30/11/2021
Is it possible to do pregnant women? Is it not dangerous for a child? We tell how to live and even compete during pregnancy
"Editorial: You are in the ""Health"" section - here we are talking about how to eat right, train and play sports for pleasure - and invite coaches, doctors and other specialists as experts. Today - We are talking about sports during pregnancy.
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Tennis player Serena Williams won the ""Big Helmet"" competition in 2017, being pregnant. Alicia Montano ran 800 meters at the US Championship in 2014 for 8 months of pregnancy. And the football player Alex Morgan and at all raised Giri for 9 months in 2019. And these are not the only examples. Such news is forced to think: they do not protect their children or harm sports during pregnancy - is it myth? An obstetrician-gynecologist-reproductologist of the ""European Medical Center"" Maria Mschala says.
Pregnancy is not a disease. This is natural, although a difficult process. And if pregnancy is normally proceeding, without complications, sports is not prohibited. But for each stage - in pregnancy they are called trimesters - there are limitations and recommendations. And only an obstetrician-gynecologist, leading pregnancy, can definitely say that it is from sports that can or can not a concrete woman.
Toxicosis and varicose veins: TRIMSETERS
To explain why physical exertion can be dangerous during pregnancy, you need to trace what is happening in the body of a woman at every stage.
The first trimester lasts from the first day of the last menstruation, as it is difficult to determine the day of conception difficult, until the 13th week and 6 days of pregnancy. Until the 5th week, the surnip-view occurs with an egg in the uterine tube, where the embryo is formed, which is gradually moving towards the uterus on the pipe. Only to the fifth week the embryo gets into the uterus, a fruit egg, a gusty bag and chorion is formed. Chorion is a darous structure that is formed along the edge of the fetal egg and provides a mix of embryo with the uterus.
By 12 weeks from Chorione will be formed a placenta - this is already a more reliable protection of the child. In the first trimester there is also a bookmark of all organs and systems of the child, so it is very important to be under the supervision of a doctor: he will make sure that the female body has enough of all necessary during this period so that the bodies of the authorities have passed without pathologies, and so that all drugs are contraindicated during pregnancy.
Until the end of the first trimester, a woman can disturb the toxicosis of pregnant women - nausea and vomiting from 3-5 to 11 times a day in a serious case. This is due to the hormonal restructuring of the body and because the mother's body may initially perceive the embryo as a foreign organism.
The second trimester (14-27 weeks and 6 days of pregnancy) is the most favorable in well-being over the entire period. Because the placenta is already formed, and the child is reliably protected. At the same time, there is no longer no toxicosis and there are still no problems of the third trimester.
In the third trimester (from 28 weeks before delivery) the body of a woman is gaining weight, and this in itself imposes restrictions on physical activity. Due to the extra weight, the center of gravity is shifted (from here and a characteristic walking of pregnant women). The volume of circulating blood increases, and even with the normal course of pregnancy, the kidneys may not cope with such a volume of fluid, which can lead to edema. Dyspnea may appear, pressure grows. Also during this period, varicose veins may be aggravated, because the load on venous vessels is enhanced due to an increase in blood flow.
Detachment and tone: how sports can affect pregnancy
In the first trimester, the risk of miscarriage is the most great, because the chorion is not so tightly attached to the walls of the uterus as a placenta. From shocks or blows, drops (during sports or in domestic situations), chorion can be detached from the walls of the uterus. The placenta can also be detached from the uterus - on any period of pregnancy, - but it is in the first trimester that this risk is the highest.
The outcome depends on the degree of detachment and its place. Through the placenta, the child receives all the necessary nutrients from the mother's body along with blood flow - including oxygen. In the place of detachment is formed by hematoma. If the percentage of the detachment is small, after a few months with due therapy, the hematoma is absorbed, and then the placenta is formed normally, and the child gets everything necessary for development in full.
With a higher percentage of detachment, hospitalization is required to hospital and long-term treatment. In the most difficult cases, the threat of abortion is created. In any case, if there was a fact of detachment, then further restriction of physical activity is recommended.
If it does not correct the disorders that arise during the placenta detachment, this may lead to a delay in the growth of the fetus. The symptoms of the placenta detachment may be painful pain at the bottom of the abdomen, uterine bleeding. The diagnosis can be confirmed only with ultrasound.
