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Sent 1:00pm, April 18, 2008

personal trainingPrevious FitBit  Next FitBit  |  FitBits Archive

Post-Partum Medical Issues

By Jim Bell, PhD, CEO IFPA

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"The doctor of the future will give no medication, but will interest his patients in the care of the human frame, in diet, and in the cause and prevention of disease."

- Thomas Alva Edison

 

This is the third part of the 04/04/08 FitBit.

The inventions of Thomas Edison (light bulb, phonograph, etc.) proved that he was the most prolific inventor of all time, but his very wise words predicting the future have not yet come to pass.  Fitness professionals hold the key to unlocking a wonderful future for all mankind, but have yet to execute the knowledge, skills and abilities they have learned to affect the parts of the population that need the help the most.  All of us in the fitness industry must rededicate ourselves to turning our knowledge into action, for as Mr. Edison predicted, fitness and nutrients are the foundation of a healthier, happier life and the cure for over 80% of the disease, disabilities and dysfunctions that afflict the American people.

The last two FitBits addressed the fitness needs of pregnant women.  This FitBit addresses post-partum fitness issues.  Many women will develop their initial desires for fitness and leading a healthy lifestyle when they discover they are pregnant and about to be responsible for bringing new life into the world.  Your ability to safely and effectively develop exercise programming during this phase of a womans life may be responsible for her lifelong commitment to fitness, not only for herself, but her family as well.  The precise knowledge, skills and abilities necessary for the IFPA Certified Personal Fitness Trainer to manage the pregnancy exercise prescription can be mastered through the IFPA Womens Fitness Specialist Certification Course.

The post-partum woman who is fit, maintained some level of fitness through pregnancy, and able to work on abdominals and pelvic floor muscles and are walking easily in the first few weeks are ready to begin an exercise regimen by week six.  They should be advised to avoid fatigue or discomfort.  Personal training sessions or specialized post-partum classes are ideal for entry into fitness programs.

It is essential that the woman receive clearance from her doctor before beginning an exercise program.  The doctor will check that lochia (uterus discharge) has ceased or nearly ceased and walking a mile should not increase flow the next day and there should be no bright red blood.

An episiotomy should be healed sufficiently and should present little or no discomfort and no infection.  If the woman had a Caesarean birth, the closing must be sufficiently healed with no sign of infection.  The womans pelvic relaxation should have lessened and there should not be any stress incontinence due to muscle laxity.  The abdominal walls muscle tone should be sufficient to enable a pain-free tightening of the transversus abdominus by hissing/compressing maneuver.  The doctor will re-evaluate any remaining diastasis to determine readiness to exercise.

The doctor will also evaluate the woman for adequate milk production (in nursing mothers).  The doctor will evaluate any diastasis recti.  If diastasis recti is present, specialized exercise and programming can be incorporated to improve the condition.  Likewise, specialized programming will be needed in the cases of sacroiliac dysfunction, separation of the symphysis pubis, sciatica, broken coccyx, upper-midback and/or low back pain, slow-healing surgical closures, cystocelle, lower limb problems, nerve or muscle damage to the pelvic floor due to surgery, tearing, infection or psychological trauma and potential depression and psychological difficulties.

Exercise prescription can play a critical role in each of these conditions, but extreme care is required that the fitness professional has the requisite knowledge, skills and abilities to safely and effectively manage this very important special population group.

 

Best regards,

Dr. Jim Bell

CEO, IFPA Certified Personal Fitness Trainer

 

______ IFPA NEWS ______

Dr. Jim Bell will be presenting at the 5th Malaysian Conference and Exhibition for Anti-Aging and Aesthetic Medicine.

Date:  May 17th-19th, 2008

Venue:  Shangri-La Hotel Kuala Lumpur, Malaysia

For more info:

Web: www.saaamm.org

Email: info@saaamm.org

 

IFPA Conference in Indonesia!

The IFPA will have special events in Indonesia in October!

October 13-15 in the incredibly beautiful resort area of Nusa Dua, Grand Hyatt Bali, Indonesia

October 17-19 in Jakarta, Indonesia

Not only will these events be outstanding educational events for fitness professionals, but Nusa Dua is truly among the most beautiful sites in all the world.  Contact the IFPA for more information.

For more information on Indonesian events, email: Indonesia@ifpa-fitness.com

or call +62 21 780 2778 (International).

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James T. Bell, PhD. is the founder and CEO of the International Fitness Professionals Association, IFPA.

More Books from Jim Bell, PhD.

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Special Thanks to the IFPA's Sponsors:

Doctors Fitness Centers

Fitness Institute of Technology

VORTEX

SCIFIT

A4M

ACASP

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IFPA Would Like to Thank Our Sponsors:

Doctors Fitness Centers

Fitness Institute of Technology

VORTEX

SCIFIT

A4M

ACASP

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