Post Natal Core .. Simple Adaptations

When we start talking about Post Natal Core exercise there is one big don’t  -“DON’T DO CRUNCHES”

The still-healing, Post Natal Core doesn’t in general respond too well to PRESSURE.  Traditional crunches make pressure.  Pressure builds against a still-healing abdominal wall and any healing diastasis.  Pressure builds and is forced down towards the Pelvic Floor which if not strong/functional enough to do it’s job of supporting the sphincters, leads to issues such as Stress Urinary Incontinence or uncontrolled flatulence.

Post Natal core exercises do not have to be done on the floor. After all we do not use our core and glutes lying on the floor. As mums we are constantly lifting, bending, walking and carrying. So in my view the job of the post natal trainer is to prescribe functional exercises  that will assist her in her role as mum and her ability to return to the type of exercise she was doing  before

Lots of DO’s.

There are lots of new mums who have had an active pregnancy and come from a background of heavy weight lifting and running. They want to get back to this type of exercise and the post natal trainer needs to get her back to doing these things as much as possible, with appropriate adaptations.

Lets look at a few adaptations of traditional exercises that are appropriate to a healing post natal core

Kettle Bell Swing  > Kettlebell Squat

The kettlebell swing is an exercise that put a load of pressure through the core and is unsuitable for a weak pelvic floor or diastasis. It can easily be swapped to a kettle bell squat. This works similar muscles in  a more controlled way and will still elevate the heart rate

          

Box Jump > Leg Drives 

The box jump puts huge pressure on the pelvic floor and core due to its ballistic nature. A simple swap here is single leg drives onto a step. The height of the step can be adjusted. This exercise has the added bonus of using the core to balance on one leg. With one foot always on the floor the pressure on the pelvic floor is reduced making this suitable for mums with pelvic floor weakness.

          

 

Pull Ups > Lat Pull Downs

Pull ups create a lots of tension through the core due to the fact that the person is pulling up the weight against gravity. An effective exercise which works the same muscle group is the Lat Pull Down. I would suggest starting  with a narrow grip to reduce pressure

                        

Shoulder Press > Single Arm Press

Taking a weight over head will need a certain degree of core tension to stabilise it and push both hands above the head.  A simple swap here would be a single arm press.

   

Single Arm Bench Rows : Single Arm Cable Rows

The prone position of a single arm row may not be ideal for a diastasis or a weakness in the pelvic floor. A simple alternative which keeps mum upright is a single arm row using  a cable machine. The exercise can be progressed by adding a squat.

Lunges > Split Squats

Substituting a lunge for a split squat removes the impact of the exercise while working the same muscles and elevating the heart rate

 

Press Up > Dumbell Chest Press 

Due to the position of the press up this exercise creates huge pressure through the core as the person moves their whole body weight away from gravity. A better chest exercise would be a dumbbell chest press done on the floor.

Seek Professional Guidance

When embarking on an exercise program after having  a baby i would always recommend seeking professional guidance, whatever level you were at pre pregnancy.  A triainer quakifies and exereienced in post natal exercise will be able to design a program suitable to your needs and levels and progress it appropriately.

It is also worth considering a 6 week check with a Womans Health Physiotherapist who will be able to assess pelvic floor function and offer advice on safe return to exercise,

 

 

 

15th August, 2018