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Staying Active for a Healthy Pregnancy

by Dr. Preeti Bhandari | Mom To Be

Regular exercise during pregnancy benefits both you and your baby.

Benefits of Pregnancy Exercise

For You

Physical benefits:

  • Reduces back pain and discomfort
  • Improves sleep quality
  • Boosts energy levels
  • Prevents excessive weight gain
  • Prepares body for labor
  • Faster postpartum recovery
  • Reduces risk of gestational diabetes
  • Lowers blood pressure
  • Improves posture and balance

Mental benefits:

  • Reduces stress and anxiety
  • Improves mood
  • Boosts confidence
  • Better body image
  • Sense of control

For Baby

Exercise benefits your baby too:

  • Healthier birth weight
  • Better heart health
  • Improved brain development
  • May be more active after birth

Research shows babies whose mothers exercise do just as well (or better!) than those who don’t.

Exercise Guidelines

Aim for 30 minutes most days of the week

Moderate intensity:

  • Can talk but not sing
  • Slightly breathless but comfortable
  • Warm but not overheated

If you exercised regularly before pregnancy:

  • Continue with modifications
  • Maintain fitness (don’t aim for improvement)
  • Listen to your body

If you were inactive before pregnancy:

  • Start slowly (10-15 minutes)
  • Gradually increase
  • Low-impact activities best
  • Get doctor approval first

Safe Exercises by Trimester

First Trimester (Weeks 1-12)

Generally can continue pre-pregnancy routine:

  • Running (if you ran before)
  • Weight lifting (moderate)
  • Yoga and Pilates
  • Swimming
  • Cycling

Common challenges:

  • Fatigue (may need more rest)
  • Nausea (exercise may worsen or help)
  • No visible changes yet

Listen to your body – rest when needed.

Second Trimester (Weeks 13-28)

The “golden period” for exercise:

  • Energy returns
  • Less nausea
  • Not too big yet
  • Best time to establish routine

Modifications needed:

  • Avoid lying flat on back after 20 weeks
  • Growing belly affects balance
  • May need to slow down running/jogging
  • Reduce weight lifting intensity

You’ll likely feel great!

Third Trimester (Weeks 29-40)

Exercise becomes more challenging:

  • Larger belly affects balance
  • Back pain common
  • Shortness of breath
  • Swelling and discomfort

Focus on:

  • Walking
  • Swimming (feels weightless!)
  • Prenatal yoga
  • Stationary cycling
  • Pelvic floor exercises

Slow down and modify as needed. Any movement is better than none.

Best Exercises for Pregnancy

Walking

Perfect pregnancy exercise:

  • Safe for everyone
  • No equipment needed
  • Easy to fit into day
  • Low impact
  • Can do until delivery

Tips:

  • Wear supportive shoes
  • Stay hydrated
  • Avoid overheating
  • Walk on flat, even surfaces
  • Bring water

Aim for 30 minutes daily – can break into shorter walks.

Swimming and Water Aerobics

Excellent choice:

  • Supports your weight
  • Reduces joint strain
  • Feels refreshing
  • Reduces swelling
  • Low injury risk
  • Can do throughout pregnancy

Water relieves pressure on back and joints – feels amazing in third trimester!

Prenatal Yoga

Benefits:

  • Improves flexibility
  • Builds strength
  • Teaches breathing for labor
  • Reduces stress
  • Connects you with baby
  • Community support

Focus on:

  • Modified poses (no lying flat on back)
  • Avoid deep twists
  • No hot yoga
  • Gentle, flowing movements
  • Pelvic floor awareness

Take prenatal-specific classes – regular yoga may include unsafe poses.

Stationary Cycling

Safe alternative to outdoor biking:

  • No fall risk
  • Controlled environment
  • Good cardio workout
  • Easy to adjust intensity

As pregnancy progresses:

  • Raise handlebars for comfort
  • Shorter sessions
  • Lower resistance

Prenatal Fitness Classes

Designed for pregnancy:

  • Safe movements
  • Appropriate intensity
  • Social support
  • Expert guidance
  • Confidence you’re doing it right

Look for certified prenatal instructors.

Strength Training

Safe with modifications:

  • Use lighter weights
  • Focus on form
  • Avoid lying flat on back
  • Don’t hold breath
  • Stop if any pain

Benefits:

  • Maintains muscle tone
  • Prevents back pain
  • Prepares for carrying baby
  • Easier postpartum recovery

Essential: Pelvic Floor Exercises (Kegels)

Strengthen muscles that support bladder, uterus, and bowels

Why Kegels Matter

Prevent and treat:

  • Urinary incontinence (leaking when coughing/sneezing)
  • Support for growing uterus
  • Faster postpartum recovery
  • Better sex after delivery
  • Reduced tearing during delivery

How to Do Kegels

Finding the right muscles:

  • Stop urination midstream (that’s the movement)
  • Don’t do this regularly (just to identify muscles)

The exercise:

  1. Squeeze and lift pelvic floor muscles
  2. Hold for 3-5 seconds
  3. Release and relax
  4. Repeat 10-15 times
  5. Do 3 times daily

Breathe normally – don’t hold breath

Can do anywhere: Sitting, standing, lying down (anytime you remember!)

