I’m right there in the middle of pregnancy challenges, like any other woman on the verge of entering the third trimester. Overall though, I’ve found most of pregnancy (both this one and my first) to be relatively pain free. It’s not that I don’t have discomforts. I do. But I have the tools to address them head-on so they don’t spiral out of control. And I never assume that pregnancy has to be an uncomfortable time in life. It both is and isn’t. There’s so much that women can do to help manage all the crazy, exhausting, frustrating, incredible, unbelievable bodily changes that take place.
*Please take a look at these suggestions if you’re pregnant, planning to be pregnant, or know someone who could use this guidance for their prenatal wellness.*
Oh yea – and skip to the end to learn why I’m diaper bag modeling in all this post’s pics (lol).
1) Chiropractic Adjustments
The nervous system is fascinating. I recently touched on this subject in my post The Vagus Nerve: Lose “The Last 5 lbs.” As mentioned in that post, nerves innervate our organs. They can also influence hormonal function and inflammatory markers. For these reasons, The American Pregnancy Association recommends chiropractic care for women struggling with fertility. The association states that “in many cases, fertility issues may be associated with improper nervous system function” and that “chiropractors are nervous system specialists.” So, from the outset, chiropractic adjustments may aid the fertility process. At the very least, they won’t do any harm and may help you feel more balanced in your body.
But let’s jump ahead and say that you’re already pregnant…chiropractic adjustments are *immensely helpful* for women undergoing nonstop physical and hormonal changes. I speak from firsthand experience! All throughout pregnancy, the body releases mega-doses of relaxin and progesterone hormones which help to “soften” and stretch the body’s muscles and ligaments to make room for baby and prepare for labor. The uptick in these hormones means that the spine and hips are often sliding in and out of alignment. But your back and hips aren’t the only joints affected – your wrists and ankles can get out of whack during pregnancy too! Many women also experience neck pain from misalignments caused by changing hormones and even changing vision, in some expectant moms. Say no to nagging back and neck pain!
Need more incentive to commit to a chiro? Chiropractic adjustments may help some pregnant women with heartburn! Oh yea – and, towards the end of pregnancy, those sweetly stubborn breech babes can sometimes be flipped by a chiropractic adjustment called the Webster Technique (NOTE: This is different from a version). The Webster Technique helps adjust the mom’s sacrum and reduces torsion in the uterus, optimizing the chances for a baby to change positions on its own AND reducing the incidence of dystocia (awkward positioning on the baby) during delivery. Sign me up!
2) Regular Exercise Routine for *INCREASED* Energy
Yea, yea…go figure. The exercise physiologist/personal trainer recommends exercising during pregnancy. No surprise there. But let me tell you this…not only do I make recommendations on prenatal exercise guidelines but I also follow them myself. Without a doubt, exercise made my first pregnancy way more energized. I wasn’t awake each day until I got moving and then *most* of my regular get-up-and-go energy would hit me. In my second pregnancy I didn’t feel as big of an energy return from exercise…well, at least so I thought.
Last week, I was put on modified bed rest by a very nice doctor in a scary labor-and-delivery room experience that I didn’t see coming. She told me I needed to stay off my feet for a week. This marked one of a few times in the last 15-17 years that I went an entire week without some kind of hard or easy exercise. (The other times I skipped exercise for a long-ish period were the first two weeks postpartum after my first child’s birth and when I was on my honeymoon in Europe. Yup. That’s it.) Throughout the week my energy tanked and my body started to ache something fierce. Now that my brief bed rest has been lifted and I’m two light exercise days (and one chiropractic adjustment) back in, I’m feeling pain-free again and far more energized. Incredible the difference a little movement can make.
3) Stabilizing the Core
A lot of women avoid core exercises or drastically reduce how they exercise their core muscles during pregnancy. I understand the need and want for caution but under-utilizing these muscles can contribute to back pain and overall weakness.
