pre/postnatal instructor training

Building a Global Team of Teachers for Healthy Pregnancy, Birth & Baby

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Danc­ing Thru Preg­nancy®, Inc.

Women’s Health & Fit­ness Pro­grams
found­ed 1979
MISSION STATEMENT
Many impor­tant health issues for girls and women involve mat­ters of repro­duc­tive
health, child­bear­ing, fer­til­ity and aging. Research informs us that an active, healthy
lifestyle pro­vides a num­ber of ben­e­fits through­out a woman’s life span:

  • reduced dis­com­forts from preg­nancy, labor, birth, recov­ery & menopause
  • reduced risk of hyper­ten­sive dis­or­ders of preg­nancy and pre­ma­ture birth
  • poten­tially short­er active labor and reduced risk of cesare­an deliv­ery
  • more rapid return to joy­ful activ­i­ties, less excess weight fol­low­ing birth
  • moth­er-infant inter­ac­tion, lead­ing to infant psy­chomo­tor enhance­ment
  • reduced rates of obe­sity, car­dio­vas­cu­lar dis­ease, and type 2 dia­betes
  • reduc­tion of some can­cers, osteo­poro­sis, falls and loss of mus­cle mass
  • improved social sup­port, net­work­ing and stress man­age­ment skills
  • greater belief in one’s abil­ity to be strong and capa­ble (self-effi­ca­cy)

DTP Guest Blog — Healthy Start Brooklyn

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Healthy Start Brook­lyn (HSB) recent­ly added Danc­ing Thru Preg­nan­cy to its ser­vices with ter­rif­ic results. Find out more about HSB at http://fphny.org/programs/giving-brooklyn-families-a-healthy-start. This blog describes how DTP became a part of the pro­gram.

DTP: When did you first work or study with DTP?
HSB: We first dis­cov­ered DTP in 2011 while research­ing evi­dence-based exer­cise pro­grams for preg­nant women. DTP was exact­ly what we were look­ing for! So in Jan­u­ary of 2012, Healthy Start Brook­lyn trained three for­mer clients and one staff mem­ber to teach free DTP class­es to low-income preg­nant women in Cen­tral Brook­lyn. It took some time for us to get the pro­gram up and run­ning, but we have been offer­ing class­es since March of this year and they have been con­tin­u­ing suc­cess­ful­ly ever since.

DTP: Describe the focus or mis­sion of your work.
HSB: Healthy Start Brook­lyn is a fed­er­al­ly fund­ed pro­gram that seeks to improve the health and well­ness of women, infants and fam­i­lies in Cen­tral Brook­lyn. Rates of infant death, pre­ma­ture birth and ill­ness in the neigh­bor­hoods of Bed­ford-Stuyvesant, Brownsville, Bush­wick, East New York, and Flat­bush are far high­er than else­where in New York City and the U.S. as a whole. HSB pro­vides sup­port ser­vices, edu­ca­tion and train­ing to reduce these inequal­i­ties and improve the lives of Cen­tral Brook­lyn res­i­dents. Our DTP class­es, as with our child­birth edu­ca­tion and doula pro­grams, are aimed at try­ing to offer our clients free ser­vices that are avail­able to more afflu­ent women to help off­set some these inequal­i­ties that can have a neg­a­tive impact on birth out­comes.

DTP: What do you most enjoy about your work?
HSB: We enjoy see­ing our clients com­ing back to class every week. Some of them have very lit­tle sup­port sys­tems in their lives, and it is extreme­ly reward­ing to see them par­tic­i­pate in class each week and stay after class to talk to each oth­er and share sto­ries. It is our hope that the class not only pos­i­tive­ly affects their phys­i­cal health, but also their men­tal health as well, serv­ing as a place where they can de-stress and social­ize with oth­er women in sim­i­lar sit­u­a­tions. We also real­ly enjoy receiv­ing pic­tures of the babies that our class had some part in help­ing enter the world healthy!

DTP: What is the most impor­tant or inter­est­ing thing you have learned from work­ing with moms, moms-to-be, or oth­er women clients?
HSB: Preg­nant women can move! In the begin­ning, we were ner­vous about mak­ing our class rou­tines too high inten­si­ty for some of the women who were fur­ther along in their preg­nan­cies. We were sur­prised to find that they could all keep up and were even request­ing the high­er inten­si­ty rou­tines.

