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Pregnancy/Parenting Notes Prenatal

The Disturbing Narrative Rampant in the Prenatal Fitness Domain

February 25, 2024

There’s a disturbing narrative rampant in the prenatal fitness domain.  It’s about women being encouraged to push themselves to continue their workouts with the same intensity as before they fell pregnant.  Many coaches are even saying that you can get stronger during the pregnancy.  The first time I heard this I involuntarily cringed.

The last 8 months have been transformative for me on many levels, including the physical.  I’ve always maintained (perhaps controversially) that my life is not structured around my yoga, but that my yoga is structured around my life.  I think this is the reason behind my robust sense of intuition.

My Prenatal Fitness Journey

During my journey to conception it was the confidence in my practice that helped me stand up to the usual spiel about IVF.  I practiced my conception sequence daily without fail.

In my first trimester, when nausea plagued me all the time, I slowed down and took it easy.  My yoga teachers told me to stop practicing until my fourth month.  I didn’t lie down with my legs up the wall, I didn’t do ‘slow’ surya namaskars or a ‘modified’ practice.  Instead I went for long walks and listened to helpful podcasts.  I knew I had to support my body in establishing a healthy and strong pregnancy.  I demonstrated the bare minimum in class and slept when fatigue overcame me.

In my second trimester I traveled to Chamrajpet for an entire month to learn my prenatal yoga sequence.  It included inversions and supta asanas for almost thirty minutes.  I continued to demonstrate the bare minimum in class, and by now my students knew I was pregnant and put their minds and bodies through my instructions.  My backbends were supported and handstand jumps were off the table.  I was growing and exploring my hunger pangs (which included random things like Magnum ice cream bars).

Now in my third trimester I’m bigger than ever.  The other day I told my teacher that I’m slower now.  She cut my asana reps to just one on each side.  She’s happy that this journey is healthful and vibrant for me and for her.  Both teachers have told me to practice until the last day of my pregnancy.  And to restart 4 months after I deliver.  These days I can’t do 10000 steps at a stretch, so I split them into intervals.  Sometimes if I overdo it the PGP comes back and then I have to consciously rest.

The Notion of Strength

I came across a personal trainer who looked at my arms deprecatingly and said, “You’ve lost some tone there.”  The same trainer went on to tell me about other clients who’ve been running and lifting weights until the day they delivered.  In my first trimester I read about such wonder women in ‘Yoga Sadhana for Mothers’ and it made my nausea worse.  Whether it’s in the softness of my limbs or muscle tone, or my willingness to step back from tasks and classes that are ‘too much’ at the moment, this pregnancy has shown me I’m so much more than just my yoga.  And that there is so much I can rely on in life than my yoga.

My own experience has convinced me that pregnancy is not a time to ‘prove’ things about my physical fitness.

The fact that a woman’s body goes through hormonal changes for 9 whole months as she gets heavier and slower shows what the female body is capable of.  I didn’t pine after these asanas that many would consider were ‘lost’ to me.  I still don’t feel I’ve ‘lost’ anything.  The practice was, is and always will be mine.  Which is why this narrative needs to stop, prenatal fitness is a whole different ball game.

I wonder if I had obsessed over the time I lost practicing, or fretted over my soft body, or forced myself to practice with the same intensity as before, would I have appreciated this journey and been prepared for the beautiful challenges yet to come?

 

 

 

 

Pregnancy/Parenting Notes Prenatal

Pelvic Girdle Pain (PGP) – A (Literal) Pain in the Ass

January 2, 2024
Source: https://thebackbone.co.uk/pelvic-girdle-pain-pgp/

Prior to actually falling pregnant I never really understood pregnancy back pain.  About three months into my pregnancy I started feeling an unfamiliar pain whenever I turned over in bed, or slid off the bolsters after cross-bolster setubandha sarvangasana.  Basically, whenever my weight was unevenly supported by my pelvis.  This kind of pain is common and is referred to as Pelvic Girdle Pain (PGP) and also Pubic Symphysis Dysfunction (PSD).

