I Wore a FitBit During Pregnancy and Childbirth: Here’s What I Learned
by Sharon Tjaden-Glass
Disclosure: I’m a bit of a data nerd.
Not in the sense that I like to design studies and collect data. Just in the sense that I like to look at charts and graphs and timelines and other visuals.
Call it “data-nerd-light.”
I began wearing a FitBit Charge HR last February, shortly after I started running as a regular form of exercise.
At first, it was useful for keeping track of my exercise. Having information about my sleep patterns and steps was just fun information to use to challenge myself.
Then, in early May 2016, I got pregnant.
Over the course of my pregnancy, I regularly wore my FitBit and amassed loads of interesting data about how my body changed and responded differently to exercise over the course of my pregnancy.
The FitBit Charge HR will monitor your heart rate and calories burned, as well as your number of steps, floors climbed, and miles traveled. Then, it spits out all of this data into usable and easy-to-read charts. (UPDATE: My Charge HR started separating around the display and I had to replace it after 16 months of use. I recently upgraded to the Charge HR 2. It’s just $20 more and much more durable. The bands are replaceable too, so the same problem can’t happen on this model.)
I started this pregnancy at 147 pounds (at 5′ 7.5″) and my ending weight was 192 pounds, which is a 45-pound weight gain. My pre-pregnancy condition was quite good. I was running about two miles in the morning every day and lifting weights once or twice per week. I was maintaining my weight. I had good energy. I could climb several flights of stairs without getting winded.
So what does pregnancy do to a healthy body? Let’s take a look.
Resting Heart Rate
My pre-pregnancy resting heart rate was about 56 beats per minute, a sign of a fairly athletic lifestyle. You can see my heart rate climb steeply in the second trimester when I have my first major growth spurt, and then again in the last trimester during the last month of growth. Both time periods correspond to an increase in blood volume in my body.
Fun fact: at the end of pregnancy, a woman’s blood volume increases 40-50% throughout pregnancy.
Weight Gained
I put on most of my weight during the second and third trimester growth spurts, and just a few pounds gained in the first trimester. This is a healthy weight gain curve, although, I assure you, it didn’t feel healthy at the time. I remember that I kept thinking, No! Four pounds in a week! This baby is going to be twelve pounds by the end of this!
Daily Calories Burned: Pre-Pregnancy
On the left is a typical day of exercise on a pre-pregnancy day, which includes a two-mile run in the morning and regular movement at work.
On the right is a day that I’m proud of: the day that I ran six miles around the National Mall in Washington D.C. Included in this number are the other calories that I burned throughout the day, just by existing. See the number of calories burned? Keep that in mind as I show you how many calories during the late third trimester.
Daily Calories Burned: First Trimester
In my first trimester, I continued to run whenever I felt well enough. (Weeks 7-11 were Nausea City, so I limited my exercise to walks during this time.) But I took it easy. I didn’t exercise in the peak heart rate zone if I could help it. I monitored my run pretty closely so I stayed in the lower heart rate zones.
Daily Calories Burned: Second Trimester
I continued to run in the second trimester. In the early second trimester, I incorporated more indoor aerobic exercise because it was so damn hot outside in late July to August. In this screenshot, you see the end of October, when I was 24 weeks pregnant, right at the end of my second trimester growth spurt.
The important difference is my resting heart rate, which has jumped to 70 beats per minute. Because of that elevated resting heart rate at this point, I was more likely to reach a fat-burning heart rate for daily activities, beyond the time when I was intentionally exercising.
Daily Calories Burned: Early Third Trimester
I continued to incorporate running in my exercise all the way to 32 weeks of pregnancy, but over time, I slowly decreased my running in favor of walking. By 33 weeks of pregnancy, I was done running. This screenshot is from Week 30. It’s not terribly different from my second trimester stats. Notice that my resting heart rate continues to rise.
Daily Calories Burned: Mid-Third Trimester
This is when pregnancy becomes an outright test of endurance. This screenshot is from Week 36 (which, for my 41.5-week pregnancy, was mid-third trimester). On this day, I walked for 30 minutes. And I existed. End of story.
