The realization that you’re pregnant comes with a myriad of emotions. To some, the news is met with immense joy, while to others, sheer panic is the best way to describe how they feel about this news.
Once the initial feelings settle, the next step is often confusion about what needs to change in the next couple of months as you get ready to have your baby. How you exercise is one of the many changes that must occur.
Here’s everything you need to know about exercising while pregnant and tips for a safe and effective pregnancy workout plan.
Yes, you can exercise during pregnancy. Traditionally, women were advised not to engage in exercise as it was believed that it would cause harm to them and their unborn fetuses.
However, thanks to scientific research, we now know this to be untrue. Research has shown that women can work out while expecting and having a pregnancy workout plan and doing the workouts is beneficial to both mother and child.
While there is a general consensus that it’s good for women to exercise while pregnant, the ideal level of intensity of physical activity remains contested.
While most studies and experts state that moderate-intensity exercises are the way to go (1, 2, 3), some claim that pregnant women can engage in high-intensity/vigorous workouts and that they pose no risk.
Those who advocate for intense exercise claim that it’s relatively safe during the last trimester or throughout the pregnancy if they habitually engaged in vigorous-intensity aerobic activity or were physically active before the pregnancy (4, 5).
As pregnancy is a delicate time in a woman’s life, we recommend that you speak to your doctor or OB/GYN to see which option best suits you.
Research has stated that despite recommendations from physicians to start or maintain an exercise program during pregnancy, only about 40% of patients exercise. The remaining 60% lead a sedentary lifestyle, which comes with many health risks.
If you’re looking for that extra push to get up and work out while pregnant, here are some benefits that you could expect
A condition caused by both pregnancy and prolonged immobility where blood clots form deep in the veins of the legs, pelvis, or arms that can be life-threatening to both mother and child (3).
Obesity is bad whether a person is pregnant or not.
However, obesity is said to carry an elevated risk of major complications for expectant mothers such as spontaneous abortions, gestational diabetes, preeclampsia, sleep apnea, macrosomia, preterm birth, and even stillbirth.
The fetus of an obese mother or one with a higher BMI is also at a higher risk of neural tube defects, which include cleft palate, spina bifida, and hydrocephalus (3).
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You’ll gain weight when pregnant – that’s an inescapable reality. However, working out can help control the amount of weight you gain, which reduces the risk of obesity and lowers the risk mentioned in point 2 above (6, 7).
In a systematic review published in early 2019, researchers found that physical activity helped prevent and reduce symptoms of depression in expectant women and was also impactful in reducing levels of anxiety and stress, in addition to improving their overall quality of life (8).
In a study involving 588 healthy pregnant women (253 in a control group and 255 in the exercise group), researchers found that engaging in a three-times-a-week moderate aerobic exercise program throughout pregnancy led to reduced total labor time in the women in the exercise group (9).
Read more: Pregnancy Cardio Workout: Everything You Need to Know to Do It Safely
Yes, you can get in shape while pregnant, but this isn’t particularly the best time to be considering the possibility of weight loss.
If you’re overweight and hope to get in shape or at least lose some pounds before your baby comes, we suggest that you first speak to your doctor before you change your lifestyle or diet.
As previously mentioned, this is a sensitive time for you and your growing baby and any changes may be dangerous for you both. Remember that:
In fact, you may have to eat more calories than usual. According to the Dietary Guidelines for Americans 2020-2025, calorie needs during the first trimester of pregnancy generally don’t increase compared to pre-pregnancy needs. However, during the latter trimesters and lactation, women need an extra 300 to 400 calories (10).
As seen above, most studies and experts recommend moderate-intensity exercises during this time. Engaging in high-intensity workouts may put you and your baby at risk
While the rate of gestational weight gain varies – some say pregnant women gain between 10kg and 12.5kg (22lb to 28lb) while others say 11lb to 20 lb (11, 12) – it’s generally known that weight gain is to be expected.
Due to all these factors, it’s probably best to hold off weight loss until you’ve given birth to your baby. Please note that you can still exercise and eat healthily to prevent excessive gestational weight gain.
Read more: 7-Week Pregnancy Diet: How to Get the Best Nutrition for You and Your Baby
Resistance training and strength training are great examples of exercises that should be in an expectant woman’s pregnancy workout plan to help tone her body and muscles. She can choose to go to the gym and work out alone or with a trainer or simply do such workouts at home with just her body weight, at-home free weights, or resistance bands.
