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Exercises for Pregnancy and
                               Childbirth

           During pregnancy, you can continue to exercise and get health benefits
           from even mild and moderate routines. It is best to exercise 3 to 5 times
           each week.
           As with any time that you exercise, drink plenty of water and eat a
           healthful diet. Wear clothing that is comfortable. Dress so you do not get
           over heated.
           Some special cautions for you to be aware of when exercising during
           pregnancy:
                 Avoid exercising flat on your back after the first 3 months of your
           •
                 pregnancy. Many pregnant women have their heart function slow when
                 they are flat on their backs.
                 Avoid standing for long periods of time.
           •

                 Stop exercising when you are tired. Do not exercise until you feel
           •
                 exhausted.
                 Avoid any type of exercise that can cause even mild trauma to the
           •
                 abdomen.
                 Changes that occur in your body shape and size over your pregnancy
           •
                 will limit the types of exercise you can do safely as your balance
                 changes.
                 Talk to your doctor about exercise during pregnancy if you have:
           •

                      Pregnancy induced hypertension (high blood pressure) or diabetes
                      Premature labor
                                                                         More on next page

                                           Learn more about your health care.




© Copyright, (2/7/2008) Department of Women and Infant Nursing,
  The Ohio State University Medical Center - Upon request all patient
  education handouts are available in other formats for people with
  special hearing, vision and language needs, call (614) 293-3191.
Page 2


         Maternal heart disease
         Premature rupture of membranes
         Vaginal bleeding of any amount
         Incompetent cervix or a cerclage
         Intrauterine growth retardation
         Placenta Previa


Many of the changes that take place in your body during pregnancy are
there for 4 to 6 weeks after you deliver. Your pre-pregnancy exercise
routine should be started up again slowly, based on your overall recovery.


Full Body Stretch
This exercise helps you warm up by stretching your whole body.
1. Lie on your back or stand.
2. Straighten out your arms and legs.
3. Point your toes and stretch out
   your fingers.
4. Then pull toes up toward your
   knees. Hold for 5 seconds.
5. Relax and let arms and legs go limp.
6. Repeat 3 times.


Neck Stretch
This stretch helps keep your neck muscles flexible.


Position 1
1. Sit on the floor with your ankles crossed.
2. Look down and place your hand on the back of
   your neck.
Page 3


3. Gently push down until you feel a stretch in the back of your neck.
4. Repeat slowly three times.


Position 2
1. While sitting on the floor with ankles crossed, turn
   your head to the right.
2. Place your right hand on your cheek and gently push
   your head more to the right.
3. Repeat to the left with the left hand.
4. Repeat slowly on each side 3 times.


Position 3
1. While still on the floor with ankles crossed, put
   your right hand on top of your head.
2. Pull your head gently so that your right ear gets
   closer to your shoulder.
3. Switch and repeat.
4. Do each side 3 times.


Full Body Twist
This exercise will stretch your waist, upper body and neck. It helps to keep
your spine or backbone more flexible.
1. Sit on the floor with your legs bent at the knees
   and crossed in front of you.
2. Place your left hand on your right knee and
   twist to your right.
3. Put your right palm on the floor behind you
   next to your spine with your elbow straight.
4. Inhale slowly, then exhale.
5. Switch and twist to the left.
6. Repeat 2 times on each side.
Page 4




Shoulder, Arm and Upper Back Stretch
This stretch will help your range of motion and flexibility in your
shoulders, arms and upper back.
1. Sit with your back against the wall
   and have your legs out straight in
   front of you.
2. Straighten your arms out at
   shoulder level and keep your
   palms facing up.
3. Drag your arms slowly up the wall,
   keeping your arms touching the
   wall.
4. Hold at the point where your arms
   want to push away from the wall
   for 10 seconds.
5. Lower your arms slowly and relax.
6. Repeat 3 times.