I mean, it’s the day after Christmas, for goodness sake. What could I possibly have done? I’m sure I was doing things like eating my fifth sugar cookie and picking up bits of wrapping paper and rogue pine needles. Along with a rousing game of “Ketchup or Mustard?” with our three-year-old. (What? You’ve never heard of that game? You just ask the person if they want ketchup or mustard over and over and over again. That’s it. Fun, huh?)
So that’s why pregnant women say, “God, I’m so tired” at the end of the day. Not only are they carrying around a lot of extra weight, but their resting heart rates are elevated, causing them to be burning loads of calories for hours.
But wait. It gets harder.
Daily Calories Burned: Late-Third Trimester
Okay. So here I was at five days past my due date. At this point, I was desperate to get this kid out of me. So I decided to go for two thirty-minute walks, which you can clearly see on the graph. My pace was much, much slower than normal because my hips were so gelatinous and my gait was off. But pace isn’t important. It’s getting the heart rate up there that counts.
With just two thirty-minute walks and existing for 24 hours, I burned as many calories as I did when I ran six miles and existed for 24 hours. Courtesy of an elevated resting heart rate and additional body weight.
In addition, my body’s center of gravity was off, it was difficult to move, and I had an assortment of new aches and pains to deal with just to get through the day (and night).
What were your calories burned on the day you gave birth?
So glad you asked.
Now, I know what you’re thinking. That peak heart rate must have happened during my pushing phase.
Nope.
That was when I started hemorrhaging after the birth. Obviously, this wasn’t part of the plan and it isn’t a typical part of the birthing process for most women (thank God). Only about 4% of women will experience a postpartum hemorrhage. (The most likely cause of my PPH was an “overdistended uterus” due to my baby being over 8.8 pounds.)
As a result, my heart rate soared in the peak heart rate zone for close to an hour. As blood poured out of me, my heart pumped loads of fresh blood to the affected tissues and organs. All of this put my body into metabolic overload and it was the main reason I ate like a crazy person for the first five days post-birth.
Most of my labor raised my heart rate into a low fat-burning zone rate, so it was still important that I ate and drank during labor. This is what I will never understand about typical hospital policies regarding labor. Is it really worth it to deny women the right to eat during labor simply because of the minuscule possibility that 1) she’ll have a C-section and 2) during that C-section she aspirates?
Labor burns a lot of calories. And if you’re restricted to clear fluids, you’re pretty much relying on the sugar in Sierra Mist to pull you through. I think that if you have the urge to eat, you should be allowed to eat. The risk of eating harming a woman in labor is just far too small.
I mean, really… When you are awake for days and laboring for hours and hours, you burn a lot of calories.
So there you have it. An inside look at one slice of what a woman goes through when she carries a child and gives birth. It is a test of strength and endurance simply to carry a child to term and give birth.
The fact that women give birth so often might make the process seem ordinary, but it is truly an extraordinary feat for both mother and child to come out on the other side, whole and alive.
Hey, what is sleep like after having a baby? Continue on to the following post.
UPDATE: Just wanted to thank you for stopping by this post, which has been gaining a lot of traffic lately (probably because this post shows up in Google searches that include “pregnancy” and “FitBit.” Ha!) If you’re a new reader, please check out my book, Becoming Mother, available in print ($12.99) or Kindle ($2.99) editions.
Peace.
I love data and charts too 😜this is all v interesting! Thanks for sharing!
I think the current line of thinking is to eat during labor and the chance of needing general anesthesia is v low…but hospitals are slow to adapt to this new research. I was fed by my husband and doula a constant drip of gummy bears during my labor… and snuck in half a nutrigrain bar!!! Very naughty but very necessary!!!
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Gummy bears!! That’s a great idea. I ended up on Sierra Mist most of the time, but gummy bears would have been nice 🙂
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This was super informative thank u. I am currently pregnant and trying to make sense of my HR changes
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I’m glad you found it helpful!
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Super interesting!! I begged for food so much they brought me chicken broth—-kinda food.
