CREDITS: Mayara Guissoni
As mentioned in a previous publication, this week we will talk about a suggestion of exercise programs mentioned in the job sent over the by teacher Mayara Gissoni, which highlights remember that the ideal exercise program will offer the woman several options, including walking, swimming, stationary bike and modified forms of dance or calisthenics “(ACOG cited ARTAL, 1999). Not start a ruce program already being pregnant because the risk of musculoskeletal injuries is greater if the temperature and / or humidity are high, not exercise. Adverse conditions may cause fetal loss. You should pay particular attention to the terrain and the race surface due to changes in connective a stationary bike is preferable to traditional cycling due to changes in weight and the balance of the bike outdoors should be avoided during high and high levels of pollution temperatures. Respiratory changes make it difficult to swim in late pregnancy, however, his practice since the first Calisthenic exercise in water is encouraged to maintain strength and flexibility. ‘Heart rates during exercise in water are lower than exercises on the ground “(Katz et al, 1999), the water conditioning helps reduce blood pressure (Finkelstein et al., 2006). While standing in water, your body naturally gets rid of excess water and salt. Such excesses generally cause water retention,which may result in swelling and discomfort, or potentially dangerous high blood pressure (AVELAR et al., S / d). The reduction of salt and water in the body can also relieve stiffness in the knees and “The activities in the water can also provide relief to the pain felt in the legs because they require the concentration of little or no weight on the feet during exercise” (Katz, 1999, p. 12). Proper breathing is necessary to avoid the Valsalva maneuver, which causes significant reduction in venous return to the heart, increased blood pressure and work for the heart. It is best to avoid contact sports like basketball, not only by the fear of a potential trauma to the abdomen to fall, but also by the unpredictability of the movements of the opponent.
The patient should be instructed on its balance being committed by the additional weight and not to these sports should not be initiated during pregnancy. To the competent athlete, these activities should not be made on a competitive basis; i.e. the fatigue and stress should be avoided.
Muscle and joint injuries associated with sports activities can be avoided if the woman is trained and At the end of a quiet expiration, there is less reserve oxygen in the lungs and therefore reduced ability to withstand periods of apnea, a factor that should always be taken into account when considering participation in sports such as diving or short runs (ROMEM et al ., 1999).
The guidelines presented are consistent with those established by ACOG and are recommended for “The patient is alert to potential dangers of exercise, aware of the warning signs and in tune with your doctor is less likely to suffer problems as a result of exercise during pregnancy” (ACOG cited In short. Women with narrow hips should practice exercises that increase flexibility of the abdomen muscles, facilitating normal deliveries. Never forget medical advice. (SILVA, s / d).The exercise prescription requires thorough knowledge of exercise physiology, understanding of the mechanisms and phenomena that occur in pregnancy (MIRANDA; ABRANTES, 1998) and recognition of the potential risks associated with the exercise in pregnancy. These risks are magnified in pregnancy, the normal anatomical and physiological changes of pregnancy. (ARTAL et al, 1999). Exercise during pregnancy is probably beneficial for most women. But in a way, it can actually be harmful to mother and fetus; therefore, the exercise recommendation as such should beindividualized. An individualized exercise program strictly monitored, can help promote fitness and at the same time ensuring the safety of women during pregnancy (ARTAL et al, 1999).