Kegel Exercises
Kegel exercises strengthen the muscles around the vagina, urethra and
rectum. You will be able to control these muscles if you practice these
exercises.
    To locate these muscles, stop and start your urine when you use the
•
    toilet.
    Try to tighten the muscles a small amount at a time. Think of an
•
    elevator going up to the 10th floor. Then release very slowly, one
    quot;floorquot; at a time.
    As you tighten the muscles, you should feel the area from your urethra,
•
    where urine exits your body, to the rectum lift slightly.
    Practice these exercises while you sit, stand, walk, drive or watch TV.
•

    Do these exercises three times each day. Start with five repetitions and
•
    work up to 10-15 repetitions, 5-10 times a day.
Page 5




Knee Press
The knee press strengthens and stretches your inner thighs and stretches
your lower back.
1. Sit on the floor and pull your feet
   together with the soles touching.
   Bring your feet as near to your
   body as you can with comfort.
2. Keep your back straight. Press your
   knees slowly and gently to the
   floor. Hold your knees in this
   position and breathe out as you
   count to three.
3. Repeat 5 times.
Practice the knee press several times a day. This can be done sitting on the
floor with good back support while you are watching TV.
Slowly work up to doing this exercise for 5 repetitions, 2-3 times a day.


Hamstring Stretch
This stretches the hamstring muscle on the back of your thigh.
1. Lie on your back with your feet flat
   on the floor. Press the small of your
   back into the floor.
2. Bring one knee, as close as you can,
   to your chest.
3. Raise your leg in the air.
4. Bend your knee and return your foot
   to the floor.
5. Do the same exercise with your other leg.
6. Repeat 5 times on each side.
Page 6


Abdominal Exercises
Abdominal exercises will strengthen and stretch your abdominal (stomach)
muscles and improve your circulation. Exercises done while lying on your
back should only be done during your first 3 months of pregnancy.


Knee Reach
1. Lie on your back with your feet flat
   on the floor.
2. Breathe out as you come up and
   breathe in as you return to a starting
   position with this exercise.
3. Lift your head as you move one knee towards your nose. Bring your
   knee as close as you can to your nose. Keep your neck in a relaxed
   position, as if you have an orange tucked under your chin. Do not jut
   your neck forward.
4. Do the same exercise with your other leg.
5. Repeat 5 times, 2 or 3 times a day.


The Pelvic Rock
Pelvic rock exercises will strengthen your abdominal muscles and help
relieve backaches.
There are three ways to do this exercise. You will use a new position for
each exercise.
    Each time you do this exercises, tighten your abdominal muscles.
•

    Tuck your buttocks under so the small of your back is pushed back as
•
    far as possible.
    If this causes any back discomfort, stop the exercise.
•
Page 7


Position 1
Only do this exercise during your first 3 months of pregnancy.
1. Lie on your back with your feet flat on
   the floor.
2. Tighten your lower abdominal muscles
   and your buttocks so the small of your
   back is pressed onto the floor.
3. Breathe out as you press down and in as
   you relax.
4. Repeat this exercise slowly and evenly.


Position 2
This exercise can safely be done throughout
pregnancy.
1. Stand with your back against a wall.
2. Tighten your abdominal muscles and tuck in your
   buttocks so the small of your back is flat against
   the wall.
3. Put your hands on your hips to feel your hips rock
   back toward the wall.
4. Breathe out as you press against the wall and in as
   you relax.


Position 3
This exercise can safely be done throughout
pregnancy.
1. Get on your hands and knees and keep your
   arms straight.
2. Tighten your abdominal muscles and tuck
   your buttocks under. Your back will hunch up
   a little. Then relax your muscles.
3. Breathe out as you tuck and in as you relax.
Page 8


4. Do this exercise slowly and evenly.
5. Repeat each of these positions 10 times, 2 times a day.


Calf Stretch
This exercise stretches your calf muscles on the back of your lower leg and
the front thigh muscles.
1. Stand with your hands on the wall.
2. Straighten your left leg behind you.
3. With your feet pointing straight forward, lean into the wall until you
   feel stretching in your calf muscles.
4. Hold for 10 seconds.
5. From the same position, bend your back knee and hold for 10 seconds.
6. Switch and stretch the other leg.
7. Repeat 3 times for each leg.




