Exercise

Not so long ago, pregnant women were told to stay at home and refrain from exercise. No longer. We know now that regular exercise is especially good during your pregnancy for both you and your baby. Exercise promotes a feeling of well-being, relieves stress, and improves coordination. It also tones and strengthens the muscles, facilitating an easier labor, and lessens some of the discomforts of pregnancy. Here are a few safe ways to exercise, but before you start any exercise in pregnancy, please discuss it with your doctor first. Swimming is an excellent way to maintain physical fitness during pregnancy, and also a great way to stay cool if you are pregnant during the summer months. All standard swimming strokes can be used. Ideal water temperature is 80 degrees Fahrenheit, and a pool that is not crowded will ensure that you are not bumped or kicked. For safety, don't swim alone.

Walking
Walking is one of the most convenient and economical ways to exercise. You can walk almost anywhere and anytime, and all you need are comfortable clothes and good walking shoes. (You may need to get a new pair of walking shoes as feet tend to grow during pregnancy!) When you build up to walking one mile a day at a brisk, comfortable pace it should take you about twenty minutes. You should not be walking so hard that you have trouble breathing or are unable to carry on a conversation while you walk.


Other Exercise
Both aerobics and stretching programs have been developed especially for pregnant women. You can participate in a program that is safe and fun, while at the same time reaping the benefits of a more rigorous exercise routine.

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Don't Overdo It; exercise regularly, but avoid getting tired; and do warm-up and cool-down exercises or gentle stretching before and after vigorous exercise.
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Limit brisk exercise in hot, humid weather. In the summer, seek out an air-conditioned facility.
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Do not exercise if you are not feeling well or have a fever.
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Avoid exercises that make you overextend your muscles or lie on your back for long periods.
•  Avoid deep knee bends, full sit-ups, double leg raises, and touching your toes.
•  Avoid high-impact aerobics as these are hard on the joints, and wear a supportive bra.
•  Stop if you feel nauseated, dizzy, short of breath, or if you develop a headache or abdominal pain.
  Drink plenty of fluids to avoid dehydration.


Common Concerns

Working Outside the Home
Like many women, you may decide to continue working during your pregnancy -- and return to work shortly after giving birth. Depending on the nature of your job, you may decide to work through the majority of your pregnancy. Talk to your doctor if you have concerns. Consider and discuss the following conditions you may be facing in the workplace:

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Do you work around chemicals, gas, dust, fumes, or radiation?
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Do you lift heavy loads, work at heights, or use dangerous machinery?
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Do you sit or stand for most of the day?
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How far is your work from your home? Will you feel up to a long commute?
•  How stressful is your job?
•  What are your employer's policies on pregnancy and maternity leave?
•  What are your additional responsibilities at home?

Some women will not have the luxury of these considerations. If you are going to be a single parent or need two incomes to make ends meet, you will have to work during pregnancy regardless.

Family Involvement
Children of most ages are aware that changes are happening in the family. If you have children it is important for them to understand what is going on. Try to involve them in discussions about the baby on the way. It helps to use books with pictures to aid in their understanding of pregnancy, childbirth, and the development of the unborn child. Be observant of how they react to the news of the new baby. Let them know ahead of time who will be taking care of them while you are in the hospital.

Traveling
You should be able to travel easily during pregnancy if a few precautions are taken. If you are going on a long bus or car trip, plan to stop every two hours to get up and walk. This will reduce leg cramps and swelling that can be associated with late pregnancy. When going on a plane or train, ask for an aisle seat. Commercial airlines usually allow women to travel up to the 36th week of pregnancy, with a note from a doctor. Avoid traveling in private planes above 9,000 feet in altitude, as they are often not pressurized.

Ask your doctor for a copy of your medical records to take on extended trips during the late stages of pregnancy. Make sure to wear your seatbelt every time. When you do, put the lap belt below your abdomen and place the shoulder belt between your breasts. Tighten both so that they are as snug as possible while still being comfortable.


Adapted from "Your Pregnancy: A Month-by-Month Guide to Care", Ross, Columbus, Ohio, 1995.