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As a lactation consultant, I am often asked this question, how can I shed my postpartum weight or when can I start exercising? My answer is exercise, along with a balanced diet. These two aspects are an essential part of a healthy lifestyle and light to moderate physical activity is safe and beneficial for breastfeeding moms. That’s because it does not affect the amount, taste or composition of your breast milk. Common issues faced by post-natal moms are back pain, bulging stomach, postural changes, weight gain etc. If you’re just starting an exercise program, be sure to start slow.
If the delivery was not complicated and the new mom was exercising till the end of her pregnancy, then soon after delivery, the mother can begin light exercises as well as stretches. The new mother can practise basic core exercises within the first three days post-birth, including isometric abdominals, pelvic floor exercises and gradual back exercises. This can be done along with breathing exercises, ankle movements to ease swollen feet as well as aid circulation.
Start working out for short periods of time, a few days a week and then gradually increase your activity level. Stop exercising if you feel pain or experience palpitations, dizziness, shortness of breath, or an increase in vaginal bleeding. Breastfeed or pump your breast milk, before you begin your work out. Full breasts can make exercising uncomfortable, so wear breast pads if you’re concerned about leaking
As you begin your work out journey, there are a few things to keep in mind. Here are some tips to keep you safe and comfortable:
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The type of activity you choose is as important as the time you spend working at it. If you’re just starting an exercise program, be sure to start slow. And, if you are unsure that an exercise is safe or not, you can call your doctor’s office. Here are a few safe and easy ways to get started.
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Although a light to moderate fitness program is safe and healthy, vigorous exercise can lead to a breast infection and cause a decrease in your breast milk supply. It can also change the taste of your breast milk. Strenuous exercise can cause lactic acid to build up in your body and enter your breast milk, giving your usually sweet milk a bitter taste. Sweat can also change the taste of breast milk, making the breasts taste salty. Some babies are not bothered by these changes, but others may refuse to breastfeed.
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There are many benefits to exercise. It’s good for your circulation, muscles, strength, and even your mood. Here are some of the ways working out benefits breastfeeding moms:
Research has not shown a noticeable increase in lactic acid build-up after moderate exercise (50% & 75% intensity). The lactic acid in breast milk does increase somewhat, if mom exercises to maximum (100%) intensity, also described as exhaustive exercise. This increase may be present up to 90 minutes post-exercise. There are no known harmful effects for the baby.
Most studies have found no difference in acceptance of the breast, even after maximum intensity exercise. Although a highly publicized study indicated that baby might fuss or refuse expressed milk from a mom who had been exercising at 100% intensity, the results were questionable because the babies were fed the milk by dropper (unfamiliar to these babies), and the mothers reported that the babies had not had problems with nursing after exercise in the past.
A more recent study showed no change in infants’ acceptable of mom’s milk an hour after exercise, even for the moms who exercised at maximum intensity (and thus did have a slight increase in lactic acid in their milk). If a baby seems to object to the taste of mom’s milk after strenuous exercise, keep in mind that it might have nothing to do with the exercise – the baby might be distracted or objecting to the salty taste of sweat on your breast, etc. If this happens consistently, the mom can try to express a little milk (3-5 mL from each breast) before nursing the baby, postponing feeding for a half hour to let the lactic acid levels subside, and/or decreasing workout intensity a bit in the future.
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