About 2 in 5 women experience this pain, so it’s more common than we think.

This pain occurs in different areas of the pelvis, such as the groin, the buttocks (similar to sciatica), the thighs, the lower back, or the hips.  I sometimes even feel a clicking in my pelvic joints (even now, 6 months into the pregnancy).  But thankfully, I’ve been able to successfully manage the pain through regular yoga and conscious movement.

Causes

There are many causes for Pelvic Girdle Pain.  It can be related to previous injuries or even the natural structural build of a woman.  The weight of the growing baby also puts added strain on a woman’s pelvis, which can be a contributing factor.  Other factors are:

  1. The most common reason is the hormone relaxin which is released during pregnancy by the ovaries and the placenta.  This hormone loosens the muscles and ligaments and enable your pelvis to enlarge to let the baby to descend down and out of the vagina.  In short, relaxin makes labor and delivery easier.  The downside is that relaxin also affects other joints in the body, which are responsible for postural changes during pregnancy.  These can also lead to back pain, but can be managed with yoga therapy or the help of a good physiotherapist.
  2. An unstable pelvis.  This causes body weight to load one side of the body which puts repeated uneven stress on one side of the body.  This is why this pain can sometimes be felt after an active day.  If you’ve been able to identify what aggravates this pain, you should avoid it.  Ignoring the pain won’t help – the pain only gets worse.
  3. In some cases the position of the baby in-utero can also cause PGP.
  4. Weak core muscles.
  5. Tight muscles.
  6. Inflammation of the muscles and ligaments.

 

Yoga for PGP

Viparita Karani helps to relax and align the lower back. Make sure to use a bolster for extra comfort and width on the pelvis.

Viparita Karani helps to relax and align the lower back. Make sure to use a bolster for extra comfort and width for the pelvis.

 

Make sure to keep your legs wide to accommodate the growing belly.

Make sure to keep your legs wide to accommodate the growing belly.

 

You can give more support to your lower back using another bolster.

In the prenatal yoga classes I attended, my teacher taught me this variation – where you can give more support to your lower back using another bolster. It seems like a small and insignificant change – but on many days this variation felt extra soothing.

 

Widen your legs.

Widen your legs.

 

Supta padangushtasana B is wonderful to stabilise the pelvis.

Supta padangushtasana B is wonderful to stabilise the pelvis. Do it on both sides for about 2 minutes each, and don’t forget the bolster under the extended leg.  The height of the leg isn’t important – in fact, you might feel better if you reduce the angle between the legs.

 

Remedies/Precautions

  1. Early on I realised that demonstrating asanas in yoga class aggravated the pain because we often only demonstrate on one side.  Since then I’ve been very cautious about the kinds of asanas I demonstrate and often opt not to demonstrate at all, relying on oral instructions.
  2. I’ve moved two bolsters to my bedroom and now sleep with them between my knees.  (Also, it’s recommended to sleep on the left side, and I usually do this.)
  3. Although many women continue to lift heavy weights in the gym, or even lift and carry their toddlers or groceries – this puts uneven strain on your back.  Even for women who are used to heavy lifting – the added hormones and growing belly makes your back vulnerable.  For this reason I eliminated the tree pose and natrajasana from my practice.
  4. I also found that crossing my legs when sitting at my desk causes the pain, probably because of the uneven weight distribution.  So I consciously changed the way I sit.
  5. As much as possible sit in baddhakonasana, sukhasana or upavishta konasana with your back supported.
  6. During the prenatal yoga classes I attended, my teacher would remind me to not rush and move slowly, more consciously.  This really helps as it reduces the chances of something getting inadvertently tweaked.
  7. Icing reduces inflammation.
  8. Water based activities – like aqua yoga, aqua zumba, swimming or even just walking back and forth in the pool help a lot because it strengthens your muscles while supporting about 70% of your body weight.
  9. Rest it out.

Because there is no one reason for why this pain occurs, prevention is better than cure.  But, because pregnancy is also a game of hormones, it’s not always possible to prevent pelvic girdle pain, and you might need to just manage the symptoms.

Hope this helps!