Deep Belly Breathing

Strengthens core and prepares for labor:

  • Sit comfortably
  • Breathe deeply into belly (not chest)
  • Belly expands on inhale
  • Exhale slowly
  • Repeat 5-10 times

Combines beautifully with Kegels – exhale as you squeeze, inhale as you relax.

Exercises to Avoid

High Risk of Falling

Don’t do:

  • Contact sports (basketball, soccer)
  • Horseback riding
  • Skiing or snowboarding
  • Ice skating
  • Surfing

Why: Fall risk and abdominal trauma

Lying Flat on Back (After 20 Weeks)

Avoid exercises that require lying flat:

  • Traditional sit-ups or crunches
  • Certain yoga poses
  • Flat bench press

Why: Heavy uterus compresses major blood vessel, reducing blood flow to baby

Use incline or side-lying positions instead.

High-Impact or Jarring Movements

Be cautious with:

  • Jumping
  • Bouncing
  • Sudden direction changes
  • High-impact aerobics

Why: Loosened joints (thanks to relaxin hormone) increase injury risk

Altitude and Scuba Diving

Avoid:

  • Scuba diving (any depth)
  • High altitude exercise (above 6,000 feet if not accustomed)

Why: Oxygen deprivation risks for baby

Hot Yoga or Exercise in Heat

Avoid:

  • Hot yoga (Bikram)
  • Exercising in extreme heat
  • Saunas and hot tubs

Why: Overheating dangerous to baby, especially first trimester

Warning Signs to Stop Exercise

Stop immediately and call doctor if you experience:

🚨 Vaginal bleeding

🚨 Fluid leaking from vagina (amniotic fluid)

🚨 Regular painful contractions

🚨 Chest pain

🚨 Severe shortness of breath (before exertion)

🚨 Dizziness or faintness

🚨 Severe headache

🚨 Muscle weakness affecting balance

🚨 Calf pain or swelling (may indicate blood clot)

🚨 Decreased fetal movement

These may indicate serious problems. Don’t ignore warning signs.

Normal Discomforts (Usually Safe to Continue)

These are typical:

  • Mild breathlessness
  • Round ligament pain (sharp pulling in lower belly)
  • Braxton Hicks contractions (irregular, stop with rest)
  • Mild fatigue
  • Normal aches

When in doubt, ask your doctor.

Exercise Safety Tips

Stay Cool

Prevent overheating:

  • Exercise in air-conditioned space
  • Avoid midday heat
  • Wear breathable clothing
  • Use fan
  • Stop if too hot

Overheating is dangerous especially in first trimester.

Hydrate, Hydrate, Hydrate

Before, during, and after exercise:

  • Drink water before starting
  • Sip during activity
  • Rehydrate afterward
  • Urine should be light yellow

Dehydration can trigger contractions.

Eat Properly

Don’t exercise on empty stomach:

  • Light snack 30-60 minutes before
  • Banana, crackers, yogurt
  • Prevents dizziness and low blood sugar

Wear Supportive Gear

Invest in:

  • Supportive sports bra (breasts are heavier!)
  • Good athletic shoes
  • Belly support band (if needed)
  • Comfortable, breathable clothes

Warm Up and Cool Down

Always:

  • 5 minutes easy movement to warm up
  • Gentle stretching after (not before)
  • Gradual cool-down
  • Never stop abruptly

Listen to Your Body

Pregnancy is not the time to:

  • Push through pain
  • Set personal records
  • Train for competition
  • “Bounce back” to pre-pregnancy fitness

Goal is maintaining health, not improving performance.

When Not to Exercise

Some conditions require no exercise:

  • Placenta previa (after 26 weeks)
  • Risk of preterm labor
  • Incompetent cervix or cerclage
  • Multiple pregnancy with risk factors
  • Severe anemia
  • Pregnancy-induced hypertension or pre-eclampsia
  • Certain heart or lung conditions

Your doctor will advise if exercise is unsafe for you.

Sample Weekly Exercise Plan

For healthy, low-risk pregnancy:

Monday: 30-minute walk

Tuesday: Prenatal yoga class (45 minutes)

Wednesday: Swimming (30 minutes)

Thursday: Rest or gentle stretching + Kegels

Friday: 30-minute walk or prenatal fitness class

Saturday: Stationary bike (20-30 minutes)

Sunday: Prenatal yoga or rest

Plus: Kegels daily (3 sets throughout day)

Adjust based on how you feel!

Postpartum Exercise

Don’t rush back:

  • Vaginal delivery: 4-6 weeks before exercise
  • C-section: 6-8 weeks (or when doctor approves)
  • Start with walking
  • Gradually rebuild core strength
  • Focus on pelvic floor first
  • Be patient with your body

It took 9 months to grow a baby. Give yourself time to recover.

Remember

Exercise during pregnancy is safe and beneficial for most women. Moving your body helps you feel better, prepares you for labor, and supports a healthy pregnancy.

Listen to your body. Some days you’ll have energy to do more; some days less is best.

Any movement is better than none. Even 10 minutes counts!

You’re growing a human. That’s the biggest workout of all.