Manual
Active IQ Level 3 Award in Supporting Pre and Postnatal Clients with Exercise and Nutrition Version AIQ005565
Unit Contents Physical activity, health and nutritional considerations for pre and postnatal clients Section 1: Benefits and barriers – The value and concerns of physical activity for pre and postnatal clients ��������������������������������������������������������������������� 3 Section 2: Physiological and biomechanical changes – The changes that take place during pregnancy and the postnatal period �������������������������������������������������������������������� 7 Section 3: Contraindications – The key health considerations for pre and postnatal clients ���������������������������������������������������������������������������������������17 Section 4: Health and Safety – Collecting information to ensure health and safety when working with pre or postnatal clients ������������������������������19 Section 5: Nutritional requirements – The dietary and supplementation needs for pre and postnatal clients ����������������������������������������������������������������������29 Section 6: References �����������������������������������������������������������������������������������������������������������������������������������������������������35
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The body changes and adapts profoundly during pregnancy and these changes create key
&
HEALTH SAFETY CONSIDERATIONS
for pre and postnatal clients taking part in physical activity.
Benefits of exercise during pregnancy improve flexibility
relieve back pain
relax and unwind
Health and safety Stress management
improve labour stamina
strengthen pelvic floor
Family & friends
Barriers & concerns Food & diet Fear of miscarriage Fear of harming the baby A lack of knowledge about safe exercises Peer pressure from friends and family Sickness Heartburn or reflux
Sleep
Fatigue
Lack of sleep and low energy levels
Exercise
Lack of time
Child care issues
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How the body changes during pregnancy Contraindications
Blood flow Oxygen intake Weight gain Flexibility
Nutrition Sources of food to enjoy and those to avoid or limit.
Protein Vitamin C
Calcium
Healthy fats
Iron
Folic acid
Whole grains
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Appendix 6
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Appendix 6 Functional training exercise selection for pre and postnatal clients If pain presents during any activity, such as squatting, then check technique and, if required, modify to an alternative such as a sit to stand. The table below is by no means exhaustive, but it provides suggested exercises to replicate movement patterns required for motherhood. ADL Squatting down to play or take care of baby
Exercise selection
Programming safe and effective exercise sessions for pre and postnatal clients
(suspension training squat). Alternative Swiss ball wall squat, DB squats if balances well, sit to stand. Picking child, bags and car seat up from the floor (hex bar deadlift). Alternative DB or kettlebell deadlift. Sumo deadlift in later stages if comfortable. Carrying child (kettlebell racked walk). Alternative DB bicep curl variations.
Carrying car seat and bags (dumbbell farmers walk). Alternative Single-arm carry dumbbell, kettlebell or power bag.
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Appendix 6
ADL Pushing buggy
Exercise selection
(prowler push). Alternative Suspension training chest press.
Twisting to check child is OK in back car seat (medicine ball ‘controlled’ wood chop). Alternative In later stages of pregnancy, and if diastasis recti presents, then a resistance band horizontal wood chop would be appropriate. Placing child in and out of car seat – push–pull (kneeling push up and one-arm row). Alternative In the early stages of pregnancy, a bentover row would be appropriate.
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Active IQ
Dryden House St. Johns Street Huntingdon PE29 3NU
T 01480 467 950 F 01480 456 283 info@activeiq.co.uk www.activeiq.co.uk
Copyright Š 2019 Active IQ Ltd. Not for resale.
Active IQ wishes to emphasise that whilst every effort is made to ensure accuracy, the material contained within this document is subject to alteration or amendment in terms of overall policy, financial or other constraints. Reproduction of this publication is prohibited unless authorised by Active IQ Ltd. No part of this document should be published elsewhere or reproduced in any form without prior written permission.