Thoughts on Postpartum Fitness Round Two

Pregnancy

I’m excited to get back into more rigorous exercise, especially because I haven’t been as active during this pregnancy.  That being said, I’ve thought some about how I resumed exercise after having Emerson, and I plan to take things even slower this time around. I know a lot more about postpartum recovery and there’s no reason to risk injury.  Plus, I have low expectations about fitting in exercise with two kids and don’t plan to return to a gym setting for a while.

Last time around, I followed the general recommendations  – I started shorter walks about 2 weeks postpartum, and then resumed running and HIIT/Popsugar Fitness/strength workouts as soon as I was cleared for exercise at my 6 week appointment.  I think I came right home from the appointment and went for a run and peed like 5 times during it. My doctor didn’t check my abs at my postpartum appointment, and I didn’t even know I had diastasis recti (ab separation) until 15 months postpartum when I decided to get checked out (because I still felt off when exercising and my belly was sticking out a bit). This post by The Fitnessista gives a good overview of ab separation and exercise. Seeing a pelvic floor therapist after Emerson  taught me soo much about recovering from having a baby. It’s such a shame that all women don’t have access to a PT  before returning to exercise!

From my understanding, doctors are trained to check stitches and uterine healing, but they are not trained to asses your pelvic floor, abs, and muscular system. This time around, I won’t be doing more than walking and yoga until I am cleared by a pelvic floor physical therapist!  I also don’t plan to resume running, jumping, and definitely not ab exercises (outside of those prescribed by the pelvic floor therapist) until at least 3-4 months  postpartum to give my body and core more healing time. 6 weeks is just way too soon to jump back into that kind of movement.

So, what will I be doing once I’m cleared by the PT:

  1. Lots of walking
  2. Yoga – there’s a ‘mini and me’ class near by that I’ll try, but don’t plan to use childcare at a gym until after flu/RSV season
  3. Strength training + lower impact cardio – love my Popsugar Fitness videos and can easily modify these if I need to (no jumping or ab work).  A couple of the yoga studios near me also offer lower intensity strength training, and I may treat myself on weekends once I have some energy back
  4. Kait Hurley has a great Move + Meditate program that I want to try because I think mindfulness will be super important when I’m feeling overwhelmed
  5. Barre

In the end,  I feel like time, breastfeeding, and consistently working out during pregnancy contribute more to returning to pre-baby size than postpartum exercise anyway,  so there’s no point in intense exercise 6 weeks after giving birth. That being said, exercising definitely helps my mental health and makes me feel like myself, so my goal is to do more than a walk (so yoga, strength, or barre) 3 times per week once I’m cleared by the PT.

If you’ve had a baby, how did you return to exercise, and was it different if you’ve had more than one child?

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  • Susan
    October 10, 2019 at 11:59 am

    Interesting that you are already thinking about this. Pre-children I ran all the half marathons. Long distance runs fueled me! After my first pregnancy, my daughter was in NICU for 2 months and after that it was survival mode and then full time work when she was 4 months old. Between nursing, pumping and work, I think she was 1.5 years old before I really returned to running. At that point my only thought was to train for a half marathon. I did that race and continued to run plus strength train until she was 3 because I became pregnant again. I had a very high risk pregnancy and was not allowed to do any formal exercise. At 33 weeks we had a labor scare and I was on bed rest until my second child was born. I once again prioritized keeping my supply up (it’s easy to tank with full time work and having to pump) and really didn’t start exercising until she was 1. We weaned a few months ago and she’s now 16 months and I try to run and strength train a few times a week. But frankly taking care of my kids and work stuff comes first so it takes a back burner. Enjoy the slow ease back into working out and enjoy your little one. The first year truly is fleeting.

    • Laura
      October 11, 2019 at 10:28 am

      Arg – sounds like a rough couple of years. Hoping both your kiddos are doing great now! Good for you for getting back into it. Having kids has def. changed my priorities, and I’m so glad that at-home workouts are an option so that I can continue some sort of routine! I can’t really imagine lugging two kids to any kind of gym/child watch, and I’m not a huge runner.

