Pregnancy is no doubt a great time. Expectant mother pretty special, shimmering beauty, shining elusive inner clarity and charm. But in addition to peace of mind, every pregnant woman needs bodily comfort. Reach can be simple exercises that must be performed regularly and under the supervision of a personal trainer, a leading gynecologist pregnancy.

So, what is needed pregnant woman gymnastics?

• common types of exercises to prepare the body for future genera: stretch the muscles, strengthen tendons, will give the tone of the skin. In general, say "yes! "Gymnastics, and you do not know what these nasty stretch marks.
• There are special focused on the future mother is physical activities that prepare women for childbirth, train the muscle strength back, abdominals, pelvis; develop joint mobility of the spine and hip joints, ligaments elasticity of the tissues of the perineum. Special training, as well as the total includes the development of endurance - to prepare the woman for a long and painful process of childbirth.
• many occur during pregnancy discomfort - leg cramps, aches in the joints, dizziness Dizziness - if the ground is slipping from under his feet , Back pain Back pain: Do not start the process . Getting rid of them will help moderate exercise.
• gymnastics helps to keep fit, keep the shape of the breast Forms of Breast importantly - immutability , Hips, hands, help the spine to maintain a growing belly and do not forget about posture Posture - a few helpful tips for those who want to walk straight .

Swimming great calms, coached, tones, hardens. Body weight in water is reduced, so it is easier to maintain stability. Tremors in the classroom extinguished with water, the uterus and the fetus are more easily reduced pain and pressure on the joints. Water exercises facilitate the flow of blood to the heart, which is useful when the pressure increases during pregnancy. Due to the outflow of interstitial fluid into the circulatory system, and its subsequent removal through the kidney there is a reduction of edema.

If before pregnancy you go swimming, even more rim on the test will not be a hindrance to your hobby. But at the same time, the good news should not and spodvigaet you to an abrupt change of lifestyle. You do not know how to swim? Pregnancy - not a reason to learn!

Yoga can be a boon for the pregnant woman. Relaxing aimed at peaceful contemplation exercise and philosophy - exactly what you need to the expectant mother. Less, actually, only one - to engage a pregnant woman yoga instructor is desirable, but not all and not always have that opportunity.

Breathing exercises are extremely important. Possession of "correct" breathing will greatly help in the delivery room, the main thing - to train in advance and bring to automaticity tricks not to forget in a stressful situation.

• Training the abdominal type of breathing

Lying on your back, place your hands on your stomach in order to be able to control its movement during breathing. Breathe in through your nose - with the abdominal wall bulges, exhale through the mouth - the abdominal wall is returned to its original position. Breathe slowly and calmly, do not strain. Repeat 10 - 15 times.

• Train thoracic breathing

Lying on his back, hands on hypochondrium. When breathing should feel like moving the ribs increases the volume of the chest cavity. Inhale through the nose, exhale through the mouth. Repeat 10 - 15 times.

• Practice frequent breathing

Lying, lying on the free arm around his neck. Mouth slightly open, breathing shallow and frequent (after the long run).

Gymnastics maturity

There are exercises that should be done early in pregnancy and is not recommended - the later, it is an obvious fact. The common for all periods of gestation have a preference for dynamic exercise static electricity. Pay attention to the breath, to learn to relax certain muscle groups and achieve total relaxation. Classes are useful to complete a shower or a rubdown.

Contraindications

Still, for such a useful gym has its contraindications.

• elevated temperature
• high / low blood pressure
• purulent processes
• problems of the cardiovascular system
• exacerbation of chronic diseases
• toxicosis pregnant (uncontrollable vomiting, edema, nephropathy, pre-eclampsia)
• uterine bleeding during pregnancy
• placenta previa
• polyhydramnios
• habitual miscarriage
• threatened miscarriage
• fatigue and malaise.

Genital herpes during pregnancy is dangerous only when the woman caught him the first time. If the genital herpes was with her, and before pregnancy, as a rule, it is not dangerous for the mother and the fetus itself, safely protected from any adverse effects of fetal membranes and placenta.