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Wow, thanks for the great and informative article!!! I’m on my second pregnancy and I know I’m getting a fitbit for xmas in 3 days, haha. I am concerned about the possible emf radiation and such so that is how I stumbled upon your article. We know we are tired, but it’s one thing to look at the stats like that! Thanks for sharing.
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I’m so very glad you stopped by! This is the one blog post that I’ve written that Google has indexed with the search terms “fitbit” and “pregnancy.” Every day, 20-30 people stop by to read this piece. Who knew that this is the piece that I would be famous for? Life is funny. 🙂
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I’m a midwife and this is a *great* blog post. I always tell women (and their partners) in pregnancy that while the rest of us are sitting here comfortably chatting, the pregnant woman is also hiking up a hill while she’s just sitting there chatting. This lays it out exactly that this happens. Sorry you had a hemorrhage, seems like you came through it just fine. The heart rate rise is compensatory, as you know. One note: there’s not a miniscule chance of cesarean (nearly 1 in 3 births are by cesarean in the U.S.) but the issue is the miniscule chance you’d need a cesarean under general anesthesia, either because the spinal or epidural was not adequate or because there was such an emergency. In about 450 births, I’ve seen general anesthesia twice, both for epidural being inadequate relief for the cesarean.
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Thanks for your comment. I think my syntax was a little unclear. As you correctly point out, the “miniscule chance” that I’m talking about refers to the situation in which a woman has a C-section *and* aspirates while under general anesthesia. Yes, it’s a risk, but it’s a risk I was willing to take in order to get through the birth. I was fortunate to fall into the “low risk” category so I was able to give birth in a birthing center, where they allowed me to eat and drink at will. There was definitely a point when I didn’t want to even think about food. The last thing I ate was around 6:30 a.m. (a banana, I think?) and the baby was born at 1:20. It’s a long time for the body to rely on your reserves to push through.
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[…] the past year, my blog post about my changing heart rate throughout pregnancy and the resulting increase in total calories […]
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So I’m nearing the end of pregnancy and labour could be any day now and yesterday my Fitbit had me at a resting heart rate of around 73-75. Today I’m in the fat burn zone 104ish just sitting here! I don’t get it. Is this a possible indication of going into labour? Did you monitor your heart rate in early labour? Just curious
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So I looked back at my data, and I had a resting heart rate of 78 in my last week of pregnancy (41 weeks). It was very easy to get my heart rate elevated. I mean, I was huge and very done with the whole deal. For most of my early labor, I remained close to my resting heart rate, rising only when I was walking. I think contractions are a much better sign that something is going on. Hang in there. I had contractions for two weeks before it was finally time–and that was with my second! Hopefully, you don’t have to wait much longer!
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Thanks for replying! Interesting to know. Also so interesting how being pregnant can take so much out of you. Haven’t done anything today and spend almost 2 hours in the fat burn zone.
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Hahaha!!! Another great book to read that talks about energy expenditure during pregnancy is, “The Secret Life of Fat.” It’s a great read!
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Thanks for this post! I just got a Fitbit Alta HR and I’m 7 weeks pregnant. I mainly got it as a reminder to stay active even in the weeks I might not feel so great. It was great to read an informative and fun post when you’re new to having a heart rate monitor!
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So glad you liked it! It’s kind of validating to see how hard your body is working just to get through the day when you’re in that last trimester. The struggle is so real…
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Love your post but I have a question…
I’ve been tracking with Fitbit for 1+ years before getting pregnant. I decided to continue to fitness and calorie track so I would gain weight at a steady rate. I know Fitbit is taking my heart rate into consideration etc. because my daily burn is higher than pre pregnancy. So here’s my question…
– when I’ve eaten all my calories for the day (example: 2100 of 2100 burned) , should I be eating an extra 250 calories on top of that amount? I have it set to “maintain my weight” that way I can visually see how many calories I have left or have gone over each day. I am in my second trimester and trying to stick to 1/2 lb gain per week.
