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Exercise During Pregnancy – Third Trimester Tips

Sep 18, 2018

Following on from my blog in May where we covered pregnancy ‘Fact vs Fiction’, I wanted to highlight some tips and tricks to get you through the third trimester while staying as active and healthy as possible. As with the first and second trimesters, there is plentiful advice on what to do and what not to do when it comes to exercise during pregnancy, the hard part is deciphering the useful information! As many expecting mums (including myself!) may have experienced, in the third trimester everything gets a lot harder as we get closer to the due date, so what does this mean exercise wise?

First off, there are some things to consider;

          During the third trimester you may experience some discomfort through the pelvic region and sacroiliac joints

          The pelvic floor is experiencing its toughest challenge and may be starting to show signs of weakness

          Your lung capacity is reduced quite significantly which may make some cardiovascular exercise difficult

Secondly, there are a few questions to ask yourself;

          Have I maintained my normal exercise routine throughout the pregnancy so far?

          Have I modified my exercise routine but maintained at least the recommended 30-minutes of moderate intensity physical activities on most days of the week?

          Do any exercises cause me discomfort during or post-exercise completion?

If you answered yes to question 1; Keep on going! Medically speaking, there is no reason to stop completing your normal exercise routine unless risk factors are identified that may cause harm to you or your baby, or if you feel discomfort or pain while completing your exercises.

If you answered yes to question 2; you’re doing well! Keep on completing what you can with slight modifications to your routine. You may find that more gentle exercise such as antenatal aqua classes, walking and Pilates are more comfortable to complete and will assist you to maintain a good level of physical activity until the end.

If you answered yes to question 3; now might be the time to ask for some professional advice from either an Exercise Physiologist or Physiotherapist, they will be able to safely guide you through the final trimester of pregnancy while offering support and assisting you to maintain some physical activity.

Regardless of which question you answered ‘yes’ to, there are some important exercises that you should start to work into your exercise routine as you inch closer to D-day. The three ‘golden’ exercises you should be completing are;

1)       Pelvic Floor Exercises! This is the most important exercise to be completed leading up to the due date and post-partum once you are cleared. Why are these exercises important? They help reduce the risk of bladder incontinence! They will also assist you to bounce back much quicker post-partum.

2)       Squats! Don’t worry – I’m not referring to heavy weighted squats, I’m referring to comfortable body weight squats to assist to open the pelvis naturally with the most benefit coming from a full range squat and hold to engage the pelvic floor. This exercise may be difficult to complete especially if you’re experiencing pelvic pain and may need to be modified.

3)       Pelvic tilting and transverse abdominus activation exercises! These are essential to keep those hips moving during the final stages of pregnancy, they are also helpful to maintain tone in the deep abdominal muscles that can assist during labour. These can be completed many ways to accommodate for those little complications that may arise for each individual, it is best to ask a professional for the right advice for you.

As always, before commencing any form of new exercises we recommend you seek medical clearance from your treating doctor to ensure you are healthy and ready to get started. For more information, jump on the website www.absolutebalance.com.au or send us an email to info@absolutebalance.com.au .

See you all on the other side! (3 weeks to go!)

Alixe Marion (B.Sc. – Exercise Physiology)
Clinic Manager – Senior Accredited Exercise Physiologist (AEP) (ESSAM)

