Fit to Print Volume 24 Issue 2 June 2015 | Page 9

Mind Body Spirit By Dina Voigt Pilates & Pregnancy Why and How To Do It When You’re Expecting I t is a well-known fact that Pilates is one of the best ways to prepare your body for pregnancy and also one of the best ways to get back into shape after pregnancy. What about DURING pregnancy? Due to the fact that Pilates is a low impact workout that improves postural alignment that increases flexibility and strength, it is a safe and fig 1: Mermaid to Side Plank (position 1) fabulous exercise option for pregnant women. There are many unwanted side effects that can happen during pregnancy including change of postural alignment, loss of muscle tone, back pain, poor sleep, edema, collapsing foot arch, etc. Pilates can help combat and avoid all of these and more as well as ultimately help with labor and delivery. The breathing techniques can also help to elevate energy levels and help boost your mood! Pilates is such an adaptable form of exercise that can be modified to accommodate your needs as your body changes throughout the pregnancy. The benefits of Pilates on the body are truly limitless. For purposes of this article, I am going to touch on just a few important points that make Pilates so great for pregnancy. 1. Strong Core Pilates focuses on strengthening the deep, core, postural muscles of the body, including the transverse abdominals, obliques and your deep back muscles. The transverse abdominals are one of the deepest layer of the abdominals and they function much like a corset that supports your trunk and internal organs. During pregnancy, as the baby grows, if the back muscles and deep abdominals are weak, the body adapts to a "sway back" type of posture, pulling the pelvis forward and under. This postural change not only strains the lower back and pelvic floor, but also the hips, knees fig 2: Mermaid to Side Plank (position 2) and feet. Strengthening these muscles before and during pregnancy can relieve pressure on your back and lower extremities and teaches your body to support the baby weight and adapt as the baby grows throughout the pregnancy. 2. Pelvic Floor Pilates strengthens the pelvic floor. This group of muscles deep inside your pelvis works to keep your organs (and baby) from being pulled down by gravity. It the pelvic floor muscles are weak before pregnancy, they can still be strengthened during pregnancy with specific Pilates exercises. Pilates teaches you how to "activate and deactivate" the pelvic floor muscles, or "contract and release" them. This is extremely helpful during delivery. Strong pelvic floor muscles are also essential in helping the body return more quickly to its pre-pregnancy state as well as preventing incontinence. 3. Breathing Pilates incorporates full, deep breathing techniques which helps activate the transversus abdominus to contract. This helps pull, or draw Summer 2015 FIT to Print the belly in during most of the exercises, which in turn provides integral support to the back. The breathing techniques help to cocontract the flexors and deep extensors of the body which in turn encourages centered postural alignment as well as strengthening of the entire internal core mechanism. Other Pilates breathing techniques help to develop movement and flexibility in the intercostal muscles (think of them as the muscles between the ribs). As we take, deeper, fuller breaths, the ribs need to expand in order for the lungs to fill with air. Flexibility in the intercostal muscles allow for this movement to happen naturally with breath. This is extremely important for pregnancy as the baby starts to grow and take up more space in the fig 2: Kneeling 100’s abdominal cavity. and...Of course...proper breathing aids in labor and delivery! Many of my clients swear that their "Pilates" breathing helped them immensely during their labors and deliveries! 4. Upper Back and Arm Strength Not only are upper back and arm strength important during pregnancy, they are extremely important after the baby is born. During pregnancy, upper back strength is so important to help support the weight of growing breasts and baby on the front of the body. If the upper back muscles are weak, the upper body begins to hunch forward into a "hyper-kyphotic" or 'hunch back" position. Once the baby is born and nursing begins, holding and swaddling and attending to the needs of the baby, encourages this hunched over posture, which in turn has negative effects on the rest of the body. Arm strength, goes hand in hand with the upper back strength, holding and carrying the growing baby. continued on page 24 9