1. Presentation title (Date) Presentation Title Presentation title (Date) Ante Post Natal

2. Presentation title (Date) Course Details 2 day course Attendance between 09.00-17.00 Optional tutorials between17.00-17.30 Theory & Practical sessions Training kit needed

3. Presentation title (Date) Certification Lifetime Industry award Assessment – Theory Paper and case study CPD credits for attendance 20cpd Recognised by the Exercise register

4. Presentation title (Date) Pre-requisites Advanced Fitness instructor REPs level 3 –Containing knowledge of programming

5. Presentation title (Date) Assessment Theory assessment: Theory paper multiple choice & true/false responses 60 mins 70% pass mark Internally assessed Case study 30 mins

6. Presentation title (Date) Presentation Title Presentation title (Date) Understanding the pregnancy period Is Exercise beneficial?

7. Presentation title (Date) Lesson objectives Identify common myths surrounding the do’s and don’ts in pregnancy Identify the potential benefits and risks (to the mother and baby) associated with exercise during the ante natal period Explain the different stages and symptoms of pregnancy period

8. Presentation title (Date) Activity 1 In pairs consider: Do’s and Don’ts during pregnancy Any myths you have heard of Note down a minimum of 6 5 minutes to complete

9. Presentation title (Date) Common Myths Do not exercise within first 12 weeks Do not exercise on back Exercise for no longer than 15 minutes Running is contraindicated Exercise causes low birth weight babies Do not do strength training Eat all you want during pregnancy Vigorous exercise causes miscarriage Maintain training heart rate under 140 bpm No abdominal work should be done throughout pregnancy

10. Presentation title (Date) Activity 2 What are the benefits of exercising during pregnancy? Think about the mother and baby

11. Presentation title (Date) Benefits of Exercise Helps to promote healthy lifestyle habits Alleviates many symptoms of pregnancy Increases self-esteem & feelings of well-being Increases endurance levels for labour May decrease the time spent in active phase of labour May involve less obstetric interventions

12. Presentation title (Date) Benefits of Exercise cont... Can help reduce stress and pain in labour Improved recovery from labour Can prevent stress incontinence Quicker return to pre-pregnancy weight, strength & flexibility level Increased confidence for labour Curbs excessive weight gain

13. Presentation title (Date) Concerns with Exercise Is there a higher risk of a miscarriage? Blood flow and oxygen delivery to the baby reduced High impact activities wrap the umbilical cord around the baby? Waters will break with too much exercise? Strong abdominal and pelvic floor muscles will extend labour or require forceps? Returning to exercise too early will damage abdominal wall or internal organs?

14. Presentation title (Date) Activity 3 Barriers to ante natal exercise Discuss the barriers to exercising during pregnancy with the group and your tutor List ways to overcome these barriers 10 mins

15. Presentation title (Date) Barriers to ante natal exercise Lack of knowledge (medical and gym) Fear Time available Pregnancy symptoms Physical barriers Medical advice

16. Presentation title (Date) Don’t ask, don’t tell

17. Presentation title (Date) The 3 Trimesters 1st Trimester (roughly 0-3 months) 1-12 weeks 2nd Trimester (roughly 3-6 months) 13-25 weeks 3rd Trimester (roughly 6-9 months) 26-42 weeks

18. Presentation title (Date) First Trimester Increased fatigue Breast changes Sickness Urination Headaches Constipation Bloating Cramps

19. Presentation title (Date) Wonders of Early Pregnancy

20. Presentation title (Date) Second Trimester Forgetfulness Wind Heartburn Lower abdominal/groin pain Nasal congestion Nosebleeds and bleeding gums Skin changes

21. Presentation title (Date) Third Trimester Accidents and falls Braxton Hicks contractions Carpel tunnel syndrome Fatigue Piles Insomnia

22. Presentation title (Date) Summary There are many do’s and don’ts during pregnancy Many of the original concerns are unnecessary due to the adaptations that take place There are many benefits to exercising during pregnancy provided the programme is suitable, and frequently monitored Pregnancy is split into 3 roughly equal trimesters.