, you don’t necessarily need a specific routine. If you’re going for a brisk walk, your warm-up might mean starting slow and gradually increasing your pace. If you’re working out first thing in the morning, it might mean a longer period of mobilizing areas that tend to get tight during pregnancy, like back and hips. Your warm-up should mimic your workout and your cool-down should be to bring your body closer to a relaxed, resting state.

Recommendation Five: “Physical Activity programs should be individualized for each woman based on situation, experience, and current health status”

The Breakdown: Avoid any one-size-fits-all fitness advice. Factors like exercise history, pregnancy complications, access to equipment, energy level, and ability to perform strength exercises with good form…it all should be considered in workout selection or program design.

My Take: In reality, fitness should always be individualized, but it’s unrealistic to think everyone can have access to a fitness professional that can customize your program. However, if there is anytime to be thoughtful about exercise, it’s during pregnancy. Exercise can be your most powerful tool in combatting the aches and pains of pregnancy, and feeling strong and confident. Take some time to self-assess your needs and abilities. Don’t get caught up in the internet rabbit hole of Do’s and Don’ts, or best exercises for each trimester. Don’t overcomplicate things. If you aren’t able to seek the support of a prenatal exercise specialist, keep it simple: Walk often, hit the major movement patterns twice per week incorporating pelvic floor work, and stay mobile.

Hopefully, this breakdown has eased some anxiety and motivate you to exercise during pregnancy. Continue to follow this blog for tips or @activemomfitness on Instagram.

Is Some Exercise Really Better Than No Exercise?

Unfortunately for busy moms, when life gets chaotic we tend to prioritize things other than exercise. This may result in sporadic workouts and an inconsistent routine, or possibly skipping structured workouts altogether. This leads to the question, is something better than nothing??

Well, the short answer is yes…when it comes to the health benefits of exercise, then some physical activity is absolutely better than no activity. In fact, so much so that "make exercise a lifestyle" really needs to be a priority.

In a study of 35 healthy men and women, researchers found that many of the benefits they gained during a 13-week exercise program were lost over the course of one month of cessation of the program. This included strength gains, body fat percentage, and measures of heart health. However, the most important to note is that it only took one week for participants to lose the improvements in their blood pressure and cholesterol! This indicates that to keep your cardiovascular risk factors low, you need to maintain physical activity and make it a lifestyle. So returning to the answer to the question, yes some exercise is better than being sedentary when it comes to exercise and health. Upper and lower body strength gains also decreased progressively the month after completing the program. The good news is that the study did show us that 20-30 minute resistance training workouts just 2-3 times per week was enough to see fitness improve!

If staying consistent with exercise sounds easier said than done, here are some tips on how to make fitness work for you.

1. Be realistic with your time and identify ways that physical activity can naturally fit into your life. If you’re up several times per night, then setting a goal to do even a 10-minute HIIT workout before the baby wakes up in the morning is probably unrealistic and completely un-motivating. However, saying that you’re going to beat the afternoon energy slump by doing a 10-minute stroller walk with the baby, is probably more manageable and something you might look forward to.

2. Start with the minimum. If you can get benefits from just two days per week of strength training, start there. If you don’t have a gym membership, start with at-home bodyweight exercises. If you feel weak and experience pain with exercise, start with just a few core exercises.

3. Hire a professional. We invest in professionals for all sorts of things…cleaners to save time with housework, going to a nail salon instead of home pedicures, and therapists to improve our mental health. But for some reason when it comes to fitness, hiring a professional can be seen as a luxury. There is nothing wrong with seeking someone to hold you accountable. There is value in having an expert design a 30-minute program that will improve your strength.

I hope this post encourages you to adopt an active lifestyle!

Heart Rate During Pregnancy: Do's and Don'ts

It’s undeniable that exercise is encouraged for moms-to-be with healthy pregnancies. The old guidelines used to specify 140 beats per minute as a heart rate max during pregnancy. We’ve since learned that is unnecessary and new guidelines will suggest moderate-intensity aerobic activity during pregnancy. You may already be aware of this, but what most pregnant people are not aware of is that monitoring heart rate is actually not that helpful during pregnancy. In an age of tracking all fitness moves, your heart rate pre-pregnancy may have been a good indicator of how hard you’re working. However during pregnancy your cardiovascular system changes. Your heart rate, blood volume, and cardiac output all increase during pregnancy. This means that your heart rate may not respond the way it used to. So what are some do’s and don’ts when it comes to heart rate during exercise when you’re pregnant?

DO: be aware if after exercising you’re still feeling out of breath or feel your heart beating fast. Just like before pregnancy, as you recover post exercise your heart rate should return close to your pre-exercise baseline.

DON’T: use a heart rate monitor to determine the aerobic intensity or feel limited by your heart rate during exercise.

DO: aim for moderate intensity, which can be determined by the “talk test” or RPE (ratings of perceived exertion"). During moderate-intensity exercise, you might feel winded, but you should still be able to hold a conversation. Ratings of perceived exertion (overall how hard it feels you’re working) correlate well with heart rate. On a scale of 1-10, you should feel at about 3-4 (moderate to somewhat hard). On the traditional Borg Scale of 6-20, you’d fall at about 12-14.

DON’T: use walks where your heart rate isn’t elevated to count toward your aerobic exercise goals. General physical activity is great and we should all probably move more during the day, but your stroll around the block with your two-year-old, most likely isn’t challenging your heart rate.

