The Society of Obstetricians and Gynecologists of Canada, encourage
women who are experiencing healthy, uncomplicated pregnancies to exercise.
Exercise has been shown to reduce the severity of low back pain, pelvic girdle
pain, and lumbopelvic pain during pregnancy.
How can your chiropractor help?
Chiropractors can promote healthy lifestyle behaviours by providing
education and prescribing physical activity programs through a personalized
approach to exercise prescription by considering a patient’s environmental
context, available resources, personalized education, and providing reassurance
of a patient’s exercise capability. Programs may include strength training
exercises, aerobic conditioning, stretching, and relaxation techniques, and
clinicians can help determine the appropriate frequency, intensity, and timing
of physical activities.
Recommendations:
1. All women without
contraindications (see below) should be encouraged to be physically active
throughout pregnancy. Combining aerobic and resistance training during
pregnancy has been shown to be more effective at improving health outcomes than
aerobic exercise alone.
2. Pregnant women
should accumulate at least 150 minutes of moderate-intensity physical activity
each week to achieve meaningful health benefits and reductions in pregnancy
complications.
3. Physical activity
should be accumulated over a minimum of 3 days per week; however daily activity
is encouraged.
4. Pregnant women
should incorporate a variety of aerobic exercise and resistance training
activities to achieve greater benefits. The addition of yoga and/or gentle
stretching may also be beneficial.
Contraindications: Before
commencing any exercise program, it is important to consult with your
healthcare provider. If you have any of the following conditions, exercise may
not be recommended:
- Ruptured
membranes
- Premature
labour
- Unexplained
persistent vaginal bleeding
- Placenta
previa after 28 weeks’ gestation
- Pre-eclampsia
- Incompetent
cervix
- Intrauterine
growth restriction
- High-order
multiple pregnancy (eg. triplets)
- Uncontrolled
type I diabetes, uncontrolled hypertension or uncontrolled thyroid disease
- Other
serious cardiovascular, respiratory or systemic disorder
- Recurrent
pregnancy loss
- History
of spontaneous preterm birth
- Gestational
hypertension
- Symptomatic
anaemia
- Malnutrition
- Eating
disorder
- Twin
pregnancy after the 28th week
- Mild/moderate
cardiovascular or respiratory disease
- Other
significant medical conditions
A chiropractor can help you through your pregnancy as your primary
healthcare contact. Visit nhwc.ca for more
information.
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