Many dedicated Pilates enthusiasts wonder if they can continue their program throughout their pregnancy. Since the answer to this question depends on a variety of factors, Pilates instructors consider each student on a case-by-case basis, or modify the program to suit their client's needs. Some organizations now offer prenatal Pilates certification programs and others have prenatal Pilates specialty tracks.
Pilates and Pregnancy
During pregnancy, women's abdominal muscles stretch to more than 50 percent of their natural length, says physical therapist and Pilates instructor Debbi Goodman. In an article on the Pilates-Pro.com website, Goodman explains that Pilates abdominal training might help support the growing uterus, but certain exercises, such as those performed supine, might cause or worsen an existing abdominal muscle split, or diastasis recti. Pilates certification programs teach instructors how to modify supine abdominal exercises for their pregnant client. Flexibility is another important concern for prenatal Pilates instructors. During pregnancy, the body secretes a hormone called relaxin, which relaxes the pelvic muscles for the birthing process. The secretion is often systemic, leaving the joints and muscles hyper-flexible and unstable. While some stretching exercises alleviate stress and enhance overall relaxation, instructors must avoid overstretching their pregnant clients.
Balanced Body
Balanced Body manufactures Pilates equipment and offers instructor training and education programs, and is the only organization that has a prenatal and postnatal Pilates instructor certification program. The 22-hour, three-day course covers prenatal, postnatal and Pilates applications for the pelvic floor. Applicants must have a basic knowledge of anatomy and physiology, Pilates or fitness certification, and at least two years of teaching experience. Balanced Body holds these courses throughout the year at various locations throughout North America.
Stott Pilates
Toronto-based Stott Pilates has a specialty track in prenatal and postnatal Pilates. Nine courses comprise the program and you must complete at least eight of them to earn the Stott Pilates prenatal and postnatal specialist distinction. Only Stott-certified instructors are eligible for the specialist status, but anyone can take the courses. Classes focus on prenatal mat, reformer, chair and stability ball and band exercises. Stott also developed an angular ramp called the edge, which facilitates abdominal exercise without putting the client in the supine position.
Legal Issues
A variety of environmental and pre-existing factors can cause a miscarriage or a problem pregnancy. While exercise might not be the cause, some clients might hold their Pilates instructor libel. If you work at a facility, you might be covered under its insurance, but independent prenatal Pilates instructors should purchase their own liability coverage.
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