To learn more and see more pho­tos, go to the DTP Blog:

http://dancingthrupregnancy.wordpress.com/

DTP Offspring – Renee Crichlow: REAC Fitness

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In Part 4 of our con­tin­u­ing series on DTP’s off­spring, meet Renee Crichlow, ACSM Cer­ti­fied Per­son­al Train­er from Bar­ba­dos, whose REAC Fit­ness busi­ness includes Mum-me 2 B Fit­ness Series (pre­na­tal), After Baby Fit­ness Series (post­na­tal) and 6 week Jump­start Body Trans­for­ma­tion Pro­gram (gen­er­al female pop­u­la­tion).

See pho­tos and read more about Renee’s busi­ness on the DTP Blog here. The adven­tures of one of her stu­dents is fea­tured in a recent series of arti­cles in Bar­ba­dos Today.

Renee is a women’s fit­ness spe­cial­ist, tar­get­ing all stages of a woman’s life cycle from ado­les­cent, child bear­ing years, pre­na­tal, post­na­tal to menopause. I design var­i­ous exer­cise pro­grammes to help women get into shape. As a train­er, friend and coach, I am com­mit­ted to guid­ing, moti­vat­ing and edu­cat­ing women to exceed their fit­ness goals and to per­ma­nent­ly adopt healthy lifestyles. She start­ed study­ing with DTP in March 2012 and com­plet­ed the practicum in May 2012.

I most enjoy the good feel­ing asso­ci­at­ed with know­ing that I am help­ing women to pos­i­tive­ly change their lives through exer­cise. I have learned that we are con­nect­ed and not sep­a­rate from each oth­er. Shar­ing our chal­lenges and tri­umphs enable each of us to grow and have a sense of belong­ing like a sis­ter­hood. The baby and preg­nan­cy sto­ries always amaze me and I learn a lot con­sid­er­ing I don’t have chil­dren of my own.  I am also fas­ci­nat­ed by the fact that as the preg­nant mum­mies bel­lies grow, they are still mov­ing with lots of ener­gy and I feed off of that ener­gy.  I just love work­ing with preg­nant ladies and moth­ers.

Birth of Pregnancy Exercise: Evolution of DTP

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Some­times it is fun to look back at the long road to the present! Recent­ly, I was inter­viewed by our local online media out­let (the Bran­ford CT Patch) and was real­ly thrilled with the result­ing sto­ry. It focused on the 30 year road of DTP and I thought you might find it inter­est­ing.

Here is the link to the sto­ry and the sub­ti­tle:

http://branford.patch.com/articles/ann-cowlin-a-prenatal-fitness-pioneer-celebrates-30-years-of-work

What start­ed as a “fledg­ling exper­i­ment” has become one Bran­ford woman’s life work.

Thank you for tak­ing a look!

Still look­ing for new ways to devel­op core strength & coor­di­na­tion for new moms…start with the pos­ture on the left (inhale) and move to the one on the right (exhale). Keep the trans­verse abdom­i­nal sucked in. Repeat.…

Pregnancy Exercise Safety

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This post is adapt­ed from the 3/17/11 DTP Blog on Preg­nan­cy Exer­cise Safe­ty. For more evi­dence-based infor­ma­tion on Pre/postnatal Health & Fit­ness, check out the DTP Blog. The Blog includes infor­ma­tion start­ing pri­or to con­cep­tion and con­tin­u­ing through post­par­tum and mom-baby fit­ness.

There are three sec­tions to this post: 1) moms-to-be, 2) preg­nan­cy fit­ness teach­ers and per­son­al train­ers and 3) some spe­cif­ic con­traindi­cat­ed and adapt­ed exer­cis­es. All infor­ma­tion pre­sent­ed is based on peer-review research and evi­dence col­lect­ed over a 30 year peri­od of work­ing with this pop­u­la­tion. More infor­ma­tion on safe­ty can be found on this site on the page Ben­e­fits, Safe­ty & Guide­lines.