I have zero intentions of contributing to diastasis recti for any of my clients, friends, readers, and self. But the key for preventing this condition of abdominal separation and weakness is staying mobile and strong in the midsection. For this reason, I highly recommend all pregnant women engage their transverse abdominus during balancing exercises, lifting exercises with weights, and core-focused movements. I also strongly recommend staying mobile in all three planes of motion – that means that abdominal twists and side bends *when done safely* can be effective for keeping the core strong and preventing splitting. If you’ve never had a professional show you how to create a “bracing effect” with the muscles of your lower abdomen then now is a great time to schedule a quick personal training or physical therapy session. Invest a little time to learn now and save yourself potential pain and hardship later.
Side note: Crunches are generally unsafe for the core muscles once the belly begins to expand, typically at the beginning of the second trimester.
Check out @maggie_winz this week for a real demonstration of how to engage the transverse abdominus during pregnancy. You’ll watch my belly go from giant to just really large (hah) as I show you how these muscles can stay active and engaged despite growing size!
4) Stabilizing the Hips
The number one mistake I see soooo many pregnant women make is focusing on hip stretches during pregnancy. I’m not saying a little stretching isn’t good for pregnant women, because it is! But lots of hip stretching is often futile. With so much relaxin in our systems, pregnant women are getting A LOT of natural stretching and need to balance much of that with stabilizing exercises.
You see, the aching feeling in a pregnant woman’s low back and hips – you know, the kind that wakes you up and gets you out of bed in the third trimester – is often from those areas feeling strained from all the stretching that is happening. Women will often respond to these aches by stretching more (glute stretches, piriformis stretch, abductor and adductor stretches, etc). This creates the feeling of temporary relief because of increased blood flow to the muscles but doesn’t address the problem or get rid of the ache for long (if at all).
The key to hip stability is to take all those muscles I mentioned that women stretch (glutes, piriformis, abductors/adductors) and stabilize/strengthen them instead. It will feel mentally painful at first to get out of bed and exercise at 3 am, but it will leave you feeling relief that will allow you to slip back into that much-needed slumber before sleepless nights with a newborn begin. Some great go-to exercises: Squats, Side Lunges, Clamshells, Side Leg Lifts, Hip Bridges, and Squeezing Ball/Yoga Block/Pillow with Inner Thighs. If you still feel tight then try to stretch your hamstrings and hip flexors or do some light foam rolling in addition to the hip exercises. You’ll thank me for telling you to stabilize instead of stretch. Promise.
5) Purse/Bag Carrying Techniques
Wondering why I’m modeling these beautiful diaper bags that look like designer backpacks?! Well, first off, Mina Kay Bags is owned by a local mom I recently met and I think it’s pretty awesome that she put her architecture degree to work designing something other than building structures – she designed every one of her handbags and mommy bag/bagpacks by hand because she got fed up with the missing features and functionality in ones she owned herself. These bags are truly gorgeous, fashion-forward AND exactly what women need…especially moms. Secondly, I didn’t realize how much I was missing until I owned my own Mina Kay backpack (the new top-zip design in Camel).
You see, I’ve toted a shoulder-carry diaper bag for a few years now. It gets weighted down by all the regular mommy gear but then is extra heavy and cumbersome when I try to shove my son’s water bottle and my own in it. I have to remind myself to switch shoulders when I’m carrying it because it can throw my back off so much to lug it around on one shoulder all day at a park or while running errands. So, I knew I was in the market for a bag with backpack straps once kiddo #2 comes around. I need something I don’t have to think about as I manage a second child and my extremely mobile, wiggly, toddler-turning-teenager-any-day. But when I received my Mina Kay backpack at 6 months pregnant I decided to go ahead and try it on for size before my second son’s debut.
Wow. I feel SO MUCH BETTER wearing a backpack during pregnancy than a heavy shoulder bag. Legit. It’s changing my life…and making me feel slightly less desperate for my aforementioned weekly chiropractic adjustments. The thing is, when you’re pregnant, balance and symmetry for the body is key to keeping the body pain free. I strongly suggest switching to a diaper backpack if you already have a kid or two, or a regular backpack if you’re pregnant with your first and on your feet for your commute or errands. I wish I’d done it sooner. And, as mentioned, function doesn’t have to mean a sacrifice in style.
Psst: You can have 25% off Mina Kay bags while supplies last with this code: HAPPY25
Part 2 coming next week! Because mom life and pregnancy are “winning” and I don’t have time to wrap this up all at once.
Yours in health and wellness,