Value of Postpartum Fitness

Here are two impor­tant facts regard­ing phys­i­cal activ­ity fol­low­ing birth:

1. Women who return to vig­or­ous (vig­or­ous, as in jog­ging or aer­o­bic dance) prior to six weeks postpartum…

  • have less weight to lose
  • expe­ri­ence a more joy­ful state of mind
  • do bet­ter on the Led­er­man Mater­nal Adap­ta­tion scales (how well they adapt to motherhood)

…than women who are seden­tary dur­ing this period (Sampselle, 1999…this is not new information)

2. Post­par­tum obe­sity is a dan­ger­ous short and long term health risk (Leddy, 2008).

Who should exer­cise and when, fol­low­ing birth?

Day 1: If you have a vagi­nal birth, begin your “body scan” the first chance you get. Within the first day, the first chance you get to focus on your­self, take a men­tal trip through your body. See if you can squeeze the kegel mus­cles. Try exhal­ing and suck­ing in your deep abdom­i­nal mus­cles. Note if your shoul­ders need to relax. Take some deep breathes and begin to help your body recover.

If you had a cesarean: Wait a few days to 2 weeks at most to work on this.

After that: As soon as you can, get up and walk around. Start walk­ing in 5 or 10 minute strolls sev­eral times a day (ask some­one to hold or watch baby so you can allow your body to recover a non-pregnant upright). If you had a cesarean, hold a pil­low to your abdomen until you have con­trol of your abdom­i­nal mus­cles and stand tall.

How can you get more infor­ma­tion on this?

Go to our website:

http://dancingthrupregnancy.com/take-a-class/postpartum-exercise/

Find a class. If you had a typ­i­cal birth and your baby has been slowly and safely exposed to new peo­ple, by four to six weeks you and baby should be ready for a struc­tured activ­ity ses­sion that includes baby. It will also pro­vide focus and adult inter­ac­tion dur­ing the week.

You have to teach your abdomen to be flat.
How do you know if you did too much?

Your lochia, or the bleeding/discharge from the pla­cen­tal site, will increase if you have been too vig­or­ous. If you are healthy and have no ane­mia issues, your lochia will likely cease by three to four weeks, six at most.

What are safety issues?

Don’t exer­cise if you have a fever, a warm red spot on your leg that may be painful (or not), or sore nip­ples that need atten­tion. Call your care provider. If you or your baby are sick, it is best not to go into a group set­ting. If your baby is not well or just doesn’t seem right, call your pediatrician.

The most impor­tant rea­son to join a mom-baby fit­ness pro­gram may be that it will help keep you sane.

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Pre/postnatal Fitness Teacher Training

BECOME A TEACHER!!

DTP offers correspondence/online teacher train­ing. If you are a group fit­ness instruc­tor, per­sonal trainer, or think­ing about becom­ing one, check out the train­ing options.

Click on the Become a Teacher tab!

Read­ing, class plan­ning, and oper­a­tions infor­ma­tion are part of Teacher Training

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Schedule of Events

•Next Teacher Practicum

Decem­ber 5 at Yale-New Haven Hospital.

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Pregnancy Pathway, Birth — Birth Mode

The Sec­ond Stage of Birth is dif­fer­ent from the First Stage. The actual expul­sion of the baby requires a change in energy axis. Dur­ing dila­tion (first stage), oxy­tocin is most eas­ily released from the pitu­itary gland dur­ing relax­ation (see pre­vi­ous post), but dur­ing tran­si­tion, a change occurs so that the ergotropic response takes over and adren­a­line is key in help­ing oxy­tocin to spike.

What does this mean as far as prepa­ra­tion is con­cerned? While it is impor­tant to learn to relax or main­tain posi­tions such as one does in yoga, the abil­ity to sprint, or turn on an aggres­sive action at the end, is crit­i­cal. You need  good aer­o­bic con­di­tion­ing. Begin exer­cise with easy breath­ing and move­ment, then prac­tice aer­o­bic endurance and power moves at the end of your work­out! Fin­ish up with cool down and stretch­ing.

