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" What of women who have been decidedly unathletic
before and up to the time they became pregnant, i.e., who
have either not taken part in games and sports at all or only
occasionally and whose proficiency is slight ? I should
forbid all physical exercises till the third month is past;
then, from the third to the sixth month, gentle exercises
involving the whole body, to be followed, after the sixth
month, by arm and leg exercises only. In this manner, we
shall succeed in keeping the maternal body supple, and
in strengthening the particular muscles which are called
on to bear the weight of pregnancy, while avoiding undue
constriction of those regions which should be flexible and
yielding."
Should exercises of the pelvic floor be continued during
pregnancy ? I think the answer must be to make a definite
distinction between indirect exercises—in which the pelvic
floor is affected secondarily, as it were, by the exertion of
other groups of muscles—and direct exercises, which affect
the perineal and vaginal groups alone. As an example of the
indirect group we may take ga (Figs. A and B). Anyone who
gives the first illustration even a moment's attention will
understand that the contraction of the abdomen involved
in this exercise rules it out for the greater part of gestation.
And this becomes particularly evident when we read the
letterpress and realise that the trunk should be dropped
loosely, that is, that the pressure and contraction of the
abdomen is sudden and not gradual. Such a type of exercise
could only be recommended in the early months, and then
only to women who have considerable gymnastic proficiency,
and no constitutional tendency to uterine haemorrhage, etc.
And these precautions amount to a veto, for there must be
so many restrictions and so much care that it is best to
rule out Exercise ga for the pregnant woman, not because the
pelvic floor is drawn taut, but because of the manner in which
tension and relaxation are affected therein.
This gives the key to the advisability or the reverse of
other indirect perineal exercises for the expectant mother.
What are the precise movements of the rest of the body by