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Pace (Don't Race) Your Heart

Understand Heart Rate & Rate of Exertion
-- By Sara Hambidge, Physical Therapist

A common concern for women exercising during pregnancy is how hard to work. You've probably heard you should keep your heart rate at 140 beats per minute (bpm) maximum to prevent any undue stress to the baby. But in 1994, the American College of Obstetrics and Gynecology (ACOG) lifted the restriction on intensity and duration for exercise because there was no evidence that a heart rate greater than 140 beats per minute caused harmful effects for the baby.

This doesn't mean of course that you can exercise with reckless abandon, but it's good news to those who hit 140 bpm just walking up stairs. Many experts now believe it's best to follow the philosophy of "rate of perceived exertion," which basically involves exercising at a level that allows you to carry on a conversation. This level is different for every woman, based on your level of fitness before pregnancy, your age, and your resting heart rate.

During pregnancy your resting heart rate increases, so using 140 bpm as a baseline may not be the best way to measure your level of maximum intensity. Other changes during pregnancy that affect your fitness level are a possible decrease in blood pressure, along with an increased ability for the body to transport oxygen to the fetus as well as the muscles you're exercising. In fact, the cardiorespiratory changes in some women can allow for increased exercise performance after delivery-- just another reason why moderate exercise done throughout pregnancy is beneficial.


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Member Comments About this Article
"This is great! When I was pregnant with my first child, I tried to do the 140 bpm and was not able to get a good workout. You know how you want o be extra cautious, especially with the first! Then, with my second pregnancy, I had been jogging before I knew I was pregnant, so I just kept it up. It worked out great, I stopped jogging at 27 weeks, but kept walking that same distance, until birth. With my first pregnancy I feel that I gained extra weight since I did not exert as much energy. Glad th..." -- SHAREBEAR042001
"I am so glad to finally see someone giving advise based on CURRENT research. The 140 BPM was an experiment done in the 80's on an animal and does not take into consideration the many physiological differences that humans have during pregnancy." -- ATHERIANOS
"Discuss your health history with your medical provider to find out if you have any fitness restrictions during this pregnancy." -- SAMANTHABABYFIT
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About The Author
Sara Hambidge
Sara, a graduate of Saint Louis University's Physical Therapy Program, practices at a sports medicine clinic in Cincinnati. A certified prenatal and postpartum exercise instructor, Sara is also a proud mother of one.
Sara Hambidge

 


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