Due to the risk of the placenta detachment, it is necessary to avoid activity related to the likelihood of falls, shocks - especially in the first trimester. Therefore, extreme sports and all directions where additional equipment is used (skiing, skates, even a bicycle) are not recommended for obstetrician-gynecologists throughout the pregnancy.
Even if a woman rode a bike before pregnancy and never fell, during pregnancy, the risk of falls above is due to the increased body weight, the bias of the center of gravity, and also due to the action of the progesterone hormone. This is the main - ""ruling"", as obstetrics say, - a hormone of pregnancy. In addition to the fact that it has a soothing and anesthetic effect on the body, progesterone also reduces the speed of the reaction and causes drowsiness.
The second important risk of physical activity during pregnancy is the uterus tone. The uterus is a muscular organ. When she is in a tone, her muscles are overloaded and reduced. At this moment, the woman can feel pulling or spastic pain at the bottom of the abdomen. And since the placenta is not a muscular organ and cannot be cut down after the uterus, then the risk of the dye popsage.
All exercises can be given to the sundus of the uterus, where the muscles of the press and the abdominal nose are involved: press, squats, pushups, jumping, lifting weight and plank. Therefore, these exercises are also contraindicated during pregnancy.
And then you can do during pregnancy?
Complications of pregnancy, which are contraindicated to sports / fitness classes: Tone of the uterus, shortening of the cervix, bleeding, the presence of the placenta (this is when it is located at the outlet of the uterus and can subside), toxicosis, arterial hypertension, swelling, the presence of a protein in the urine, and Also, the aggravation of chronic diseases in which physical exertion is prohibited or limited.
In other cases, if the pregnancy is normally proceeding, you can adhere to the usual level of activity at the amateur level, limiting jumping, falling and load on the press and lower abdomen.
In the first trimester, yoga is recommended, running - moderate running in the park, not a marathon.
The second trimester is the most favorable period of pregnancy, when the extension of physical exertion is possible. Moderate running loads, walks, yoga are preserved. It is recommended to swim to strengthen the muscles of the back. Possible loads in the gym - mainly on the back and the upper shoulder belt, are not prohibited by gentle loads on the press, if there is no uterus tone. At the same time, of course, it is advisable to consult with the coach about permissible exercises, taking into account pregnancy.
In the third trimester, it is no longer recommended running, because shortness of breath may even be in normal pregnancy. Walking, yoga classes, swimming. From this point on, it's time to start exercises for direct training for labor activities: breathing exercises and fitbol exercises and other exercises to strengthen the muscles of the pelvic bottom (perineum), for example, Kegel exercises. All this is in special training courses for childbirth.
And what about professional athletes - they can continue to train and act?
Professionals, as a rule, are recommended to reduce the load halvery, notes Georgy MSKhaya, the endocrinologist of the ""European Medical Center"". The fact is that the superload, among other things, also hormonal changes that increase risks during pregnancy can also cause.
And it does not matter whether intensive workouts three times a day or the delivery of the annual report with work at night - the body is experiencing the same stress. In this case, the emission of adrenal hormones (cortisol, adrenaline, norepinenaline) is released, this may cause a narrowing of vessels, as a consequence - disruption of uterine-placental blood flow, which can lead to a violation of the development of the fetus.
Sometimes athletes do not want to stop training and participate in competitions, despite the pregnancy. They can be understood, because sport for them is a familiar lifestyle, and if you refuse it for the entire period of pregnancy, it can lead to a deterioration in mood and stress. Therefore, if pregnancy proceeds normally, without complications, then there is no direct ban on sports. In this case, the athlete is prescribed supporting therapy to minimize the risks of hypertonus, miscarriage.
However, doctors always warn that the continuation of the former activity in any case will increase the risks of the child's loss and can cause complications of pregnancy. And in this case, it is necessary to constant ultrasound control after the competition. It is possible to participate in competitions, but it is unlikely to be records, Maria Massala notes. That was how it was in the case of Alicia Montano, which ran 800 meters for 8 months of pregnancy and came the last. In this case, the main part, and not a victory.
However, there is the opposite view that some athletes can use pregnancy as doping. Indeed, the level of androgen during pregnancy increases 4 times compared to the original. Androgens are the same anabolic steroids that are prohibited by doping control. But do not forget that in addition to raising the level of these hormones, the level of progesterone is growing, and this drowsiness, weakness, less concentration. And if it is also accompanied by toxicosis, then such ""dope"" becomes even more dubious, said Maria Mshala.
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