DO: discuss if moderate to vigorous exercise is appropriate for you. If you were generally consistent with exercise at higher intensities before pregnancy, your moderate baseline will be different than someone who wasn’t. As we’ve seen with many athletes, your doctor may also say it’s safe for you to work at a higher than moderate intensity.

So now that you understand a bit more about heart rate and exercise, go ahead and get moving. Strength training, walking, swimming, dancing, or the stationary bike are all great prenatal options.

Start with 5 Tips for a Stronger Core During Pregnancy!

Five Tips to Stay Consistent With Exercise This Summer

Summer is a time when we all want to feel and look our best, but it's also a time when kids are home, occasions and events take over our calendar and we look forward to rest and relaxation on vacation. All of those are welcome changes, but can really derail your spring fitness progress. So how will you stay consistent? Here are a few suggestions:

1. Find a new "why" (new season, new reason): Perhaps you want to feel fit to explore the city where you'll be vacationing, or maybe you want to look your best at your friend's wedding...it's also possible your goal is more long term, but you know you have to maintain physical activity this summer to achieve it. The point is, take a few minutes to find your motivation. To be honest, my why shifts in the summer to wanting to feel confident on the beach and spend more time outdoors.

2. Change up your schedule: Most of our schedules look a bit different in the summer so it might be unrealistic for you to follow the same fitness schedule. Take a few minutes to decide when you're more likely to have time for workouts. For me personally, I always prefer mornings and my morning schedule stays pretty consistent in the summer. But for those of you who get "summer Fridays, maybe you'll decide to do afternoon workouts those days, or maybe that will be your recovery day. Perhaps evenings were your thing, but now you'd prefer to enjoy outside dinners and walks with the family. The point is, don't count on your winter workout schedule, if the rest of your schedule now looks different...find a new time!

3. Get outdoors: If you've been working out inside all year, that motivation is probably dwindling and your body is craving sun and fresh air. Choose an outdoor exercise, or simply take your laptop to the roof deck for a change of scenery. For me, incorporating even one outdoor workout per week keeps my gym workouts on track.

4. Plan activities on vacation: There is nothing wrong with a lazy beach day or two...but if you're gone for more than a couple of days, make sure to include some fun outings where you can be physically active. This takes the pressure off of fitting in a structured workout but ensures you keep your body moving. Think walks on the beach, hikes, biking, mini golf, paddle boards, tennis, or even a surf lesson.

5. Prioritize what you want to maintain: Even the most dedicated fitness enthusiast will face a lack of motivation or lack of time this summer, so have a backup plan for the days you can't get in a full workout. What area of fitness is the most important for you to maintain? Core strength? Arm definition? Mobility? Define your area and create a 10-minute routine that you can use when you're short on time. You may not be able to focus on everything, but you'll feel good about maintaining what's most important to you.

These are just a few considerations for summer but continue to use your other year-round tools for consistency as well. Make this your best summer yet!

Returning to Exercise After Covid

Are there dangers on returning to exercise post Covid? That is still something being studied, but we do know there are long term effects from Covid and because of possible complications there should be guidelines on how to return to physical activity. There is increasing evidence that “long Covid” symptoms can include cough, elevated resting heart rate, and extreme fatigue. Cardiac damage is also a concern, especially in athletes returning to sport post virus. The American College of Sports Medicine is one of the first organizations to provide guidelines based on your level of risk.

Low Risk: If you are under the age of 50 with asymptomatic or mild respiratory symptoms that resolved within seven days.

• When to return to activity: Rest for at least ten days after being diagnosed. Once asymptomatic for seven days then follow a gradual return to exercise without evaluation.

• How to return to activity: You should first return to normal daily routine and sleep patterns. You should be able to perform daily activities and be able to walk 500 m (.31 miles) on a flat surface without fatigue or shortness of breath. Your first workout should be light intensity for a duration of 15 minutes. If you feel your energy is as it was post covid, you can increase the duration during your next workout. It’s recommended you begin with bodyweight exercises and then progress to heavier resistance and sports. *Athletes should engage in at least two weeks of minimal exertion activity before resuming sport.

Intermediate risk: If you had symptoms or fatigue lasting for more than one week, or prolonged shortness of breath/chest pain that did not require hospitalization.

• When to return to activity: it is suggested that you be evaluated with an EKG and troponin test if you have an abnormal EKG. A personalized exercise prescription is recommended.

• How to return to exercise: a specialist team should create a personalized exercise prescription

High risk: if you were hospitalized or experienced shortness of breath or chest pain at rest or with basic daily activities.

• When to return to activity: it is suggested that you be evaluated with an EKG and troponin test if you have an abnormal EKG.

• How to return to exercise: a specialist team should create a personalized exercise prescription

A gradual return to exercise will help mitigate risk. Working with an exercise physiologist and care team is to your benefit as we continue to learn more about Covid-19 and exercise.

Below is an example of a low risk return to exercise progression. You should make sure you recover from each workout and that no new/returning symptoms occur. Contact your doctor if you experience any chest pain, irregular heartbeat or shortness of breath. This progression may take place over a 1-2 month period.

1. Stage 1: Mobility/Flexibility and light walking

2. Stage 2: Continue to build up walking intensity and duration

3. Stage 3: Moderate intensity aerobic exercise and bodyweight resistance training (one day of exercise interspersed with one day of recovery)

4. Stage 4: Moderate intensity aerobic activity and resistance training (moving up to two days of exercise and one day of recovery)

5. Stage 5: Attempting your baseline level of activity, ramping up intensity to moderate/vigorous.

This post is an interpretation of an article titled Safe Return to Physical Activity After Covid-19.