1) Safety & Exercise Guidelines for Moms-To-Be

First and fore­most, be safe. Trust your body. Make sure your teacher or train­er is cer­ti­fied by an estab­lished orga­ni­za­tion that spe­cial­izes in pre/postnatal exer­cise, has worked under mas­ter teach­ers dur­ing her prepa­ra­tion, and can answer or get answers to your ques­tions.

These are the safe­ty prin­ci­ples that we sug­gest to our par­tic­i­pants:

  • get prop­er screen­ing from your health care provider
  • pro­tect your­self
  • do not over­reach your abil­i­ties
  • you are respon­si­ble for your body (and its con­tents)

Squat­ting is an exam­ple of a stan­dard preg­nan­cy exer­cise used for child­birth prepa­ra­tion that must be adapt­ed by each indi­vid­ual based on body pro­por­tions, flex­i­bil­i­ty, strength and com­fort.

Don’t assume that because your teacher and some par­tic­i­pants can do a cer­tain move­ment or posi­tion that you should be able to do it just like they do. If your teacher is well trained, she will be able to help you select vari­a­tions that are appro­pri­ate for your body.

When you are exer­cis­ing, make sure you are get­ting the most from your activ­i­ty. Keep these find­ings in mind when choos­ing your work­out rou­tine:

  • Aer­o­bics and strength train­ing pro­vide the great­est health ben­e­fits, reduce the risk for some inter­ven­tions in labor, help short­en labor, and reduce recov­ery time
  • Cen­ter­ing helps to pre­vent injury; relax­ation and deep breath­ing reduce stress; and mild stretch­ing can relieve some dis­com­forts
  • Avoid fatigue and over-train­ing; do reg­u­lar exer­cise 3 — 5 times a week
  • Eat small meals many times a day (200–300 calo­ries every 2–3 hours
  • Drink at least 8 cups of water every day
  • Avoid hot, humid places
  • Wear good shoes dur­ing aer­o­bic activ­i­ties
  • BE CAREFUL! LISTEN TO YOUR BODY!

If you expe­ri­ence any of the fol­low­ing symp­toms, stop exer­cis­ing and call your health care provider:

  • Sud­den pelvic or vagi­nal pain
  • Exces­sive fatigue
  • Dizzi­ness or short­ness of breath
  • Leak­ing flu­id or bleed­ing from the vagi­na
  • Reg­u­lar con­trac­tions, 4 or more per hour
  • Increased heart­beat while rest­ing
  • Sud­den abnor­mal decrease in fetal move­ment (note: it is com­plete­ly nor­mal for baby’s move­ments to decrease slight­ly dur­ing exer­cise)

2) Safety & Exercise Guidelines for Teachers & Trainers

A prin­ci­ple of prac­tice that increas­es in impor­tance for fit­ness pro­fes­sion­als work­ing with preg­nant women is hav­ing the knowl­edge and skills to artic­u­late the ratio­nale and safe­ty guide­lines for every move­ment she asks clients to per­form.

This goal requires adher­ence to safe­ty as the num­ber one pri­or­i­ty. Here is how we delin­eate safe­ty and the pro­ce­dures we require of our instruc­tors for achiev­ing safe­ty in prac­tice:

First priority: safety [First, do no harm]
  • some­times med­ical con­di­tions pre­clude exer­cise
  • find an appro­pri­ate start­ing point for each indi­vid­ual
  • indi­vid­ual tol­er­ances affect mod­i­fi­ca­tion
  • gen­er­al safe­ty guide­lines are phys­i­cal
  • preg­nant women also need psy­cho­log­i­cal safe­ty
Mind-Body Safety Procedures
  • Cen­ter­ing enhances move­ment effi­cien­cy and safe­ty.
  • Always begin with cen­ter­ing.
Strength Training Cautions
  • avoid Val­sal­va maneu­ver
  • avoid free weights after mid preg­nan­cy (open chain; con­trol issue)
  • avoid supine after 1st trimester
  • avoid semi-recum­bent 3rd trimester
  • keep in mind the com­mon joint dis­place­ments, and nerve and blood ves­sel entrap­ment when design­ing spe­cif­ic exer­cis­es
Aerobics or Cardiovascular Conditioning Procedures
  • Mon­i­tor for safe­ty
  • Instruc­tion­al style needs to be appro­pri­ate.
  • Walk­ing steps with nat­ur­al ges­tures can be done through­out preg­nan­cy
  • Vig­or­ous steps with large ges­tures are more intense, appro­pri­ate as fit­ness increas­es
  • The abil­i­ty to cre­ate move­ment that will be safe and work for var­i­ous lev­els of fit­ness and at dif­fer­ent points in preg­nan­cy is one of the most crit­i­cal skills for preg­nan­cy fit­ness instruc­tors.
Venue Safety
  • Set­ting should pro­vide phys­i­cal and emo­tion­al safe­ty
    Equip­ment must be well-main­tained