In addition to resistance/strength training, other forms of exercise that are recommended during this time include yoga, Pilates, cardiovascular exercise such as walking, cycling, stair steppers, ellipticals, swimming, and aerobic dance, and lumbar stabilization and nerve and tendon-slip exercises (1, 3).
Avoiding a big belly during pregnancy goes back to your nutrition and level of physical activity as it’s related to weight gain. Increased physical activity helps burn extra calories, which enables you to prevent excessive gestational weight gain.
In terms of nutrition, you should focus on a balanced diet that’s rich in whole grains, lean animal proteins, and a variety of plant protein, healthy fats, lots of leafy greens and non-starchy vegetables, moderate starchy vegetables, and lots of fruit. Eating healthily is good for your health and that of your baby and it also reduces the risk of a big belly and obesity, which as we’ve seen above, can lead to major pregnancy-related complications.
There is no singular month that stands above the rest as the best month to work out while expecting. As mentioned above, expectant women can and are encouraged to remain active throughout their pregnancy by engaging in moderate-intensity aerobic, stretching, and strength-training workouts.
Be sure to speak to your doctor or OB/GYN to better understand which exercises to engage in and avoid regarding your body and how your pregnancy is progressing.
During the first trimester, you should aim to establish good exercise habits and gradually ease into them. Also, remember that the amount of exercise you do will depend on how active you were pre-pregnancy and what your doctor advises.
Here are some targeted exercise suggestions to perform during your first trimester:
Your pelvic floor muscles are probably the most important muscles to strengthen as they stretch during pregnancy and childbirth. The following exercises are recommended:
Kegel exercise helps strengthen muscles that support abdominal organs such as the vagina, bowel, bladder, and uterus. You need these muscles in top shape to assist during labor and avoid postpartum incontinence (13).
Pro Tips:
Bodyweight Squats
Squats are a great resistance exercise to help build and maintain strength in the hips, pelvic floor muscles, and glutes. When done correctly, squats can help improve your posture, and squatting during delivery may help ease the birthing process (14).
Squat to Reverse Lunge
Kickbacks
Tip: To increase the intensity of this exercise, pulse the heel of your extended leg before you switch.
Caution: Avoid doing too many reps as you may strain your stomach muscles.
You need a strong core to help carry your pregnancy comfortably. A weak core puts you at risk of severe lower-back pain (15). On the other hand, a strong core will help provide much-needed support for the growing baby. Planks are a great example of core workouts that pregnant women can do in the first trimester.
Cardio exercise helps keep your heart muscles in check and also maintains a healthy weight during pregnancy. In addition, reduced stress and anxiety have also been linked to cardio exercises (8).
Some cardio exercises you can try include running and jogging, cycling, and swimming.
As you progress into the second trimester, your pregnancy will become more noticeable. The changes in your body will become more prominent. You may find it difficult to do some of the exercises you did in the first trimester. Although the second trimester usually comes with an energy burst, your growing tummy may limit the kind of exercise you can do. Example workouts you can do during this time include:
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The third trimester is usually characterized by a protruding belly, reduced energy levels, and general body fatigue. You need to take extra caution when exercising during this home-stretch trimester.
The body changes associated with pregnancy may limit you when it comes to exercise. Your body is pushed to its limit at this point, and activities such as sleeping and walking become challenging. You’re constantly exhausted, the trips you make to the loo are countless, and labor and delivery are constantly on your mind.
Despite all this, exercise is still an essential part of your routine. In addition, physical activity may help alleviate some of the nasty symptoms you face. At this point, you should keep up with the pelvic floor, lower body, and cardio workout routine.
The only thing we would suggest is that you should modify the workouts to better suit your current state as the previously mentioned larger belly and increased fatigue can hinder many movements.
While pregnant, women are cautioned to avoid exercises or activities with (2, 17):
Exercising during pregnancy is necessary for your and your baby’s overall well-being. Prenatal exercises help ensure your baby is born healthy and that you’re in a physical and mental state to bring your baby into the world safely.
Having a workout plan for pregnancy makes it easier to stay committed to your fitness journey. You can make the plan at home or better yet, involve a professional to tailor the plan to fit your pregnancy journey and unique needs.
Remember that a fit mum results in a fit, happy baby, so start exercising today.
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