  • Suzanne
    October 10, 2019 at 2:31 pm

    Barre3 has a few postnatal workouts on their website (you can filter by prenatal, postnatal, etc). You can sign up for a free 15 day trial without even giving CC info. https://barre3.com/trial

    I pretty much only do Barre3 for strength training now. I wish I’d known about it after I had my kids, it’s a much gentler approach than what I took (crazy Jillian Michaels workouts). I think I might have had a diastasis and still do, but it’s hard to tell because of a surgical scar that runs the entire length of my stomach.

    • Laura
      October 11, 2019 at 10:23 am

      Thanks – sounds perfect! It’s never too late to have a PT assess you for diastasis – it will def. help you in the long term to close the separation if you do have it. Only downside is, it can be expensive, but seems like many PT’s are starting to take insurance now!

  • Susan
    October 11, 2019 at 5:10 pm

    Love this post and your perspective on being kind to yourself, being realistic and easing in.
    I have one 18 mo old and have always been very active. I was active through my pregnancy and saw a pelvic PT for SI joint issues during pregnancy, but her expertise before and after delivery were invaluable. Despite me being an avid runner, she suggested waiting at least 4-6 mos to return to running to ensure my pelvic floor was healed completely. I did a ton of walking, some body pump and balance/weight classes at a postpartum gym where you can bring your baby along, started spin again at 3 mos when a grandma could come watch or when LO could use childcare and it wasn’t cold season/she didn’t have separation anxiety. At 1 year pospartum I started running seriously again with a goal to run a half marathon and achieved a personal best 3 months later, shattering my 9 year old record, something I did NOT expect at all.
    I’m like you and believe that being active helps my mental health so much but feel I had low expectations the first year which was also really healthy for me. Thanks for sharing.

    • Laura
      October 13, 2019 at 4:31 pm

      That’s awesome! And interesting that your PT said 4-6 months. I keep hearing recommendations like this, which is why I think it was a little crazy that I was running at 6 weeks last time!

  • Colleen
    October 12, 2019 at 7:19 am

    Thank you for bringing up the importance of seeing a pelvic PT. I am a pelvic health PT in New Jersey and I wish more obstetricians would promote it quickly postpartum. Regarding returning to running, there is a new set of guidelines that was recently published by some amazing PTs. You can find it here: https://www.running-physio.com/postnatal-guide/ It is free! Again, thank you for bringing awareness to this topic – it sounds like you have a great, positive mindset towards everything, and that is so important.

    • Laura
      October 13, 2019 at 4:30 pm

      Thanks – the part about running with a stroller is interesting!

  • Lisa
    October 15, 2019 at 4:29 pm

    Some women actually hold onto weight while breastfeeding. I had hyperemesis gravidarum so I had to gain weight after I had my daughter. Everyone is different.

    • Laura
      October 15, 2019 at 6:46 pm

      Yeah – I’ve heard this from a lot of people. Those are the factors that impacted me postpartum with Emerson, but def. could be different this time around

  • Elizabeth
    October 19, 2019 at 9:44 am

    I had terrible diatasis after my twins were born and ended up having to have it corrected surgically. You are smart to be KIND to your abs and let them heal. I wish I had taken it much easier after the twins were born. I was so unhappy with the state of my body (gained 60lbs and had a very difficult birth) that I pushed too hard after they were born to try to get back to feeling like ‘me.’ It was exhausting and very difficult. My advice is to listen to your body, get enough sleep and don’t try to do all the things for the first 6+ months. You’ll get back to a routine soon enough when your body signals your brain that you’re ready.

  • Annie
    October 23, 2019 at 4:09 pm

    Also check out Every Mother! I did the (ab focused) workouts up until 38 weeks. I had my third baby 9 days ago and while I’m *sure* I have ab issues to address, I’ve not had any spontaneous leaking. Hard to believe, I think I maintained or even improved my abs while pregnant with a 10 lb baby.
    Love Kait too & did her workouts in the early part of my pregnancy 🙂

    • Laura
      October 23, 2019 at 4:14 pm

      Thanks – never heard of Every Mother! Congrats on #3!!!