Aquanatal cover:Layout 1 14/05/2010 16:59 Page 1 Aquatic Exercise for Pregnancy Contents include: (cid:0) Water generally – aquanatal specifically Aimed at midwives and health and A Aquatic Exercise (cid:0) The anatomy of movement and the fitness professionals, this practical, Q main muscles illustrated resource book covers every U (cid:0) Pool safety – risk assessment and management aspect of one of the most beneficial A (cid:0) Getting the best out of your classes forms of exercise for pregnant mothers. T (cid:0) Aquanatal choreography I C for pregnancy Aquanatal exercise combines the (cid:0) Practical tips for more fun and therapeutic properties of warm water interesting classes E X with suitably chosen music, to create a (cid:0) Contraindicated aquanatal exercises E unique method of exercising. Unlike dry (cid:0) The pelvic floor and aquanatal exercise R land exercise, which tends to work (cid:0) Ethical considerations C specific parts of the body, aquanatal (cid:0) Public health, physical activity and I S exercise gently works the whole body. aquanatal exercise E (cid:0) Aquanatal exercise and parent education F Written by two specialist coaches for the O (cid:0) Nutrition during pregnancy and for Register of Exercise Professionals (UK), physical exercise R who have developed the UK’s first level (cid:0) The law and aquanatal exercise P 3 Pregnancy Aquatics, Nutrition and (cid:0) Voice care for the aquanatal exercise coach R Health module at the University of E (cid:0) Marketing within the NHS G Salford, this book is the culmination of (cid:0) Sample screening and risk assessment forms N over ten years’ passionate interest and (cid:0) Sample sessions plans and client A work in the field of aquanatal exercise. information sheets N C Also available from M&K Y S u s PUBLISHING a n is an imprint of B M&K Update Ltd a i n e Fat Matters: From Research Issues in Health Identification and For the full range of s sociology to science and Social Care Treatment of Alcohol a M&K Update publications, ISBN: 978-1-905539-39-0 • 2010 ISBN: 978-1-905539-20-8 · 2009 Dependency n and training courses visit: d ISBN: 978-1-905539-16-1 · 2008 www.mkupdate.co.uk S u a resource book for midwives s i e and health and fitness professionals ISBN: 978-1-905539-42-0 M u r p h y Nutrition for Children: Inter-professional Pre-Teen and Teenage A no nonsense guide for Approaches to Young Pregnancy: A twenty-first parents Fathers century reality Susan Baines and Susie Murphy PUBLISHING ISBN: 978-1-905539-26-0 • 2008 ISBN: 978-1-905539-29-1 • 2008 ISBN: 978-1-905539-11-6 • 2007 M&K Aquanatal prelims:Aquarobics designs 14/05/2010 16:54 Page i Aquatic Exercise for Pregnancy M&K Aquanatal prelims:Aquarobics designs 14/05/2010 16:54 Page ii Other health & social care books from M&K include: Fat Matters: From sociology to science ISBN: 978-1-905539-39-0 · 2010 Research Issues in Health and Social Care ISBN: 978-1-905539-20-8 · 2009 Identification and Treatment of Alcohol Dependency ISBN: 978-1-905539-16-1 · 2008 Nutrition for Children: A no nonsense guide for parents ISBN: 978-1-905539-26-0 · 2008 Inter-professional Approaches to Young Fathers ISBN: 978-1-905539-29-1 · 2008 Pre-Teen and Teenage Pregnancy: A twenty-first century reality ISBN: 978-1-905539-11-6 · 2007 M&K Aquanatal prelims:Aquarobics designs 14/05/2010 16:54 Page iii Aquatic Exercise for Pregnancy a resource book for midwives and health and fitness professionals Susan Baines and Susie Murphy M&K Aquanatal prelims:Aquarobics designs 14/05/2010 16:54 Page iv Aquatic Exercise for Pregnancy Susan Baines, Susie Murphy ISBN: 978-1-905539-42-0 First published 2010 All rights reserved. No part of this publication may be reproduced, stored in a retrieval system, or transmitted in any form or by any means, electronic, mechanical, photocopying, recording or otherwise, without either the prior permission of the publishers or a licence permitting restricted copying in the United Kingdom issued by the Copyright Licensing Agency, 90 Tottenham Court Road, London, W1T 4LP. Permissions may be sought directly from M&K Publishing, phone: 01768 773030, fax: 01768 781099 or email: [email protected] Any person who does any unauthorised act in relation to this publication may be liable to criminal prosecution and civil claims for damages. British Library Cataloguing in Publication Data A catalogue record for this book is available from the British Library Notice Clinical practice and medical knowledge constantly evolve. Standard safety precautions must be followed, but, as knowledge is broadened by research, changes in practice, treatment and drug therapy may become necessary or appropriate. Readers must check the most current product information provided by the manufacturer of each drug to be administered and verify the dosages and correct administration, as well as contraindications. It is the responsibility of the practitioner, utilising the experience and knowledge of the patient, to determine dosages and the best treatment for each individual patient. Any brands mentioned in this book are as examples only and are not endorsed by the publisher. Neither the publisher nor the authors assume any liability for any injury and/or damage to persons or property arising from this