Diabetics are seven times as likely to have a stillborn child

As the western world seems to plunge deeper and deeper into obesity, diabetes is just one related problem. Today in the Guardian newspaper there is an article by Ian Sample all about soaring diabetes rates and the terrible effects it can have for a pregnant woman, including stillbirth, birth defects, and miscarriage.

Happily, much of this could be avoided with a little education on sensible eating combined with exercise. To read the article click here.

Healthy Regards

Mark Hibbitts

Checking your abdominals for separation. (Diastasis Recti)

As promised here is some information about abdominal separation and how to check for it. It’s something I often get asked about.
Your abdominal muscles will have stretched during your pregnancy, and in some cases a diastasis recti can occur. This is a stretching of the linea alba causing a separation of the rectus abdominus muscles. Some light core stability exercises will have a positive effect on the closing of this separation and should be encouraged, but please don’t start pounding away at sit-ups and crunches before you’ve checked for separation. It only takes a minute or two.

To check for diastasis recti lay on your back and raise your knees. Place your little finger in your navel and your other 3 fingers in a line toward your breastbone. Keeping your feet on the floor, lower your chin to your chest and slowly curl your head and shoulders off the floor as if you were performing a crunch. You may feel a gap appear so turn your fingers at a 90 degree angle to see how much separation you have. If the gap is more than a couple of fingers you should definitely avoid regular abdominal exercises. Instead try this one.

Lay flat on your back with your knees bent as above but fold/cross your hands over your stomach so they support your abdominals. Breathe in, and then as you slowly breathe out raise your head to your chest. Gently ‘pull’ your stomach muscles together and hold for a count of 2 then slowly lower your head to the floor. Repeat 10 times.

I hope this has been helpful to you. If you have any specific questions please ask through the ‘ask the expert’ section of lifestylexperts.

Healthy Regards

Can I exercise during my pregnancy?

Hi Everyone,

Can I exercise during my pregnancy? This is a question asked by many mums to be, as many people are still under the impression that pregnant ladies need ‘to rest’ all the time. In this post I’d like to discuss the guidelines for exercise during pregnancy and how they’ve changed over the years. In the early days there was very little research being carried out, so guidelines were very much ‘better be safe than sorry’ and I guess that was fair enough. These days however we know so much more, and staying active is most definitely the way to go.

Back in the 1950’s the recommended exercise for pregnant ladies was 1 mile of walking a day, but that should be broken down into several sessions………Phew, now don’t overdo it, you’re pregnant!!!

In the mid 80’s The American College of Obstetricians and Gynecologists (ACOG) brought out new guidelines that were a little more relaxed but still had firm criteria to follow. They determined that most aerobic activity was safe for 15 minutes duration, but heart rate should be kept to a maximum of 140bpm and body temperature to under 100.4 degrees fahrenheit.

More research was now being undertaken by Dr James Clapp and others, and in 1994 the ACOG guidelines changed yet again. This time it was determined that ‘women with uncomplicated pregnancies can exercise safely with virtually the same safeguards as non-pregnant women.’

In fact Dr Clapps research has shown that women who performed 45 minutes of weight bearing, aerobic type exercise on 5 or more days of the week throughout their pregnancy experienced improved well being, reduced constipation, reduced leg cramps and a quicker return to their pre-pregnancy weight than their non-exercising counterparts. There was also a reduced risk of gestational diabetes and pregnancy induced hypertension. Added to this, babies of exercising mums have been shown to have less body fat at birth and be less cranky, with a reduction in the instances of colic, and greater neurodevelopment in language and motor skills by the age of 5.

Another study by Dr Clapp showed that in exercising mothers labour was shortened by around a third, with 65% of those women delivering in four hours or less. Now that has to be good news!!

Obviously care has to be taken at all times and your doctor should be consulted before you undertake an antenatal exercise program. This is because there are certain relative and absolute contra-indications to exercise during pregnancy, and while you may not be sure if you have any, your doctor will. Once given the all clear to exercise use your common sense and listen to your body at all times. If in doubt call a fitness professional specialising in antenatal exercise. These can be found at www.newbornfitness.com or www.lifestylexperts.com

A list of the ACOG guidelines and the contra-indications to pregnancy can also be found at The Miracle Box website under info & advice.

