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Ante Post Natal

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Course Details

• 2 day course

• Attendance between 09.00-17.00

• Optional tutorials between17.00-17.30

• Theory & Practical sessions

• Training kit needed

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Certification

• Lifetime Industry award

• Assessment – Theory Paper and case study

• CPD credits for attendance 20cpd

• Recognised by the Exercise register

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Pre-requisites

• Advanced Fitness instructor REPs level 3

– Containing knowledge of programming

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Assessment

• Theory assessment:Theory paper

multiple choice & true/false responses

60 mins

70% pass mark

Internally assessed

Case study30 mins

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Understanding the pregnancy period

Is Exercise beneficial?

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Lesson objectives

• Identify common myths surrounding the do’s and don’ts in pregnancy

• Identify the potential benefits and risks (to the mother and baby) associated with exercise during the ante natal period

• Explain the different stages and symptoms of pregnancy period

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Activity 1

• In pairs consider:

• Do’s and Don’ts during pregnancy• Any myths you have heard of

• Note down a minimum of 6• 5 minutes to complete

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Common Myths

• Do not exercise within first 12 weeks • Do not exercise on back• Exercise for no longer than 15 minutes• Running is contraindicated• Exercise causes low birth weight babies• Do not do strength training• Eat all you want during pregnancy• Vigorous exercise causes miscarriage• Maintain training heart rate under 140 bpm• No abdominal work should be done throughout

pregnancy

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Activity 2

• What are the benefits of exercising during pregnancy?

• Think about the mother and baby

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Benefits of Exercise

• Helps to promote healthy lifestyle habits

• Alleviates many symptoms of pregnancy

• Increases self-esteem & feelings of well-being

• Increases endurance levels for labour

• May decrease the time spent in active phase

of labour

• May involve less obstetric interventions

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Benefits of Exercise cont...

•Can help reduce stress and pain in labour

• Improved recovery from labour

• Can prevent stress incontinence

• Quicker return to pre-pregnancy weight,

strength & flexibility level

•Increased confidence for labour

•Curbs excessive weight gain

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Concerns with Exercise

• Is there a higher risk of a miscarriage?• Blood flow and oxygen delivery to the baby reduced• High impact activities wrap the umbilical cord around the baby?• Waters will break with too much exercise?• Strong abdominal and pelvic floor muscles will extend labour or require forceps?• Returning to exercise too early will damage abdominal wall or internal organs?

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Activity 3

• Barriers to ante natal exercise

• Discuss the barriers to exercising during pregnancy with the group and your tutor

• List ways to overcome these barriers

• 10 mins

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Barriers to ante natal exercise

• Lack of knowledge (medical and gym)• Fear• Time available• Pregnancy symptoms• Physical barriers• Medical advice

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Don’t ask, don’t tell

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The 3 Trimesters

1st Trimester (roughly 0-3 months)1-12 weeks

2nd Trimester(roughly 3-6 months)13-25 weeks

3rd Trimester(roughly 6-9 months)26-42 weeks

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First Trimester

•Increased fatigue

•Breast changes

•Sickness

•Urination

•Headaches

•Constipation

•Bloating

•Cramps

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Wonders of Early Pregnancy

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Second Trimester

• Forgetfulness• Wind• Heartburn• Lower abdominal/groin pain• Nasal congestion• Nosebleeds and bleeding gums• Skin changes

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Third Trimester

•Accidents and falls•Braxton Hicks contractions•Carpel tunnel syndrome•Fatigue•Piles•Insomnia

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Summary

• There are many do’s and don’ts during pregnancy

• Many of the original concerns are unnecessary due to the adaptations that take place

• There are many benefits to exercising during pregnancy provided the programme is suitable, and frequently monitored

• Pregnancy is split into 3 roughly equal trimesters.