TRAINING FOR TWO

Move Confidently in Pregnancy!

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Written by

Gina Conley, MS

Core Training During Pregnancy: Beyond the Sit Up

During pregnancy (and most aspects of life) we need a strong, but not rigid, abdominal wall to help maintain pressure within our abdominal cavity, and to assist in stabilizing our spine. The abdominals, particularly the transverse abdominis, or corset abs, and internal obliques, are a component of our deep core system. This deep core system consists of the transverse abdominis, internal obliques, pelvic floor, diaphragm, and multifidus.

The deep core system is anticipatory, where it turns on before movement is initiated, in order to stabilize the spine during movement. We use breath as a means to utilize this stabilization system most effectively. You can read more on diaphragmatic breathing for stabilize and function here.

Our deep core helps to manage pressure in the abdominal cavity through the use of breathing techniques. When we properly manage pressure, we can better stabilize our spine and pelvic girdle, which may in turn increase prenatal comfort as it alleviates low back and pelvic girdle pain. Remember, we may feel pain when a joint is instable!

So, we need to continue to train our core during pregnancy in order to:

  1. Optimally manage pressure in our abdominal cavity

  2. Stabilize our spine and pelvic girdle

But we also need to consider the normally occurring diastasis recti abdominis (DRA) that occurs during pregnancy! This is the normal separation of the six pack abs on the front of the abdomen. The linea alba, or the connective tissue that connects these two halves of abdominal muscle, stretches and thins throughout pregnancy to accommodate for your baby’s growth! This NEEDS to occur, and if you carry well into your third trimester, you will most likely have DRA. It is not anything to fear!

However, not everyone keeps its in the postpartum! Maintaining a DRA beyond 6-weeks postpartum is not normal. There are a few factors that may contribute towards why you may have a lingering DRA, some within our control (movement patterns, breathing mechanics) and some without (genetics, number of babies you’re carrying).

What movement patterns could contribute towards a more severe DRA? The theory is that abdominal flexion and extension, where the tissue of the linea alba is overstretched or aggravated, could worsen DRA. So, crunches or sit ups (abdominal flexion) or exaggerated back extensions (abdominal extension) could damage the linea alba even more than normal pregnancy does.

Our approach to core training involves focusing on functional core movements to help strength the core without involving abdominal flexion/extension to protect the linea alba during pregnancy.

Functional Core Movements:

The Anti-Movement

The anti-movement resists movement or activates the core while not changing the length of the muscles. Some of our favorite movements include anti-rotation movements and anti-lateral flexion movements. Movement variations of the pallof press (anti-rotation) and farmers carries (anti-lateral flexion) are regularly programmed into our prenatal fitness programming. This movements strength the core without involving any abdominal flexion or extension, so would be safe for pregnancy and early postpartum.

Ashley, Prenatal Fitness Client
The prenatal workout program had me feeling great 99% of my pregnancy and I’m almost positive it contributed to my quick and amazing labor. I felt very confident with my movements and comfortable in my body’s ability my entire pregnancy because of Gina’s program. The postpartum plan was HUGE in ways I didn’t even know I would need help (getting from seated on the floor to standing with baby in arms as one example). After I completed that program I was almost back to “normal”. I then moved onto the return to run which is my FAVORITE, this program has strength, agility, and cardiovascular endurance that makes me feel like a functioning athlete again 🤩. Each program has warm ups that are exercises I’ve always had physical therapists tell me to do when I had back pain flare ups (history of back surgery at 25 🙁 ) . With these programs I’ve been almost completely free of back pain for 2 years, to include pregnancy and postpartum, no back pain flair ups at all! Gina’s fitness programming is really a life saver. I Definitely recommend her gym to anyone that wants to “feel great and functional” during pregnancy and postpartum, while getting strong and building endurance.
Laura, Prenatal Fitness Client
I have nothing but positive things to say. My last pregnancy I had debilitating pubic bone pain where I was unable to exercise for the last 10 weeks of my pregnancy. I was even sleeping with an ice pack on my pubic bone every night by the end. This pregnancy has been completely different. I am completing all the work outs as written with very little substitutions. I’m sure I will be able to work out on the day of my induction if I chose to. I have tried two other pregnancy programs and the only option they gave for the pubic bone pain was to do less and less. I loved how your approach was from a strengthening perspective and I firmly believe all those oblique sling moves made the difference. Thank you for all your knowledge. I will for sure be signing up for your postpartum programs. I recommend you to anyone and everyone I talk to about pregnancy and work out.
Laura, Prenatal Fitness Client
Gina and the MamasteFit programming changed my life and empowered me to bring my beautiful & strong baby girl into this world on my own terms. Her prenatal workout routine allowed me to feel like myself in my ever-changing body, and guaranteed I felt incredibly strong and informed as my baby, and belly, grew and grew! She has been responsive, helpful and kind- not to mention incredibly real and down to earth. Her birth class taught us more in one afternoon than our hospital could cover in two full day sessions! I not only followed her online workout programming from the comfort of my home, we also hired her as our doula. I cannot stress enough the wealth of information and compassion that this woman and her gym can provide to moms of all sorts. My birth was able to be all natural and exactly as I had hoped. I am 2 weeks postpartum now and I look and feel better than I ever thought possible! 10/10 recommend this incredible resource!!!

The Rotational Movements

Our thoracic spine, or upper back, needs to move; the degree of rotation is nearly double what the lumbar spine’s (low back) degree of rotation is! During pregnancy, we tend to take on this protective posture that is rounded in the upper back, and may result in a lack of mobility in the upper back. When our thoracic spine is less mobile, we will still accomplish movements but may adapt to a compensation pattern. This means that places that are meant to be stable (lumbar spine) will become more mobile to accomplish movements (aka could increase back pain).

Focusing on rotational movements helps to keep our thoracic spine mobile and we can strength the abdominal muscles that accomplish rotation of the torso (think obliques).

Our hips are also highly mobile! Lots going on in our pelvic girdle, so having mobility in our hips is important, as well. We can pivot in the legs for rotational movement in the hips.

When doing rotational movements, focus on the chest or upper back moving or the hips, as opposed to the low back. We love programming the keg lift or rotational pallof presses as a rotational core component to our fitness programming.

The Extension Movements

The final component that we include in our core training is extension movements. This incorporates an anti-flexion/extension of the spine while extending in the hip. This movement is any movement that is hip extension: squats, deadlifts, kettlebell swings, lunges… and so on. You may not think of the hips as a part of the core, but they are very much a component!

The key to the extension movements is that the spine remains neutral; so, we resist the spine curling or arching during movement. Extension movements are easy to program, but during our conditioning workouts we are fans of programming dumbbell cleans, kettlebell swings, and sled pushes!

We can still train the core during pregnancy, and we should for optimized function! But we need to move away from traditional core movements such as crunches or sit ups! Focusing more on functional core movements, such as anti-movements, rotational, and extension, can still strengthen the core throughout pregnancy but will be more mindful of how our bodies are changing as we grow our own human(s).

Check out our online fitness programming options for workouts that are tailored to your phase of motherhood: pregnancy, postpartum, c-section recovery, and return to running! We incorporate a mindful core training progression that helps you connect with your core for optimized function!

prenatal Fitness Programs