Essential Pregnancy Questions: Safety, Exercise, and Body Changes - Obstetrics and Gynecology

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Pregnancy FAQs


Hello Doctor, I am currently seven weeks pregnant with my first child and would like to ask the following questions:
1.
Many obstetricians repeatedly emphasize that soaking in hot springs during early pregnancy should be avoided to prevent any impact on fetal development.
However, I soaked in a spa hot tub (approximately 41 degrees Celsius) for about ten minutes during the first month.
Could this have any effects? What is the definition of a hot spring?
2.
I had a habit of exercising extensively before pregnancy.
I have stopped playing badminton but continue dancing and swimming.
Dancing involves a lot of vigorous footwork; is this a concern?
3.
What types of exercises are suitable for strengthening the lower back and core during pregnancy?
4.
Approximately how long into the pregnancy will physical changes begin to occur?
Thank you very much, Doctor, for taking the time to answer my questions.
Wishing you a Happy New Year!

Sharon, 20~29 year old female. Ask Date: 2003/02/05

Dr. Li Guanghan reply Obstetrics and Gynecology


Hello: 1.
Heat has been reported in some research literature to potentially cause abnormal embryonic development, so heat therapy, including soaking or heating, is not advisable.
The higher the temperature, the worse it is.
Soaking at 41 degrees Celsius for about 10 minutes should not have an impact, but it is not recommended to soak during pregnancy.
2.
In the first three months of pregnancy, it is important to rest and take walks.
After three months, swimming is allowed, but dancing is still not recommended.
3.
For back strength training, swimming is a good option, or you can obtain a specialized prenatal exercise education manual designed for pregnant women from an obstetrics and gynecology clinic.
4.
Changes in body shape vary from person to person, with most occurring around 20 weeks.

Reply Date: 2003/02/05

More Info


Congratulations on your pregnancy! It's completely normal to have a lot of questions during this exciting yet sometimes overwhelming time. Let’s address your concerns one by one.

1. Hot Tubs and Spas: Many obstetricians advise against hot tubs and saunas during the first trimester due to the risk of overheating, which can potentially harm fetal development. The concern is that high temperatures can lead to neural tube defects and other developmental issues. If you soaked in a hot tub at around 41 degrees Celsius (approximately 105.8 degrees Fahrenheit) for about ten minutes, it’s advisable to monitor for any unusual symptoms but generally, a one-time exposure is unlikely to cause significant harm. However, it’s best to avoid such activities moving forward. A hot spring is typically defined as a natural body of water heated by geothermal activity, which can also reach high temperatures.

2. Exercise During Pregnancy: It's great that you had an active lifestyle before pregnancy! While it's important to stay active, some activities may need to be modified. Jumping and high-impact movements, like those in dance, can be jarring to your body, especially as your pregnancy progresses. It’s recommended to focus on low-impact exercises such as swimming, walking, or prenatal yoga, which can help maintain fitness without putting undue stress on your body.

3. Strength Training for Back and Core: Maintaining strength in your back and core is crucial during pregnancy to support your growing belly and help with labor. Safe exercises include pelvic tilts, seated leg lifts, and modified planks. Always ensure that you’re using proper form and listen to your body. If you feel any discomfort, it’s best to stop and consult your healthcare provider.

4. Body Changes During Pregnancy: Most women start to notice physical changes around the second trimester, typically between weeks 12 and 16. This can include a growing belly, breast tenderness, and weight gain. However, every woman's body is different, and some may notice changes earlier or later than others.
In summary, while it’s important to stay active and maintain a healthy lifestyle during pregnancy, certain precautions should be taken to ensure both your safety and that of your baby. Always consult with your healthcare provider before making any significant changes to your exercise routine or if you have concerns about activities you've engaged in. They can provide personalized advice based on your health history and pregnancy progression.
Wishing you a healthy and joyful pregnancy journey!

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