3) Contraindicated and adapted exercises

Exer­cis­es for which case stud­ies and research have shown that there are seri­ous med­ical issues include the “down dog” posi­tion, rest­ing on the back after the 4th month, and abdom­i­nal crunch­es and oblique exer­cis­es. Here is more infor­ma­tion and adap­ta­tion sug­ges­tions:

Con­traindi­cat­ed: “Down Dog” requires that the pelvic floor and vagi­nal area are quite stretched, bring­ing porous blood ves­sels at the sur­face of the vagi­na close to air. There are records of air enter­ing the vagi­nal blood ves­sels in this posi­tion and mov­ing to the heart as a fatal air embolism.

Adap­ta­tion: Use the child’s pose, with the seat down rest­ing on the heels and the elbows on the ground, hands one on top of the oth­er, and fore­head rest­ing on the hands. Keep the heart above the pelvis.

_________

Con­traindi­cat­ed: Rest­ing on the back dur­ing relax­ation.

Adap­ta­tion: Rest in the side-lying posi­tion. About 75% pre­fer the left side, 25% pre­fer the right side.

_________

Con­traindi­cat­ed: Abdom­i­nal crunch­es and oblique exer­cis­es can con­tribute to dias­ta­sis rec­ti in some women. The trans­verse abdom­i­nal mus­cle is not always able to main­tain ver­ti­cal integri­ty at the lin­ea alba, and thus there is tear­ing and/or plas­tic­i­ty of that cen­tral con­nec­tive tis­sue.

Adap­ta­tion: Splint­ing with curl-downs, see posi­tions below. By press­ing the sides of the abdomen toward the cen­ter, women can con­tin­ue to strength­en the trans­verse abdom­i­nals with­out the shear­ing forces that place lat­er­al pres­sure on the lin­ea alba.

Curl-downs are gen­er­al­ly the safest and most effec­tive abdom­i­nal stren­then­ing exer­cise.

Splint by cross­ing arms and pulling toward cen­ter (L)

Or, splint by plac­ing hands at sides and press­ing toward cen­ter ®

Buy the Book!

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Recent­ly, we have expe­ri­enced grow­ing inter­est in infor­ma­tion includ­ed in the text­book, Women’s Fit­ness Pro­gram Devel­op­ment. So, we decid­ed that site read­ers might want to pur­chase this text if they are seri­ous­ly inter­est­ed in sub­jects per­tain­ing to women’s health fit­ness. The book opens with a chap­ter on how women dif­fer from men in their phys­i­cal, men­tal, emo­tion­al and social devel­op­ment and how these dif­fer­ences affect our moti­va­tion to be active. Sec­tions on ado­les­cence, preg­nan­cy, the post­par­tum peri­od and menopause explain what hap­pens dur­ing these crit­i­cal and unique­ly female life tran­si­tions, what is known about the impact of exer­cise on health dur­ing these times, and how to devel­op effec­tive pro­gram­ming for these pop­u­la­tions. It is avail­able through the pub­lish­er, Human Kinet­ics, or through Ama­zon or Barnes & Noble.

CDC Fitness Guidelines Include Pregnancy

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Recent CDC Guide­lines on Exer­cise for the gen­er­al pop­u­la­tion include preg­nant and post­par­tum women. Spe­cif­ic infor­ma­tion for preg­nant women is includ­ed at this URL:

http://www.cdc.gov/physicalactivity/everyone/guidelines/pregnancy.html

James Pivarnik, PhD, pres­i­dent of the Amer­i­can Col­lege of Sports Med­i­cine has released a Med­scape video for health care providers encour­ag­ing them to be aware of the fact that the CDC con­sid­ers a min­i­mum of 150 min­utes per week of mod­er­ate activ­i­ty (or 75 min­utes of vig­or­ous activ­i­ty for ath­let­ic women, or a com­bi­na­tion of inten­si­ty for fit women) to be impor­tant for preg­nant women, along with the gen­er­al pop­u­la­tion.

