WEBVTT

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My degree is in nutrition and exercise

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physiology . And then after I got that

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degree , I got uh my certification ,

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certified strength and conditioning

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specialist . So it's a CS CS , it's

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what all strength and conditioning

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coaches need . And I've been a strength

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and conditioning coach for about 13

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years . And then in the last 3 to 5

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years , I've been starting to learn

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more from the pregnancy and postpartum

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experts out in the field . So I've been

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doing a little bit of research and

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learning from all the different people

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that have been doing certifications

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within that these workouts that were

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incorporated in pre P three T right now

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are standardized training programs and

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they have the ability to be

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individualized based on the individual

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because everybody's experience in

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pregnancy and postpartum , even if

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they've been pregnant before is

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different . And so with the instruction

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of the instructor , trainer , program

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coordinator or exercise leader , they

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can individualize the program based on

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that soldier's need where they're at in

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pregnancy and then also be as a part of

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that bigger group within that P three T

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program . So they're doing group

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workouts together , but they're able to

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individualize it whether they need a

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modification to make it easier or make

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it harder based on what their needs are

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during pregnancy . If a soldier has any

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major health concerns or complications ,

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they would likely be on a high risk

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profile from their medical provider .

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So they wouldn't be participating in

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the physical training sessions for P

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three T , but they would continue to do

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the education classes . But if it's a

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minor musculoskeletal injury or issue

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going on , then they would be able to

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do modification . So a regression of an

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exercise like a box squat instead of a

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goblet squat . If they needed to ,

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there is no standardized um training or

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standardized like fitness test or

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assessment that we do because it's

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usually a big group setting and it's

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really hard to do that with a bigger

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group . So the biggest way that we do

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it is the , the program coordinator

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knows their a their previous AC FT

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score and then they fit into that

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standardized workout program that

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they're given and then adjustments are

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made with the program as needed based

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on how the soldiers feeling symptomatic

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during pregnancy or postpartum and then

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postpartum , they're gonna be probably

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taking a diagnostic AC FT once a month

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after they've been back for the first

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month . And then based on that , they

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can adjust the workouts and the

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exercises that based on how they

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performed in the diagnostic AC FT to

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help them return to unit and for record

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AC FT sometimes pregnant soldiers won't

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feel the best every single day .

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Sometimes they'll feel nauseous or

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dizzy or just some discomfort in the

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hips when they're getting further along

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in pregnancy . And so we have some

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sheets that we , um , encourage the

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program coordinators to have in their

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PT binder that might be specific from a

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physical therapist or athletic trainer .

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But generally for like , if they have

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hip pain , then they can try those

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stretches and just do stretches that

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day if they don't feel great , um , or

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they can , um , do whatever they feel

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comfortable doing as they're feeling

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better . So , if they need to do one

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set of the exercises instead of the

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prescribes three sets , they can

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absolutely do that . Or if they have

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exercises from a physical therapist

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that they're going to on their own and

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they need to incorporate into the

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workout . That's a one way to do it for

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them . We encourage the program

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coordinators within their unit to have

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a group chat with the soldiers and with

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the exercise leaders who are helping

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run PT . And so that way , if something

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comes up from the soldier in between

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sessions , they can always reach out to

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their program coordinator within their

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unit . And then if it's a bigger

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question , they can reach out to the

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medical expert or to us as P three T

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integrators if they need any more

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guidance on what the situation is . I

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was at the 16th MP back at Fort Liberty

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before this , in the H two F team and a

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few of the pregnant soldiers were

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struggling with , um , being able to

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get promotion while they were in

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pregnancy . PT . And so they were told

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that they weren't able to . And we had

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one of our sergeant majors did a great

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job of engaging in P three T on a

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regular basis , would come and join in

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the workout sometimes . And so with

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that communication and with that um

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relationship that they built together ,

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they were able to , the sergeant major

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was able to help those pregnant

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soldiers to not only be engaged in P

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three T , but also actually help them

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get promoted while they were pregnant ,

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which was awesome . Typically during

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pregnancy , we're not really working

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towards or looking for progressing in

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exercises or progressing in workouts ,

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we really want to focus on safety and

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then maintaining the fitness that they

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had pre pregnancy . And so that way

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their focus can be on feeling good and

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preparing for delivery and preparing

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for labor . And then when they get

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postpartum , then we're really focusing

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on progressing over time . If they do

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have setbacks during pregnancy , then

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we're teaching the program coordinators

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and exercise leaders to know their

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resources locally . So that way they

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can reach out to the providers or

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physical therapists , whoever they need

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to help , give that soldier more

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support to help them through that I

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continue to look towards other um

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domains . So working with Kelsey as an

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occupational therapist and pelvic floor

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therapist . And then I always , I have

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to have ce us for , to maintain my

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certification . So I continue to work

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through ce us and try to do different

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topics so that we can learn a little

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bit more and just research in general .

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If something comes up and it's new ,

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I'm gonna look into it and make sure

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that I understand it so that way I can

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help teach about it .