Healthy Regards

Firing your Transverse Abdominus Muscles

Hi Everyone,

Todays blog is really important for all of you wanting to tone up your waistline. I’m going to show you how to find, contract, and sustain your transverse abdominus muscles (TVA). These are deep muscles (highlighted in red in our image) that comprise part of your ‘core’, and learning to control and strengthen them is necessary not only to flatten your tummy, but also to help maintain good posture, alleviate back pain, and prevent injury.

To find your TVA, lay on your back and put your fingertips inside your hip bones, (or ASIS for those of you with knowledge of Anatomy and Physiology). Cough, and you should feel the muscles beneath your fingers twitch. That is your TVA. To contract the TVA take a deep breath in, and then breathe out and at the same time pull your belly button in towards your spine. Those of you who’ve done any pilates will have done this before, and will have heard of the term ‘navel to spine’ many times. To see this movement in all its glory, click here. (virtual image provided courtesy of http://www.lifestylexperts.com)

When you’ve got the hang of this, try holding it for 10 seconds while continuing to breathe. It will be tricky at first but once you’ve learned to ‘fire and sustain’ the TVA you will be able to switch it on any time you exercise, lift baby, or do anything else that requires effort.

If you have any questions on this or any other exercise issue please get in touch. I’d also welcome your comments as to whether you find this info useful, and what I can do to improve the blog. What would you like to hear? Let me know.

Healthy Regards

Mark

Weight change between births can harm you and your baby

Hi Everyone,

There was an article in several newspapers a while back about the problems associated with gaining weight between pregnancies. This is not the first time this has been brought to our attention, and only a year before an article based on similar research was also published. Around 15 years ago another study produced the same results, so I guess that unlike a lot of studies, this one shouldn’t be sneezed at.

It seems that even a small increase in body mass index can double the risk of high blood pressure and preeclampsia, with larger increases resulting in even more problems.

So what do we do?

Well try and maintain a healthy and consistent weight would be the best thing.

How do we do that?

Not by dieting that’s for sure! I understand the pressure sometimes with our celebrity culture, to try the latest fad diets. The Atkins diet, The California diet, etc etc are all an unhealthy and unnecessary way to go about losing weight. All these restricted calorie or no carb diets result in a loss of lean body weight (muscle). It’s not muscle you want to be losing it’s fat. Muscle is what gives your body it’s shape. Losing muscle weight will slow your metabolism meaning that when you stop dieting you need even less calories to maintain your bodyweight than you did before the diet. Add to this the fact that when you starve yourself your body becomes super efficient at storing fat, and you can see why so many peoples weight goes up and down like a yo-yo.

A sensible diet with good nutritious whole foods is the best way to go. It’s not a diet but a healthy eating plan, and one you can stick with for life. Don’t go for instant gratification but aim for a slow weight loss over a long period. One pound a week is 52lbs a year, and that’s nearly 4 stone!! Add exercise to the equation and you’re laughing. You’ll end up looking great and feeling even better with loads of energy, and who wouldn’t want that?

To read the article in full click here.

Healthy Regards

Mark

Why YOU need a miracle box

This is a pregnancy & postnatal exercise blog and I set it up to give good and practical advice and not to do blatant advertising for The Miracle Box, but I do want to make all mums to be aware of this product. Based around a high quality birth/exercise ball, the Miracle Box gives you lots of extras such as pregnancy and postnatal exercise charts with great quality images and professional instructions. Most midwives will recommend you get yourself a birth ball because they can help you get baby in the correct position for the birth and cut down on your time in labour (and their time at work), but there is so much more you can do with them such as get your figure back afterwards!

This is what midwife Vicky Feeney from www.liverpoolindependentmidwives.co.uk has to say.

I recommend birth balls to all of my clients. They are great antenatally to aid posture and balance as well as being ideal to use during exercise. During labour they can be used in several ways as a means of support and to open the pelvis up to its widest diameter. I carry one for myself as a midwife in labour to sit on to ease my tired back! Vicky Feeney

The Miracle Box Pregnancy & Postnatal Blog

Hi Everyone, I’m Mark Hibbitts, the pregnancy & postnatal exercise consultant for The Miracle Box.

This aim of this blog is to give you up to date information on exercise and fitness during pregnancy and the postnatal period. There are tremendous benefits to be had from exercise both during pregnancy and afterwards. These include greater self-esteem, easier births, and a quicker return to your pre-pregnancy shape. However, all cases are different, and there are several contra-indications to pregnancy exercise, so while we can help with advice, it is important that you consult with your doctor or midwife before starting any pregnancy exercise programme.

Healthy Regards

Mark