publication. The Publisher To contact M&K Publishing write to: M&K Update Ltd · The Old Bakery · St. John's Street Keswick · Cumbria CA12 5AS Tel: 01768 773030 · Fax: 01768 781099 [email protected] www.mkupdate.co.uk Designed & typeset by Mary Blood Illustrated by Mary Blood and Fliss Watts Printed in England by Reed’s Printers, Penrith. M&K Aquanatal prelims:Aquarobics designs 14/05/2010 16:54 Page v Contents List of figures vi Acknowledgements vii Introduction ix Part 1 Aquanatal exercise Chapter 1 Water generally – aquanatal specifically 3 Chapter 2 The anatomy of movement 11 Chapter 3 Pool safety – risk assessment and management 17 Chapter 4 Getting the best out of your classes 23 Chapter 5 Aquanatal choreography 31 Chapter 6 Practical tips for more fun and interesting classes 41 Chapter 7 Contra-indicated aquanatal exercises 45 Chapter 8 The pelvic floor and aquanatal exercise 47 Part 2 Aquanatal exercise – the wider context Chapter 9 Ethical considerations 57 Chapter 10 Public health, physical activity and aquanatal exercise 63 Chapter 11 Aquanatal exercise and parent education 71 Chapter 12 Nutrition during pregnancy and for physical exercise 77 Chapter 13 The law and aquanatal exercise 83 Chapter 14 Voice care for the aquanatal exercise coach 87 Chapter 15 Marketing within the NHS 91 Part 3 Developing your practice Useful sources of information and contacts 101 Appendices 1 Main muscles of the body that you need to know 105 2 Aquanatal exercise participant screening form 106 3 Client information sheet 107 4 Sample risk assessment pro-forma 108 5 Blank session plan – aims of whole session 109 6 An example of a legal case study 110 7 Continuing professional development – observation of a pregnancy aquatic session 111 8 Aquanatal session plans 114 Index 121 M&K Aquanatal prelims:Aquarobics designs 14/05/2010 16:54 Page vi List of figures Chapter 1 Figure 1.1 Oscillating water molecule 4 Figure 1.2 Diagram of hand positions (cup/scoop, slice, punch, lift, push away) 6 Chapter 2 Figure 2.1 The anatomical position (anterior aspect) 11 Figure 2.2 Body planes 12 Figure 2.3 ‘Q’ pump exercise 13 Figure 2.4 Biceps curl 15 Figure 2.5 Extension of elbow 15 Chapter 4 Figure 4.1 Coach in warm up mode 24 Figure 4.2 ‘Sea horse’ woggle position 26 Figure 4.3 Group circle relaxation 27 Figure 4.4 Professional coach 28 Chapter 5 Figure 5.1 ‘Cutting a diamond’ 33 Figure 5.2 Sweeping arms 34 Figure 5.3 Hip circles 34 Chapter 6 Figure 6.1 ‘The waiter’ 42 Chapter 8 Figure 8.1 Side view of pelvic anatomy 47 Chapter 11 Figure 11.1 Upright birthing position 74 vi M&K Aquanatal prelims:Aquarobics designs 14/05/2010 16:54 Page vii Acknowledgements We would like to express our love and gratitude to Michael and Peter, our long-suffering but patient husbands, for their care of us and their support whilst we wrote this book. vii M&K Aquanatal prelims:Aquarobics designs 14/05/2010 16:54 Page viii M&K Aquanatal prelims:Aquarobics designs 14/05/2010 16:54 Page ix Introduction This book is the culmination of over a decade’s worth of interest in aquanatal exercise. Our journey into all things aquatic has had its fair share of ups and downs since we embarked upon it in the summer of 1997. I, for my part, had been managing a maternity and women’s health project in Bolton, Lancashire and was looking at possible strategies to support maternal and fetal health during the antenatal period and Susie was simply doing what Susie does best, with her unquenchable enthusiasm for a new challenge! We met, qualified as professional registrants of the now defunct UK Fitness Register and the rest, as they say, is history. But from the very beginning we said that one day we would write a book, one designed to be used and not just added to one’s book shelf, in need of occasional dusting and only to be opened in times of specific need. We wanted to compile a living book, which would get bent at the edges from being stuffed into a gym bag, get defaced (from all the notes scribbled on its pages) and like a faithful old dog, get rather wet at times from being too close to the water. Our book is for using. It is for offering help and support to our caring and compassionate midwifery colleagues throughout the UK and across the world, who like us share a passion for facilitating aquanatal exercise. We are both now specialist Level 3 coaches for the Register of Exercise Professionals (UK), have won a Vice Chancellor’s research award at the University of Salford, have developed the UK’s first academically underpinned level 3 Pregnancy Aquatics, Nutrition and Health module at the University of Salford and have had the opportunity to travel to Australia to spread the word about pregnancy aquatic exercise. We still live, breathe and sleep aquanatal and are so convinced of the wonderful health benefits of this activity for mothers that we feel like shouting from the rooftops! Surely, if its benefits could be bottled, then we feel women would be tipsy with health. It is perhaps strange to some, but certainly not to Susie and me, that those midwives who like us become interested in aquanatal exercise, also become passionate about it… We hope you enjoy “your” book! Love to you all Sue and Susie 2010 ix
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