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Pilates for Pregnancy & Pilates After Pregnancy

Author:
Melinda Bryan, RPT, Director of The Pilates Studio

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Over the last 15 years I have worked very closely to develop fitness and rehabilitation programs for many of my pregnant clients, which includes my celebrity clients.  In many cases Pilates has been my # 1 choice and primary technique that I have used in my clients programs, taking clients through the prenatal and postpartum periods. I have use these same programs in all 3 of my own pregnancies and have included the most important and effective exercises in my Pilates for Pregnancy & Pilates After Pregnancy videos.  I am sure you will find the programs easy to follow and most importantly, safe.

Though I have had many years of experience in developing fitness programs for pregnancy, I felt it was still important to do research before developing this video and found that the only real concern some doctors had was having pregnant women exercise in supine or lying on your back. I could not find any significant data to substantiate any great risk of exercise supine, especially if it is for a very short duration, and the "exerciser" continues to move and change position.  In conversation with Dr. James Clapp, M.D., who has done extensive research involving pregnancy and exercise, author of Exercising Through Your Pregnancy, copyright 2002, he agreed that research continues regarding many issues, including this one. In fact, his preliminary studies indicate that most woman have no problem with exercise supine as long as it involves motion.  He felt that motionless supine lying was where there was concern and recommended against it.  Since the Pilates for Pregnancy video is designed to take a woman through before, during, and after pregnancy, I have included many modifications for women that may be uncomfortable on their back for any reason and note important information in the pre-workout health warnings.

Dr. Raul Artal, professor and chair of the Dept. of Ob-Gyn and Women's Health at St. Louis University School of Medicine, and ACOG advisor, has stated that "we have learned that women can enjoy a much broader range of physical activity during pregnancy than was previously thought."  ACOG recommendations have progressed over the years from "permitting" limited amounts of exercise during pregnancy, to the new ACOG exhortations that pregnant women "engage in 30 minutes or more of moderate exercise on most, if not all, days of the week."  It is important to point out that many pregnant women lie on their back while having sexual intercourse. In most cases a woman having intercourse on their back would be engaging in vigorous activity.  Many pregnant women also will sleep on their back without any problem.

Another clinical specialist, Elizabeth Noble, PT who has over 35 years of clinical experience states in her book, Essential Exercises for the Childbearing Year, "Ironically, the most vigorous exercise that many women will ever experience - labor- has been "managed" on the back for years!" She recommends that the few women who experience this should limit their exercises on the back at one time for no more than 5 minutes. In my video I have alternated positions from supine, to sitting, to sidelying through the video to accommodate for this possibility.

I recommend that you check with your doctor before engaging in any exercise program.

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