    Talk to your doctor or others on your health care team if you have
■
    questions. You may request more written information from the
    Library for Health Information at (614) 293-3707 or email: health-
    info@osu.edu.

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Introduction to Pilates Controlology & Exercises the EasyVigour Way

  • 1. Exercises for Pregnancy and Childbirth During pregnancy, you can continue to exercise and get health benefits from even mild and moderate routines. It is best to exercise 3 to 5 times each week. As with any time that you exercise, drink plenty of water and eat a healthful diet. Wear clothing that is comfortable. Dress so you do not get over heated. Some special cautions for you to be aware of when exercising during pregnancy: Avoid exercising flat on your back after the first 3 months of your • pregnancy. Many pregnant women have their heart function slow when they are flat on their backs. Avoid standing for long periods of time. • Stop exercising when you are tired. Do not exercise until you feel • exhausted. Avoid any type of exercise that can cause even mild trauma to the • abdomen. Changes that occur in your body shape and size over your pregnancy • will limit the types of exercise you can do safely as your balance changes. Talk to your doctor about exercise during pregnancy if you have: • Pregnancy induced hypertension (high blood pressure) or diabetes Premature labor More on next page Learn more about your health care. © Copyright, (2/7/2008) Department of Women and Infant Nursing, The Ohio State University Medical Center - Upon request all patient education handouts are available in other formats for people with special hearing, vision and language needs, call (614) 293-3191.
  • 2. Page 2 Maternal heart disease Premature rupture of membranes Vaginal bleeding of any amount Incompetent cervix or a cerclage Intrauterine growth retardation Placenta Previa Many of the changes that take place in your body during pregnancy are there for 4 to 6 weeks after you deliver. Your pre-pregnancy exercise routine should be started up again slowly, based on your overall recovery. Full Body Stretch This exercise helps you warm up by stretching your whole body. 1. Lie on your back or stand. 2. Straighten out your arms and legs. 3. Point your toes and stretch out your fingers. 4. Then pull toes up toward your knees. Hold for 5 seconds. 5. Relax and let arms and legs go limp. 6. Repeat 3 times. Neck Stretch This stretch helps keep your neck muscles flexible. Position 1 1. Sit on the floor with your ankles crossed. 2. Look down and place your hand on the back of your neck.
  • 3. Page 3 3. Gently push down until you feel a stretch in the back of your neck. 4. Repeat slowly three times. Position 2 1. While sitting on the floor with ankles crossed, turn your head to the right. 2. Place your right hand on your cheek and gently push your head more to the right. 3. Repeat to the left with the left hand. 4. Repeat slowly on each side 3 times. Position 3 1. While still on the floor with ankles crossed, put your right hand on top of your head. 2. Pull your head gently so that your right ear gets closer to your shoulder. 3. Switch and repeat. 4. Do each side 3 times. Full Body Twist This exercise will stretch your waist, upper body and neck. It helps to keep your spine or backbone more flexible. 1. Sit on the floor with your legs bent at the knees and crossed in front of you. 2. Place your left hand on your right knee and twist to your right. 3. Put your right palm on the floor behind you next to your spine with your elbow straight. 4. Inhale slowly, then exhale. 5. Switch and twist to the left. 6. Repeat 2 times on each side.
  • 4. Page 4 Shoulder, Arm and Upper Back Stretch This stretch will help your range of motion and flexibility in your shoulders, arms and upper back. 1. Sit with your back against the wall and have your legs out straight in front of you. 2. Straighten your arms out at shoulder level and keep your palms facing up. 3. Drag your arms slowly up the wall, keeping your arms touching the wall. 4. Hold at the point where your arms want to push away from the wall for 10 seconds. 5. Lower your arms slowly and relax. 6. Repeat 3 times. Kegel Exercises Kegel exercises strengthen the muscles around the vagina, urethra and rectum. You will be able to control these muscles if you practice these exercises. To locate these muscles, stop and start your urine when you use the • toilet. Try to tighten the muscles a small amount at a time. Think of an • elevator going up to the 10th floor. Then release very slowly, one quot;floorquot; at a time. As you tighten the muscles, you should feel the area from your urethra, • where urine exits your body, to the rectum lift slightly. Practice these exercises while you sit, stand, walk, drive or watch TV. • Do these exercises three times each day. Start with five repetitions and • work up to 10-15 repetitions, 5-10 times a day.
