|
Can I Keep Training Now That I Am Pregnant
Over the years there
has been some controversy regarding
exercise during pregnancy. Below are
some of the theories that have been
raised as to why exercise may
result in physiologic and metabolic
changes in the foetus, and the
research that disputes these
theories.
Increased Temperature - In non-pregnant exercising women, core body
temperature may be raised to ~39.2°C. Originally, this rise in temperature was
thought to be responsible for neural tube defects e.g spina bifida. Research has
shown that this increase in core temperature is not likely to be sufficient to
cause defects (protein is said to denature at 40°C).. Uterine
Blood Flow - a reduction in blood flow occurs during exercise. The concern
with this phenomenon was that there may be a reduction in the uterine or
umbilical artery blood flow which would result in a decrease in oxygen and
nutrients to the foetus. This was disputed by further research that found no
changes in either the uterine or umbilical blood flow (as the mother’s blood
volume is increased during pregnancy). Foetal Distress
During Exercise - Distress is monitored using foetal heart rate tracings.
Some studies maintain that foetal tachycardia (increased heart rate) and
others claim that bradycardia (decreased heart rate) results post maternal
exercise. Tachycardia may be due to the foetus’ response to the increased
catecholamine levels in the exercising mother rather than a stress response.
Bradycardia (resolving within ~2 mins) is not thought to cause foetal hypoxia.
Foetal Nutrient Supply - So long as the pregnant woman has adequate
nutritional intake, there should not be any compromise to the foetus. There
was some concern as to the reduced glucose available to the foetus during and
post exercise. Foetal Size Postpartum - Infants born of
exercising women who ate a high carbohydrate diet (elevating 24 hour blood
glucose levels) are large at birth. There is evidence to suggest that that the
babies of women doing a high volume of exercise in mid and late pregnancy (post
20th week) were significantly lighter and thinner (8.3% fat vs 12.1% fat) than
the offspring of women who reduced their exercise volume.
Preterm Labour - It was found that Leisure-time exercise, in the first and
second trimesters, had a protective effect on preterm delivery.
N.B Always check with your G.P and Physio prior to commencing exercise during
pregnancy.
.
|