– so on a day that the Fitbit tracker says I’ve burned 2100 calories… you would think that means 2350 consumed would mean my extra 250 for the day right? I’m starting to wonder if the extra calories calculated in my daily burn as a result of my HR, includes that extra caloric need?
I’m asking because I’ve been struggling to eat all the calories I’ve burned in a day, but I’m still gaining weight.
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Here’s the best advice that I can give about weight gain during pregnancy–eat what you need and not more than what you need.
In my experience in both of my pregnancies, there was a certain point in my third trimester when it **did not matter what I ate**, I would still gain 1 (sometimes 2!) pounds per week. Part of this is due to the increase of estrogen that your body has in that last trimester. The more estrogen in your body, the more fat your body holds onto–even if it you think/know you’re not eating the suggested amount of calories per day. To a certain extent, your body is going to put on the additional fat no matter what you do. And that’s good because your body needs it.
Keep in mind though that I’m not advocating for throwing in the towel and eating pans of brownies. Just don’t agonize over how much you’re eating and how much you’re body is burning off. Your hunger signals are the best guide to eating what you need to eat to maintain a healthy pregnancy.
My goal when I was pregnant was to eat the way I did when I wasn’t pregnant (I maintained a pretty healthy diet when not pregnant), and then add some healthy snacks here and there to keep hunger away.
Some ideas for pregnancy snacks: extra bananas (great for leg cramping problems), cottage cheese and fruit, yogurt, peanut butter and crackers, veggies and humus, guacamole and a small handful of chips, apples and peanut butter, a sweet potato (bake beforehand and heat up later). Those were some of my go-to snacks that I could eat without guilt, knowing that they were full of nutrition that I needed.
As for your question about your daily calories burned during pregnancy, in a quick review of my information about calories burned daily throughout my pregnancy, my daily calories burned definitely increased in the second and third trimester. During pre-pregnancy and first trimester, I averaged about 1,800 calories burned per day. Later in my pregnancy, it was about 2,000-2,100. On active days at the end of pregnancy, it was about 2,300-2,400.
Hope this helps!
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I appreciate the guidance but really my question is whether or not my Fitbit total burn at the end of the day is my current “maintaining caloric intake” and more calories are needed for gain or if it’s factoring in the “extra calories needed already during pregnancy”. I can’t seem to find any information online regarding any fitness tracker and pregnancy, Haha. Your post honestly had the most insight regarding HR etc. it was a great read!
And, I understand you don’t want to promote others to be calorie counters but at the end of the day some of us need to visualize what more we could be doing. Like today, i ate when I was hungry/full meals and added snacks, but by the end of the day I had 300-400 calories left in my Fitbit app before meeting my Maintenence goal. So seeing that for me personally, helps me in the future make higher calorie choices (add fats, more snacks) and be aware tomorrow.
I’m thrilled about the weight gain since I didn’t start gaining until week 19/20. I just think it’ll be a useful tool throughout pregnancy for self monitoring.
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Oh, I see. I guess the answer to that question depends on whether or not our calories burned each day are determined solely by heart rate (since that’s the only measurement that FitBit is taking in to determine your calories burned) and no other factors. My guess is that there are other metabolic factors happening during pregnancy (beyond heart rate) that are determining how much you’re truly burning. You may very well be burning more than FitBit accounts for.
So in summary, I don’t know the answer to your question, just some guesses. FitBit doesn’t have a pregnancy version of the app, which is shocking to me since it seems like everyone and their mom wants to earn money by selling things to pregnant women. And there’s definitely interest in having such an app/product.
I give it two years until product launch.
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Hiya,
I’d love to know the patterns of your resting heart rate in the week or two leading up to the birth – have seen a few posts where people’s RHR peaked about a week before labor and then starting dropping down!
Thank you!!
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That’s an interesting question. I gave birth on 2-2-2017, and my resting heart rate was 78 bpm at that point. One week prior to birth, it was also 78. Two weeks before birth, it was at 75. Three weeks before birth, it was 79. Four weeks before, it was 77.
From 4-8 weeks before birth, my resting heart rate ranged from 75-78.