By Alison Absolute Balance 24 Apr, 2024
The human body is designed to move in a three-dimensional plane divided into the following segments: Sagittal Plane: Cuts the body into left and right halves. Forward and backward movements. Frontal Plane: Cuts the body into front and back halves. Side to side movements. Transverse Plane: Cuts the body into top and bottom halves. Twisting/rotational movements. Too often we get caught training mostly in a sagittal plane, think running, squats, bicep curls etc. While these are all good exercises, in day-to-day life we don’t only move along a sagittal plane. What happens when you need to quickly get out of the way of the e-scooter flying towards you on the foot path or make a quick sidestep to avoid a pothole – these movements are along the frontal plane. While movements such as turning to check your blind spot while driving or turning to talk to the person next to us are in the transverse plane. When it comes to injury prevention and movement efficiency it is important to incorporate exercises from all planes of movement into training programs. Sagittal If a line ran down the middle of the body splitting it from left to right, movements parallel to this line are within the sagittal plane of movement. The sagittal plane is the most common plane of movement and is trained overwhelming more than the frontal and transverse planes of movement. Movements/exercises considered to be in the sagittal plane include running, squats, deadlifts and bicep curls. Now while all these exercises are good, with the way our lives having evolved into many desk sitting roles, driving from place to place etc, to then go to the gym and focus heavily on movements that are predominantly up – down, and forwards – backwards we can end up reinforcing these pathways and becoming somewhat robotic, heavily limiting our natural movements. Frontal If a line ran down the middle of the body splitting it into front and back, movements parallel to this line would be within the frontal plane of movement – essentially any movement that involves moving away from or towards the midline. Often neglected in strength programs, frontal plane exercises include Cossack squats, lateral lunges, and side raises. Transverse If a line split the body in half separating it into top and bottom with the pelvis being the point of division, any movement parallel to this line would be considered to be in the transverse plane of movement. Movement along/through a transverse plane is generally more rotational such as a Russian twist or trunk twist. By focussing largely on sagittal plane movements, we are risking developing muscle imbalances, limited mobility and uncoordinated movements in the neglected planes. Our body is designed to move on a 3-dimensional plane so make sure to train in a way that will allow it to move the way it’s supposed to. Katie McGrath Injury Prevention Specialist Injury Prevention Services
18 Apr, 2024
Stretching and mobility exercises are indispensable components of both injury prevention and recovery strategies. Incorporating dynamic stretches before physical activity can help prepare the body for movement by increasing blood flow to muscles and enhancing joint flexibility. This dynamic warm-up routine primes the muscles and connective tissues, reducing the risk of injury during subsequent activity. Furthermore, static stretches, performed after physical activity, helps alleviate muscle tension and improve flexibility, thereby minimizing the likelihood of strains and tears. In the realm of injury recovery, stretching and mobility exercises play a crucial role in rehabilitation protocols for individuals recuperating from various musculoskeletal injuries. Following an injury, muscles can become tight and weakened due to disuse or trauma. Gentle stretching exercises aid in maintaining or restoring flexibility, preventing muscle atrophy and contractures. Additionally, targeted mobility exercises assist in restoring range of motion and functional movement patterns, allowing individuals to gradually regain strength and flexibility while reducing the risk of re-injury. Moreover, stretching and mobility exercises promote tissue healing by improving circulation to the injured area. Increased blood flow delivers essential nutrients and oxygen to damaged tissues, facilitating the repair process and reducing inflammation. By incorporating a comprehensive stretching and mobility routine into their regimen, individuals not only safeguard themselves against future injuries but also expedite their recovery journey, enabling them to return to their activities with greater resilience and confidence. Mariah Adolphus Workers Compensation Specialist (AEP, ESSAM) Exercise Rehabilitation Services ‑ WA
05 Apr, 2024
Hey, my name is Blake, and I am an Exercise Physiologist, Workers Compensation Specialist and Clinical Team Leader at Absolute Balance. I graduated from Edith Cowan University in 2015 after completed my Bachelor of Science (Exercise Science and Rehabilitation). I grew up on a farm Northeast of Perth past Gingin with my parents and two brothers, both of which are back working on the farm, which has been in our family for generations. My love for sport and interest in the human body initially prompted me to complete my Bachelors in Exercise and Sports Science, and my initial thoughts on a career were either Physiotherapy or Phys Ed Teacher. However, this quickly changed when I commenced my first Exercise Physiology unit in my Sports Science degree as it opened my eyes to exercise rehabilitation, and how important it was to individuals with injuries. Having experienced multiple injuries personally playing football (AFL), basketball and tennis, I can fully empathise with how much injuries can impact your life. Being an EP and being in a role where I can make a positive and meaningful impact on individual’s lives who have sustained an injury is extremely important to me. This doesn’t only extend to the patients I see, but also the team members I lead within Absolute Balance. I guide a team of five in the Northeast region at Absolute Balance, assisting them with their own patients and leading them to grow as Exercise Physiologists and individuals. Although it has its challenges, leadership is extremely rewarding and has helped me grow both personally and professionally. Whilst I am not at work, I am spending my time at the gym, at football training and games during February-September (or in the car travelling to and from comes with the gig of country football), spending time with my wife and our dog Otis. I spend the other half of my weekend manicuring my lawn and watching good shows and sports. Blake Cocking Workers Compensation Specialist ‑ Team Leader North East (AEP, ESSAM) Exercise Rehabilitation Services ‑ WA
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