Archives for: October 2013, 01
When DD was coming out of her exercise and eating disorder, we had no idea whether she would ever be able to have a baby. She told me, even back then, that if God ever allowed her to get pregnant knowing how much to exercise would be the hardest thing for her. That has turned out to be true.
Before she got pregnant, DD and SIL were doing regular, strenuous exercise. The first text DD sent about exercise came on her only bad day of Morning Sickness. She wrote, "Don't worry about me exercising. I'm more worried about eating...ever again."
As she got queasiness under control, she began to exercise again. "BC liked the exercise video we did tonight. We have a much happier baby now." Another text said, "Mental image for you: While I do an exercise video, BC is swinging around like Tarzan on the umbilical cord."
One Monday DD did an exercise video that involved a lot of jumping around. On Tuesday, she did an aerobic workout on an exercise bicycle. That night I got a panicked phone call. DD had some mild spotting. It was only a few drops, but it frightened us all.
The next day I got this text, "So far this morning, all is OK, I am just nervous. This little life was so precious to me before - and now, when something might be wrong, I realize how even more precious it is. I love BC with all of my heart. This little unexpected life means the world to me. Oh Lord, please keep little BC safe in my womb."
DD's OB has an email address where patients can ask questions and get an immediate response from her staff. By 8:30 DD had sent all of her symptoms to the office. The doctor herself called and said she was not worried unless the spotting got heavier. She mentioned several things that could cause spotting in the second trimester, and one of them was exercise.
DD sent this text, "I need to be careful. Tonight I am resting. Tomorrow, maybe some leg lifts...maybe. I think I will stay off cardio equipment for at least a week. This really shook me up."
Once the crisis was past, I sent her my comments:
When we first read about BTD, Dr. D'Adamo said that Type As should do calming, centering exercise. In the early days we noticed this was true in our family. The Type Os gravitated toward more strenuous exercise than the Type As.
During your exercise/eating disorder you pushed yourself to excel in cardio exercise. You adapted to intense physical exercise. Your muscle tone was incredible. I stopped trying to convince you to act like an A, because you were doing so well. You might want to revisit this while you are pregnant. I suggest you slow things down. Do some pilates. Walk - either outside or on the treadmill. Do back exercises - you'll really be glad you did when you get to third trimester. Focus on strength and flexibility rather than aerobic.
The book What to Expect When You're Expecting had a lot of exercises that concentrate on those goals. Eat Right for your Baby allows some low impact for Type As, but also has a list of cautions. Dr. D'Adamo doesn't recommend weights (except very light weights) for 2nd or 3rd trimester. After yesterday, I would be cautious.
DD looked up spotting on The Bump. One of the comments she liked said:
I was running, walking, and going to the gym regularly early in my pregnancy when I experienced spotting after a run. I called my OB and she told me to try a week of rest (no sex or exercise) and to call if it did not go away. It went away in a couple of days and I gradually ramped my exercise back up but stayed away from anything high impact (no step aerobics or running) and stuck to walking, elliptical machine and got a prenatal strength video. I have not had any problems since. Running was not worth the health of my child and I figured I can get back to it as soon as she is born.
Since that episode there has been no more spotting. DD has a daily struggle to find the right balance between exercising enough and not overdoing it. As she predicted long before she became pregnant, moderation in exercise is hard for her.
I've given her many ideas - it's hard for a future grandmother to keep quiet. I think two of them have been helpful enough to mention here.
DD was concerned that she could see what she thought were dimpled fat cells. It reminded her of how her legs used to look. I knew that she was eating a balanced and healthy diet. She was not overeating to the level of adding fat cells. I reminded her that during pregnancy not only was the baby growing, but she would be storing fluid. She needed that fluid for increased blood supply and other physical changes that are normal in pregnancy. I suggested that what she was seeing was more likely to be cells filled with fluid than fat cells.
Some exercise equipment shows visual patterns representing levels of intensity. I suggested that DD exercise in the shape of a pyramid. Start slow, give her body plenty of time to warm up. Gradually increase intensity. Don't stay at peak intensity for long, like at the peak of the pyramid. Gradually decrease intensity, letting her body slowly return to normal. She has tried this for several days and tells me it makes her feel good.
DD has her next doctor appointment in a few days. I'm curious to see what the doctor says about exercise. But as DD said so well in a text, "I know exercise is important, so I want to workout, but BC is even more important."