  • 5. Page 5 Knee Press The knee press strengthens and stretches your inner thighs and stretches your lower back. 1. Sit on the floor and pull your feet together with the soles touching. Bring your feet as near to your body as you can with comfort. 2. Keep your back straight. Press your knees slowly and gently to the floor. Hold your knees in this position and breathe out as you count to three. 3. Repeat 5 times. Practice the knee press several times a day. This can be done sitting on the floor with good back support while you are watching TV. Slowly work up to doing this exercise for 5 repetitions, 2-3 times a day. Hamstring Stretch This stretches the hamstring muscle on the back of your thigh. 1. Lie on your back with your feet flat on the floor. Press the small of your back into the floor. 2. Bring one knee, as close as you can, to your chest. 3. Raise your leg in the air. 4. Bend your knee and return your foot to the floor. 5. Do the same exercise with your other leg. 6. Repeat 5 times on each side.
  • 6. Page 6 Abdominal Exercises Abdominal exercises will strengthen and stretch your abdominal (stomach) muscles and improve your circulation. Exercises done while lying on your back should only be done during your first 3 months of pregnancy. Knee Reach 1. Lie on your back with your feet flat on the floor. 2. Breathe out as you come up and breathe in as you return to a starting position with this exercise. 3. Lift your head as you move one knee towards your nose. Bring your knee as close as you can to your nose. Keep your neck in a relaxed position, as if you have an orange tucked under your chin. Do not jut your neck forward. 4. Do the same exercise with your other leg. 5. Repeat 5 times, 2 or 3 times a day. The Pelvic Rock Pelvic rock exercises will strengthen your abdominal muscles and help relieve backaches. There are three ways to do this exercise. You will use a new position for each exercise. Each time you do this exercises, tighten your abdominal muscles. • Tuck your buttocks under so the small of your back is pushed back as • far as possible. If this causes any back discomfort, stop the exercise. •
  • 7. Page 7 Position 1 Only do this exercise during your first 3 months of pregnancy. 1. Lie on your back with your feet flat on the floor. 2. Tighten your lower abdominal muscles and your buttocks so the small of your back is pressed onto the floor. 3. Breathe out as you press down and in as you relax. 4. Repeat this exercise slowly and evenly. Position 2 This exercise can safely be done throughout pregnancy. 1. Stand with your back against a wall. 2. Tighten your abdominal muscles and tuck in your buttocks so the small of your back is flat against the wall. 3. Put your hands on your hips to feel your hips rock back toward the wall. 4. Breathe out as you press against the wall and in as you relax. Position 3 This exercise can safely be done throughout pregnancy. 1. Get on your hands and knees and keep your arms straight. 2. Tighten your abdominal muscles and tuck your buttocks under. Your back will hunch up a little. Then relax your muscles. 3. Breathe out as you tuck and in as you relax.
  • 8. Page 8 4. Do this exercise slowly and evenly. 5. Repeat each of these positions 10 times, 2 times a day. Calf Stretch This exercise stretches your calf muscles on the back of your lower leg and the front thigh muscles. 1. Stand with your hands on the wall. 2. Straighten your left leg behind you. 3. With your feet pointing straight forward, lean into the wall until you feel stretching in your calf muscles. 4. Hold for 10 seconds. 5. From the same position, bend your back knee and hold for 10 seconds. 6. Switch and stretch the other leg. 7. Repeat 3 times for each leg. Talk to your doctor or others on your health care team if you have ■ questions. You may request more written information from the Library for Health Information at (614) 293-3707 or email: health- info@osu.edu.