Exercises in pregnancy.pptx

exercise during pregnancy
physiotherapy treatment

1. Exercises (pt. ex’s during pregnancy).

2. Exercise: Breathing exercise. (all trimester) Don’t hold breathe for longer time. Stretching . (avoid in 2 nd and 3 rd trimester) 10/1/2022 dhwani kawedia 2

3. Kegel exercise(pelvic floor m/s ) (in 3 rd trimester) Hot shower bath. The hot shower bath ran 30 minutes using water at 37°C, 10/1/2022 dhwani kawedia 3

4. Perinatal Exercise with Swiss Ball Pilates exercise (all trimester) 10/1/2022 dhwani kawedia 4

5. Neck and stretch Side bends . Pelvic tilts with pelvic floor muscle training 10/1/2022 dhwani kawedia 5

6. Other exercises are: Walking – 3 rd trimester Stationary cycling – avoid in 3 rd trimester Aerobic exercise – avoid in 2 nd & 3 rd trimester Dancing – avoid in 3 rd trimester Resistance exercise – avoid in 3 rd trimester 10/1/2022 dhwani kawedia 6

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8. Guidelines for women exercising during pregnancy Jerky, bouncing movements and activities should be avoided. Regular mild to moderate exercise sessions , at least three times a week , are safer than intermittent bursts of activity. A careful ‘warm-up’ should precede vigorous exercise, which must always be followed by a ‘cool-down’ or gradual decline in activity. The maternal heart rate should not exceed 140bpm, and vigorous exercise should not continue for longer than 15 minutes . Fluid must be taken before, during and after exertion to avoid dehydration, and energy intake must be sufficient for the needs of pregnancy as well as the exercise. As with women beginning exercise outside pregnancy, it is essential that those accustomed to a sedentary lifestyle should start with low intensity physical activity with gradual increases in activity levels according to a woman’s own individual tolerance capacity. Avoid supine positions after the first trimester. Avoid standing motionless for long periods of time. 10/1/2022 dhwani kawedia 8

9. 10/1/2022 dhwani kawedia 9 Each participant have to be physically examined prior to engaging in an exercise programme . Stretching exercises specific to single muscle or muscle group, do not involve several group at once. Do not allow any joint to be taken beyond its physiological range .

10. References: Barakat R, Perales M, Garatachea N, Ruiz JR, Lucia A. Exercise during pregnancy. A narrative review asking: what do we know? Br J Sports Med. 2015 Nov;49(21):1377-81. doi : 10.1136/bjsports-2015-094756. Epub 2015 Jul 1. PMID: 26135742 . Cavalcanti ACV, Henrique AJ, Brasil CM, Gabrielloni MC, Barbieri M. Complementary therapies in labor : randomized clinical trial. Rev Gaucha Enferm . 2019 Sep 23;40:e20190026. Portuguese, English. doi : 10.1590/1983-1447.2019.20190026. PMID: 31553374 . Ghandali NY, Iravani M, Habibi A, Cheraghian B. The effectiveness of a Pilates exercise program during pregnancy on childbirth outcomes: a randomised controlled clinical trial. BMC Pregnancy Childbirth. 2021 Jul 2;21(1):480. doi : 10.1186/s12884-021-03922-2. PMID: 34215198; PMCID: PMC8253242 . Miquelutti MA, Cecatti JG, Makuch MY. Developing strategies to be added to the protocol for antenatal care: an exercise and birth preparation program. Clinics (Sao Paulo). 2015 Apr;70(4):231-6. doi : 10.6061/clinics/2015(04)02. PMID: 26017787; PMCID: PMC4418303 . Syed H, Slayman T, DuChene Thoma K. ACOG Committee Opinion No. 804: Physical Activity and Exercise During Pregnancy and the Postpartum Period. Obstet Gynecol. 2021 Feb 1;137(2):375-376. doi : 10.1097/AOG.0000000000004266. PMID: 33481513 . Ward- Ritacco C, Poudevigne MS, O'Connor PJ. Muscle strengthening exercises during pregnancy are associated with increased energy and reduced fatigue. J Psychosom Obstet Gynaecol . 2016;37(2):68-72. doi : 10.3109/0167482X.2016.1155552. PMID: 26984583; PMCID: PMC4978349. 10/1/2022 dhwani kawedia 10

11. Miquelutti MA, Cecatti JG, Makuch MY. Developing strategies to be added to the protocol for antenatal care: an exercise and birth preparation program. Clinics (Sao Paulo). 2015 Apr;70(4):231-6. doi : 10.6061/clinics/2015(04)02. PMID: 26017787; PMCID: PMC4418303 . 10/1/2022 dhwani kawedia 11