DTP’s Total Preg­nan­cy Fit­ness instruc­tors learn how to com­bine activ­i­ties so that women receive an ade­quate amount of exer­cise each week dur­ing their preg­nan­cy. To find out about becom­ing a teacher, click on Become a Teacher above.

Value of Postpartum Fitness

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Here are two important facts regarding physical activity following birth:

1. Women who return to vig­or­ous (vig­or­ous, as in jog­ging or aer­o­bic dance) pri­or to six weeks post­par­tum…

  • have less weight to lose
  • expe­ri­ence a more joy­ful state of mind
  • do bet­ter on the Led­er­man Mater­nal Adap­ta­tion scales (how well they adapt to moth­er­hood)

…than women who are seden­tary dur­ing this peri­od (Sampselle, 1999…this is not new infor­ma­tion)

2. Post­par­tum obe­si­ty is a dan­ger­ous short and long term health risk (Led­dy, 2008).

Who should exercise and when, following birth?

Day 1: If you have a vagi­nal birth, begin your “body scan” the first chance you get. With­in the first day, the first chance you get to focus on your­self, take a men­tal trip through your body. See if you can squeeze the kegel mus­cles. Try exhal­ing and suck­ing in your deep abdom­i­nal mus­cles. Note if your shoul­ders need to relax. Take some deep breathes and begin to help your body recov­er.

If you had a cesare­an: Wait a few days to 2 weeks at most to work on this.

After that: As soon as you can, get up and walk around. Start walk­ing in 5 or 10 minute strolls sev­er­al times a day (ask some­one to hold or watch baby so you can allow your body to recov­er a non-preg­nant upright). If you had a cesare­an, hold a pil­low to your abdomen until you have con­trol of your abdom­i­nal mus­cles and stand tall.

How can you get more information on this?

Go to our web­site:

http://dancingthrupregnancy.com/take-a-class/postpartum-exercise/

Find a class. If you had a typ­i­cal birth and your baby has been slow­ly and safe­ly exposed to new peo­ple, by four to six weeks you and baby should be ready for a struc­tured activ­i­ty ses­sion that includes baby. It will also pro­vide focus and adult inter­ac­tion dur­ing the week.

You have to teach your abdomen to be flat.
How do you know if you did too much?

Your lochia, or the bleeding/discharge from the pla­cen­tal site, will increase if you have been too vig­or­ous. If you are healthy and have no ane­mia issues, your lochia will like­ly cease by three to four weeks, six at most.

What are safety issues?

Don’t exer­cise if you have a fever, a warm red spot on your leg that may be painful (or not), or sore nip­ples that need atten­tion. Call your care provider. If you or your baby are sick, it is best not to go into a group set­ting. If your baby is not well or just doesn’t seem right, call your pedi­a­tri­cian.

The most important reason to join a mom-baby fitness program may be that it will help keep you sane.

Classes, Training, Consulting

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Teach­ers learn hands-on skills for improv­ing pos­ture and mechan­ics.

Instruc­tors all over the globe have par­tic­i­pat­ed in our train­ing pro­grams and offer a vari­ety of class­es or per­son­al train­ing at their own loca­tions. The Take A Class tab will help you find instruc­tors near­est to you. Even if they are not close enough for you to attend their pro­grams, they may be able to help you find some­one local who has expe­ri­ence in the field.

Qual­i­fied indi­vid­u­als wish­ing to run their own pro­grams, obtain fur­ther edu­ca­tion in the field, or even offer our Total Preg­nan­cy Fit­ness™ or Danc­ing Thru Preg­nan­cy® pro­grams, are encour­aged to apply to become a teacher or licensee. We can help you deter­mine if this is field is a good fit for you, train you to offer our pro­grams, or help you devel­op your own.

Welcome!

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