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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
"i did the step for 45 minutes through my whole pregnancy and just modified it as i got bigger. My son is 10 years old now and when he was born the doctor said he was the healthiest baby she had ever seen! so go for it...just listen to your body..." -- HERNAMI
"ok 2 weeks before i becamed pregnant i joined a work out place , am fit altough i havent been working out that often, doing 45 mins on th elyptical , precor to be exact or climb master is ok , i dotn feel like dying so i am not inbad shape , but i am puzzled to know what t do i live in bolivia a country w very traditional aproaches when it comes to pregnancy , i want to continue working out i am nto lfting weights just doing my 40 min cardio 6 times a day but is this ok , countless sites say no ..." -- RENEEROMANO
"My doctor said it was actually good for the baby to exercise; so I still do my boot-camp classes; however, I have modified it a bit.. and I remain hydrated by constantly drinking water. Also, I no longer lift heavy weights.. just to be on the safe side." -- NPRATER
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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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