Pregnancy and recurrent genital herpes

Many women suffering from recurrent herpes for a long time, I doubt whether they can give birth to a healthy baby. Of course, no good combination of genital herpes in pregnancy is not. However, it was found that in patients with recurrent herpes in women develop antibodies that inhibit the too high activity of infectious agents - herpes simplex virus Herpes simplex - in fact, not so simple   I and II (HSV - HSV I and II). Fetal membranes and placenta reliably protect the child from the virus, so intrauterine infection in the overwhelming number of cases can be avoided.

But the woman have to inform obstetricians and gynecologists that suffers from genital herpes. During pregnancy, the survey is conducted before delivery addressed the issue of whether it is possible for a woman to give birth alone. This is possible only in the case where four weeks before birth in smears from the walls of the cervical canal Cervical canal - the path traversed by every person   HSV is not detected (usually using PCR that detects viral DNA).

If a woman during pregnancy often have recurrences of genital herpes or herpes found on the birth canal a few weeks before delivery, the delivery is best done by Caesarean section, as too great a risk of infection of the fetus during its passage through the birth canal. After a Caesarean section the risk of infection of the child is virtually zero, and later the child is developing normally.

If a woman gives birth alone in the fact that in her birth canal detect the presence of the causative agent of genital herpes, the risk of infection of the child is very large. He can begin a primary herpes, which is in the neonatal period often takes generalizovannnoe for, that is applied to the entire body from the visceral and brain. It's very heavy, difficult to treat disease.

Pregnancy and primary genital herpes

Primary genital herpes during pregnancy is very dangerous. In most cases, if a woman is infected in the first trimester, it is a spontaneous miscarriage Miscarriage - can you protect yourself from it?   due to infection of the fetus. But sometimes infect the fetus can continue to develop - in this case, if the contamination occurred during the bookmark those or other bodies may be the birth of a child with developmental abnormalities. Primary infection danger at any stage of pregnancy, but particularly in the third trimester, after 24 weeks.

When the herpes simplex virus (HSV - I and HSV-II) for the first time enters the body of a pregnant woman, he can get to the fetus, as antibodies that prevent its spread in the body is not. They are produced only after some time. This leads to the development of intrauterine infection of the fetus and the birth of a child or a dead (in most cases), or with severe lesions of the internal organs and the brain. Intrauterine herpes infection is difficult to treat. If a child survives, it remains disabled for life.

But it is not all that bad. Sometimes for the primary manifestations of genital herpes during pregnancy is accepted its recurrence, if earlier, before pregnancy, the disease is asymptomatic. It happens often enough and a herpes usually does not threaten the pregnancy.

Sometimes the herpes virus is detected during pregnancy in the survey, but she claims that she never had this disease before. What to do? Surveyed more detail.

How to distinguish a primary genital herpes recurrence of previously asymptomatic infection?

To do this, a DNA detection of HSV - I and HSV II by PCR little. The analysis for the presence of antibodies in the female body to various types of HSV. During the initial implementation of HSV in the human body in the blood are no antibodies (proteins, immunoglobulins, act aimed at the destruction of a particular antigen, eg, HSV) to this pathogen infection. But after a while they appear. The first two weeks after infection appear immunoglobulin M (IgM - first line of defense) and then after a while the content of IgM is reduced (they are contained in the blood up to four weeks), but there are immunoglobulin G (IgG), the concentration of which increases and persists throughout life - it says about the current stable immunity Immunity - types and characteristics in children in adults .

Determination of blood IgM and IgG antibodies is performed using ELISA (enzyme-linked immunosorbent assay), which may be qualitative and quantitative. With IFA can identify the type of HSV, and the disease is a manifestation of primary or recurrent herpes.

It is this analysis will help the doctor determine the tactics of pregnancy. A doctor or reassure the woman in the case of confirmation of recurrent genital herpes, or explain what is the danger of the state (for confirmation of primary herpes). Management of pregnancy in the latter case shall be elected individually.

Galina Romanenko