The con­trac­tions them­selves change. They remain intense for a longer stretch, but the time between them increases. Push­ing involves not only the uterus con­tract­ing, but the pres­sure exerted by the trans­verse abdom­i­nal (TrA) mus­cle. Sim­i­lar to squeez­ing a tube of tooth­paste, TrA pres­sure helps press the baby toward the exit — yes, that is the vagi­nal open­ing. If the labor­ing mother is not able to apply ade­quate pres­sure, labor assis­tants some­times apply pres­sure man­u­ally to the top of the uterus or — if need be — for­ceps or a vac­uum extrac­tion may be necessary.

How can a mom best pre­pare so that the TrA can pro­vide the needed pres­sure? Strength train­ing the TrA! Like any other motion requir­ing power strength, this mus­cle can be strength­ened to do its job! Here’s how:

pic­ture 1:  sit upright, inhale

pic­ture 2:  exhale, com­press abdomen and curl down

Return to upright and repeat 8 times. Rest. Repeat 8 more times.

What if some­thing goes awry? Cesarean, or sur­gi­cal birth is an alter­na­tive. Major com­pli­ca­tions before labor include a pla­centa pre­via, infec­tion or unde­liv­er­able breech posi­tion. Dur­ing labor, the most com­mon prob­lem is dys­to­cia — stalled progress through dila­tion (first stage) or push­ing (sec­ond stage). In the push­ing stage, head to large for pelvis is the most com­mon difficulty.

What hap­pens next? If the birth is nat­ural, you will feel a tremen­dous eupho­ria. Bring the baby right up onto your chest for skin-to-skin con­tact. If you have had med­ica­tions, your response may be slightly blunted, but you will def­i­nitely be over­whelmed by the emo­tions of birth.

Third Stage is expul­sion of the pla­centa, which can no long remain con­nected to the shrink­ing uterus. When it detaches, the nurses or mid­wives will ask you to push and !plop! out it comes. It can be inter­est­ing to see what has nour­ished your baby for so long!

CONGRATULATIONS!  YOU’RE A MOM!

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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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Classes, Training, Consulting

Teach­ers learn hands-on skills for improv­ing pos­ture and mechanics.

Instruc­tors all over the globe have par­tic­i­pated in our train­ing pro­grams and offer a vari­ety of classes or per­sonal train­ing at their own loca­tions. The Take A Class tab will help you find instruc­tors near­est to you. Even if they are not close enough for you to attend their pro­grams, they may be able to help you find some­one local who has expe­ri­ence in the field.

Qual­i­fied indi­vid­u­als wish­ing to run their own pro­grams, obtain fur­ther edu­ca­tion in the field, or even offer our Total Preg­nancy Fit­ness™ or Danc­ing Thru Preg­nancy® pro­grams, are encour­aged to apply to become a teacher or licensee. We can help you deter­mine if this is field is a good fit for you, train you to offer our pro­grams, or help you develop your own.

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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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Welcome!

Com­ing soon:  New pro­grams in Utah, Florida, Penn­syl­va­nia and Brooklyn!

Stay up-to-date on pre/postnatal fit­ness research:  Fol­low DTP founder @anncowlin on TWITTER!

Find a Pre­na­tal Dance Video here.

View the DTP YouTube TV News StoryBuy the Book!

It’s You Babe cre­ates awe­some sup­port gar­ments for preg­nancy, includ­ing the Pre­na­tal Cradle!

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If you are a Phys­i­cal Ther­a­pist, we are a pre­ferred ven­dor and CEU provider for Physiquality/PTPN.

DTP is the orig­i­nal provider of preg­nancy exer­cise, post­par­tum exer­cise, teacher train­ing and pro­gram devel­op­ment. We use evidence-based best prac­tices to help ensure our moms have a healthy preg­nancy, are strong in labor and birth, and recov­ery quickly. Sign up for the DTP E-news here.

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