Earlier than 2 months before birth, my resting heart rate was usually around 72-75 bpm. So there was a noticeable uptick in the last 2 months,
For me, I had a dip in resting heart rate two weeks before birth, but then it went back up. It is important to note though that I gave birth at 41 weeks, 4 days. So maybe my body was sending signs right at 40 weeks.
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Very interesting!! Thanks so much. I was trying to find something on google because I’m seeing my hear rate go up now that I’m 15 weeks.
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You’re welcome! Are you a first time mom?
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Hi, thanks for the article, it’s very interesting.
I’m curious about your pregnancy RHB curve and I’m particular that it went down closer to labor, – did you take any iron? Cos I’ve heard the heart rate increases with iron defficiency, so I wonder if the RHB would go down because of iron or because of hormones and labor approaching?
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Hi there. I took a prenatal vitamin that had iron in it, but I don’t think I took an additional supplement. Your guess is as good as mine 🙂
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So you started taking them at the end only or through the whole time?
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I was taking a prenatal throughout my pregnancy.
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What was your heart rate like postpartum?
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My resting heart rate dropped pretty suddenly post-birth, about 6 beats per minute, and then gradually returned to normal in the next two months.
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Great article. Thank you. I can not recommend eating during labour…I tried, because I was worried about my blood sugar levels only to find that it was all thrown up again shortly after.
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Hi! I know this is a little late on this post but I was curious… our resting hr is very similar pre pregnancy I recently had my heart rate go up at 4 week and stayed at 61 today I am 5 weeks and 1 day and it went down to 60… did you see changes up and down And up again as weeks went on ? I guess I worry since so early and my first pregnancy! Thanks!!
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I’m not a doctor, but you’re probably overthinking the whole thing. Early pregnancy is rough because there’s so much uncertainty and you’re looking for any signs to assure you that everything is okay. Take care of yourself and allow yourself the grace to just not know and be okay with that. Congratulations and check in with me again to let me know how it goes. ❤
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Hello Sharon … I am entering my second trimester but my fat burn zone mins is already 7 hours although my
resting heart rate has increased only by 10 beats.
Should I be worried ? Doctor has no clue about it !!! Thanks for the only article that was useful for me.
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Hi there,
I have no idea. I wrote this post out of my own curiosity. I definitely don’t have definitive advice about what is normal and what is not. If I were you, I would follow my doctor’s advice.
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Love this
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I’m curious to know how many hours of labor you had, and how long delivery was, in your pregnancy? I ask because my first pregnancy was 51 hours, with 4 of those hours straight pushing, and wanted to try and calculate a possible figure based off your experience.
In addition, I was only given two cups of chicken broth and ice cubes for those two days at the hospital. It should be a crime to starve women like that, I was so weak. I needed some sugar badly. I conceived at 144lbs, weighed 158 when I went into labor, and weighed 124 after delivery when my milk came in. My baby was 9 and 12 oz and I had so much amniotic fluid! I was huge. I actually lost weight in the last month (4lbs), and during delivery. I can only imagine how many calories I burned that day. Near the end, I was having 12 minute long contractions. I thought I was going to die.
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Total labor was 36 hours. My water wouldn’t break, so they did it for me and that accelerated things. The hard labor lasted about 7 hours, to go from 4 cm to 10 cm. I pushed for an hour. What are you working on?
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Hi there! This was a super interesting article. Curious, did your resting heart rate start and remain around 59 for the majority of your first trimester and not start to increase until the second?
I am also a data geek and with my first healthy pregnancy – my heart rate increased steadily in the first trimester. I’m currently 5 weeks and my heart rate continues to hover around 60 (usually around 58) Most of what you read online references an increase in the first trimester but you may be an example where they wasn’t the case. By this point in my last pregnancy it was steadily increasing.
Thanks for sharing!
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Hi Sarah, I honestly don’t remember! It was such a long time ago that this point. My first guess is that I didn’t notice a real change in heart rate until the second or third trimester, when your blood volume tends to significantly increase.
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