Be Prepared for Birth

What­ever the course of your labor and birth, if you are fit and pre­pared your abil­ity to cope with the inten­sity of the expe­ri­ence will be a big advan­tage. Reg­u­lar aer­o­bic exer­cise, strength and mind­ful­ness train­ing — along with a good child­birth edu­ca­tion course with a cer­ti­fied child­birth edu­ca­tor — pays off in the short and long run. You and your baby will ben­e­fit from endurance and long term health gains.

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Birth is a Motor Skill™

In the con­tem­po­rary world, we are not as active as pre­vi­ous gen­er­a­tions. Few women exer­cise to the extent required to develop the capac­ity to with­stand the rig­ors of birth. It is lit­tle won­der that so often what child­birth edu­ca­tors hear from preg­nant moms is that they are afraid of birth and don’t have con­fi­dence in their abil­ity to do it. There are solu­tions for these issues…

The biggest bang for the buck is aer­o­bics. This gets almost every­thing that helps you in labor:  increased endurance, strength and range of motion; improved breath­ing capac­ity (you get more oxy­gen + less fatigue) and reduced need to tap your car­diac reserve (your body works hard but not to the degree it must if you are not fit); and men­tal tough­ness that gets you the con­fi­dence you need that your body is capable.

Learn­ing use­ful posi­tions is extremely help­ful. If you are active be sure that your work­out includes such things as squat­ting and other move­ments that aid your progress in labor. Being upright and mov­ing are keys to a healthy labor.

Men­tal focus and being present teach you to work with your body. Activ­i­ties such as yoga, pilates for preg­nancy and dance help you develop the men­tal skills that accom­pany your move­ment. Learn to rec­og­nize your body’s sig­nals to you when it’s time to push.

Keep moving…right into labor and birth!  Take a Class!

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34 Years of Mom & Baby Fitness!

Wow! Look­ing over 34 years of prepar­ing moms for birth at Yale and beyond, we reflect on all the changes we have seen over the years. The impact of the inter­net is felt every­where now, includ­ing the con­sumer move­ment to improve prepa­ra­tion for birth and inform­ing women of the choices avail­able to them as the pre­pare for this major life event. Research has long demon­strated that aer­o­bic exer­cise, strength train­ing and mind/body exer­cise are effec­tive as a prepa­ra­tion for a tol­er­a­ble labor with reduc­tion of risk for dis­or­ders and med­ical inter­ven­tions. The inter­net has helped tremen­dously in get­ting the word out. It’s been a long road…50 years or more…to show that exer­cise is safe and effec­tive for moms-to-be. We are glad to play a part in this progress!

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Moving Together Creates a Community of Support

Pic­nics, play groups, com­mu­nity of support…these are ways par­tic­i­pants extend the “mus­cle bond­ing” expe­ri­ence of exer­cis­ing together as preg­nant women and new moms.

A picnic is a great way to extend the community of support.

A pic­nic is a great way to extend the com­mu­nity of support.

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Teacher Training is Evidence-Based.

The train­ing pro­gram has both aca­d­e­mic and prac­ti­cal com­po­nents. A study guide and writ­ten test pre­cede prac­ti­cal learn­ing. Accom­mo­da­tions are made for those wish­ing to develop their own pro­grams, as well as those wish­ing to teach under our auspices.

All teacher train­ing is under the direc­tion of Ann Cowlin, DTP’s founder with more than 30 years expe­ri­ence as a pre/postnatal fit­ness instruc­tor, trainer, researcher and inter­na­tional pre­sen­ter in the field. She is the author of “Women and Exer­cise” in Varney’s Mid­wifery, the major nurs­ing text­book for mid­wives, as well as her own text­book, Women’s Fit­ness Pro­gram Devel­op­ment. Cowlin is assisted by sev­eral DTP mas­ter teach­ers who have been with the pro­gram for ten or twenty years.

Instruc­tors learn why and how to incor­po­rate effec­tive mind/body skills such as breath­ing and relax­ation, along with strength and flex­i­bil­ity exer­cises into a total fit­ness pack­age. Aer­o­bics is def­i­nitely the biggest bang for the buck. Car­dio­vas­cu­lar fit­ness is the key to almost every ben­e­fit of pre/postnatal exer­cise that has been found through well-designed research. Instruc­tors develop their own indi­vid­ual style of aer­o­bic dance or fit­ness activ­i­ties as part of our train­ing pro­gram, but fol­low best prac­tice guide­lines. As the con­tem­po­rary world puts more and more demands on our time, get­ting the most from your pre/postnatal pro­gram is a smart approach.

