Childbirth advocacy groups have voiced their frustration over new guidance recommending that new mothers engage in at least two hours of exercise weekly and limit screen time before bed for three months postpartum. The backlash from these groups highlights the challenges that new mothers face while managing the demands of caring for a newborn.

Mumsnet, a popular parenting social network, expressed that these recommendations are "wildly optimistic" regarding the realities of new motherhood. The NCT (National Childbirth Trust), a prominent parenting charity, echoed these sentiments, warning that the suggested levels of physical activity could be overwhelming and potentially harmful for new parents already navigating the complexities of infant care.

These recommendations were generated by a panel of Canadian researchers and experts in maternal health, based on a comprehensive review of 574 studies examining the health of new mothers. Published in the *British Journal of Sports Medicine*, the guidance includes: - Engaging in at least two hours of moderate to vigorous exercise each week, such as cycling or brisk walking, distributed across four days. - Incorporating daily pelvic-floor muscle exercises into their routine. - Avoiding screen usage and creating a dark and quiet environment before sleep to improve rest.

While the Canadian Society for Exercise Physiology hopes this guidance will assist mothers, experts in the UK have raised concerns that these recommendations could become unrealistic expectations for new mothers. They fear it could turn into a "stick" for new mums, prompting them to push themselves beyond healthy limits too early in the postpartum period.

Justine Roberts, CEO of Mumsnet, emphasized the need for practical and empathetic guidance, highlighting that establishing a healthy sleep routine is not as straightforward as it sounds. She cautioned against adding more pressure on new mothers, many of whom are already stretched thin.

Katherine Walker from NCT suggested that while pelvic-floor exercises are important and beneficial during and after pregnancy, there should be a careful approach to more vigorous activities. Recovery times can greatly differ depending on the type of birth, and pushing new parents too hard could lead to setbacks in their healing journey. Instead, she advocates for a gradual approach to rebuilding strength.

Moreover, she noted that simply holding and carrying a newborn can serve as a significant physical challenge in itself, urging new parents to refrain from lifting anything heavier than their infant in the initial weeks. With many facing sleep deprivation, additional demands could feel monumental.

Janet Lindsay, chief executive of Wellness of Women, reminded us that while exercise is beneficial, it should align with the readiness and comfort of new mothers. The emphasis should be on flexibility and achievable methods of staying active as they navigate the myriad changes that come with motherhood.

As new guidance sparks a dialogue, it remains essential to consider the unique experiences of new mothers and offer support that recognizes the demanding transition into parenthood. Will this advice foster empowerment or anxiety among new mums? Only time will tell.