Valley Health Journal

VHJ Spring 1999

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Photo: Kora Radella Feller exercises during pregnancy.

Staying fit and healthy when you're expecting


When dancer and choreographer Kora Radella Feller, of Fargo, became pregnant last fall, she wanted to maintain her active lifestyle. Kora continued to teach several dance classes each week, and, well into her third trimester, she feels great. "It's very empowering to feel strong," she said. "There are so many changes going on inside my body, and when I exercise, I'm more attentive to those changes."

SHOULD YOU EXERCISE DURING PREGNANCY?
Upon learning they are pregnant, most women are eager to practice healthy habits. "After the first ultrasound, when they see something's in there, they're excited," said MeritCare obstetrician/gynecologist, Dr. Peggy Mickelson. "They want to be as healthy as they can."

Dr. Mickelson does not recommend strenuous exercise during pregnancy unless a woman is already fit. "But I do encourage them to be as active as possible during pregnancy," she added. Walking 20-30 minutes every day produces powerful results. "It'll keep the abdomen stronger, the back stronger, the legs stronger — all those muscles that will be used to carry the pregnancy to term without the aches and pains," Dr. Mickelson said. Kora follows this advice by walking and stretching each day. "I believe the more you exercise, the more likely you are of adapting to the extra load," she said.

"It's very empowering to feel strong. There are so many changes going on inside my body, and when I exercise, I'm more attentive to those changes."
—Kora Radella Feller, dancer/choreographer

HOW TO GET STARTED
Exercise physiologists at MeritCare SouthPointe educate pregnant women and provide one-on-one consultation and evaluation to help them cope with their changing bodies. DeAnn Ballard, exercise specialist, says their focus is more moderate than vigorous. "Pregnancy is not a time to achieve fitness goals but rather to maintain them," she said.

To help women understand how to exercise efficiently and safely, DeAnn would like to start a prenatal exercise class. "It's a population of very special people," she said. "This class would be an opportunity to give women a sense of control over their changing bodies."

Dr. Mickelson agrees that sharing the experience would help women reach their fitness goals no matter which stage of pregnancy they are in. "When a first-time mom who is eight to ten weeks along sees a woman who is close to term still up and at it, that is part of the education," she said. "And you meet friends you can continue to exercise with after pregnancy."

HOW TO EXERCISE SAFELY
Although exercise has many benefits, Dr. Mickelson cautions against getting carried away with activity during pregnancy. "Make sure you don't overdo it," she said. "You want to keep hydrated, and always check your pulse. You don't want it to exceed 60 to 80 percent of your maximum target heart rate." An elevated pulse can cause decreased blood flow to the baby. "Decreased blood flow can cause the uterus to start to contract," Dr. Mickelson said.

Once given consent by a physician, Kora encourages pregnant women to be active and healthy. "There are physical benefits within that manifest themselves in psychological benefits," she said. "It's nice to feel strong."

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