Practicums focus on teach­ing these skills for nec­es­sary and essen­tial com­po­nents of exer­cise that have been shown to have a ben­e­fi­cial impact on preg­nancy, birth and recov­ery. In the photo above, for exam­ple, trainees are learn­ing how to teach inter­costal breath­ing in con­junc­tion with diaphra­matic breath­ing, an essen­tial skill in preg­nancy to increase oxy­gen con­sump­tion dur­ing exer­cise. Other skills taught include essen­tial strength train­ing exer­cises, lead­ing effec­tive relax­ation ses­sions, ana­lyz­ing music for aer­o­bic chore­og­ra­phy, and effort/shape analy­sis to pre­vent injury.

Prior to attend­ing a practicum, teach­ers must first pass the Basic study course exam. Poten­tial teach­ers are given 6 weeks to take the study course and exam. Those inter­ested in becom­ing pre/postnatal fit­ness teach­ers need to reg­is­ter for their course around 2 months prior to their pre­ferred practicum. Click on this link practicums for upcom­ing dates and locations.

DTP aerobics 2

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Babies Enjoy Being with Mom During Exercise.

08 4

Hav­ing baby present while you are work­ing out is a lot of fun. Like most of new mom’s lives, the abil­ity to be together with baby and be pro­duc­tive at the same time is a fit­ness chal­lenge. A cer­ti­fied post­na­tal fit­ness instruc­tor can guide new moms in fig­ur­ing out how to do this. Being in a group also enables new moms to learn from each other.

Strollers are a per­fect aid to start your engine for aer­o­bic fit­ness. Mat work with baby is a great fol­low up. Multi-tasking can mean strength­en­ing mom’s shoul­der mus­cles while babies learn to social­ize. There are many ways to be fit and an inter­ac­tive mom at the same time!

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Total Pregnancy Fitness™ helps women Birth Strong!

There is noth­ing so joy­ful as a group of moms-to-be, at var­i­ous stages of preg­nancy, mov­ing freely and fully. Cel­e­brat­ing this spe­cial state of being by main­tain­ing strength, endurance and range of motion pro­motes emo­tional well-being as well as health dur­ing this major life transition.

By select­ing activ­i­ties that pro­mote fit­ness, health and well-being for their pro­grams, our teach­ers insure that moms-to-be receive the max­i­mum ben­e­fit from the time they spend in class.

Here are some birth sto­ries from our clients (edited for privacy):

• We’re happy to report that [our baby boy] was born on Sat­ur­day at 12:31 am…our exer­cise classes were ESSENTIAL in the later part of labor — the doc­tor and nurse described me as a “nat­ural” at push­ing, but I had to admit to them that I’d been prac­tic­ing my c-curves twice a week for a few months already! — G.S.

• We arrived at the hos­pi­tal at 8pm on Fri­day and I was 6 cm dilated…I deliv­ered by 1 am with­out pain meds.  It was an amaz­ing expe­ri­ence. You really do focus inward.  I found sit­ting in the shower hold­ing the sprayer to be help­ful.  Def­i­nitely try dif­fer­ent posi­tions.  I used the bar for when it can time to push.  Just know that there is an end in sight and just hold­ing your baby at the end is the most won­der­ful, amaz­ing feel­ing in the world!  — P.E.

• We arrived at the hos­pi­tal at 6am and I was already 4cm dilated…[at] 5cm dilated, I requested an epidural. The anes­the­si­ol­o­gist did a great job, and I was still able to move my legs with the epidural. I found move­ment dur­ing labor to be very help­ful, and in par­tic­u­lar, cir­cu­lar move­ments of my pelvis (i.e. belli danc­ing). Post par­tum recov­ery has been quick. No doubt that [your] guid­ance and prepa­ra­tion was cru­cial to this end. I would like to thank all of you for your sup­port…  — K.L.

• On Sunday…after more than 26 hours of labor, [my wife] gave birth to [our baby boy]. Through the help of her birth sup­port team she was able to deliver with­out pain med­i­cine. She did a tremen­dous job, and we used many of the skills learned in class to focus, draw her out of her body, breath and relax.  — M.&L.S.

• I just wanted to share with you the very good news that [our baby boy] was born at 8:38 pm last night. He weighed 8 lbs 11 ozs and mea­sures 21.5 inches long. He finally enabled me to put my c curves and such to direct use by arriv­ing a mere 8 days late (instead of the 11 days late that would have led to my sec­ond c-section).  We are hav­ing a very nice time right now…and look for­ward to mak­ing our joint return to the gym in a few weeks!  — F.A.

• Our beau­ti­ful baby boy was born Tues­day night at 9:09 p.m. The deliv­ery went well (drug free!) and I received many com­pli­ments on my 50 min­utes of push­ing. Thanks for every­thing and I hope to see you in 4 weeks or so!  — A.E.

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