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What is the impact of heavy weightlifting and Valsalva maneuver on pregnancy?

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Summary of an article analyzing survey data from females lifting heavily during pregnancy.

Who

679 females who lifted heavy (above 80% of their 1RM) throughout their pregnancy (international).

Design

Online survey.

Outcome measures

questions regarding:

  • urinary incontinence
  • performing Valsalva maneuver during pregnancy
  • performing supine lifting during pregnancy
  • performing Olympic lifts during pregnancy

Main results

What is the impact of heavy weightlifting and Valsalva maneuver on pregnancy? - Infographic

  • Reproductive results of females lifting heavy were better or similar to the general population:
    • complications reported by 34% during pregnancy and 20% after the pregnancy
    • gestational hypertension 3%
    • preeclampsia 3%
    • gestational diabetes mellitus 1%
  • 85% continued heavy weightlifting during pregnancy until delivery with 24% maintaining the same levels
  • 72% engaged in Olympic weightlifting and 71% in supine (laying on the back) weightlifting, 34% performed Valsalva maneuvers
  • those who maintained pre-pregnancy levels of training until delivery reported significantly fewer pregnancy and delivery complications in comparison to those who reduced their training
  • urinary incontinence was experienced by 37% during pregnancy. Those who experienced urinary incontinence had lower 1RMs on some lifts but were not different (in training volume, engagement in Olympic lifting, Valsalva maneuver, or supine weightlifting) than the ones who did not experience urinary incontinence
  • 65% spoke to their healthcare provider about weightlifting during pregnancy, and 61% were advised to continue heavy lifting with modification. Other sources of information included:
    • pelvic floor physiotherapist 51%
    • the internet 39%
    • their coach 27%
  • 89% returned to weightlifting on average 3.15±3 months after delivery. Reasons for not returning were:
    • needing additional time to recover 40%
    • not wanting to return 4%
    • no time 23%
  • those who engaged in Olympic weightlifting, Valsalva maneuver, and supine weightlifting during pregnancy were more likely to return to weightlifting and did it faster.

Take home message

For a clinician & coach
Heavy weightlifting, Valsalva maneuver, and supine weightlifting during pregnancy seem to have a positive or neutral effect on reproductive, health, and athletic outcomes in females who did those before falling pregnant. Healthcare providers (65%) and pelvic floor physiotherapists (51%) were the most common sources of advice about weightlifting during pregnancy.
For a parent
Heavy weightlifting, Valsalva maneuver, and supine weightlifting during pregnancy seem to have a positive or neutral effect on reproductive, health, and athletic outcomes in females who did those before Pregnancy.
For an athlete
Heavy weightlifting, Valsalva maneuver, and supine weightlifting during pregnancy seem to have a positive or neutral effect on reproductive, health and athletic outcomes in females who did those before pregnancy.

Interview with the author of the original article

Christina Prevett is an orthopaedic and pelvic floor physiotherapist with PhD in exercise & aging. As a lifter, coach and mum herself she created @thebarbellmamas - an online programming for pregnant & postpartum CrossFitters, powerlifters & weightlifters. We talk about the influence of heavy weightlifting on pregnancy and postpartum outcomes for a mother and a baby.

Original article

Prevett C, Kimber ML, Forner L, de Vivo M, Davenport MH. Impact of heavy resistance training on pregnancy and postpartum health outcomes. International Urogynecology Journal. 2022 Nov 4:1-7.

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