This sheet talks about exercise in a pregnancy and while breastfeeding. This information should not take the place of medical care and advice from your healthcare provider.
Is exercise safe for all pregnant women?
The American College of Obstetricians and Gynecologists (ACOG) recommends that women without medical or pregnancy complications consider at least 30 minutes of moderate exercise on most days, if not all, days of the week.
You may not be able to exercise while pregnant if you have experienced preterm delivery, ongoing vaginal bleeding, contractions, or other pregnancy-related complications. Please check with your healthcare provider if you are unsure whether you should exercise during pregnancy.
You should also check with your healthcare provider before starting or continuing an exercise program if you have a history of medical concerns such as heart or lung problems or high blood pressure.
Does exercise harm the developing baby in any way?
In every pregnancy, a woman starts out with a 3-5% chance of having a baby with a birth defect. This is called her background risk. Additionally, miscarriage can occur in any pregnancy.
There is no evidence to suggest that exercise can harm your pregnancy. It has not been shown to increase the chance of miscarriage, birth defects, or premature labor. Studies show no relationship between exercise and fetal distress or fetal heart rate changes. One study found that moderate to high intensity exercise in the later stages of pregnancy can lead to smaller, leaner babies that are still within the normal range.
Will exercise be more difficult during pregnancy?
Your body will go through many changes throughout pregnancy that could affect your ability and tolerance to exercise. As a pregnancy progresses, the amount of blood in your body increases, as does your heart rate. This means your body works harder to give enough nutrients and oxygen to both you and baby, so there is less oxygen available for exercise. This change in blood flow could also make you feel lightheaded.
As your baby grows larger, your sense of balance shifts, meaning that you may need to adjust your posture. This shift in posture naturally makes certain types of exercise more difficult, such as running, yoga, and free weights. Joints throughout your body also become looser due to hormonal changes. Looser joints means there is a higher chance of strains or sprains during otherwise routine movements and exercise.
What are the benefits of exercising during pregnancy?
Exercise is important for your physical and mental health. It has been shown to help control weight gain, and may improve mood and sleep patterns. Exercise might help prevent or treat gestational diabetes. Exercise may also ease some of the common discomforts of pregnancy such as constipation, backache, fatigue, leg swelling, and varicose veins.
What are some basic guidelines for exercising safely during pregnancy?
If your pregnancy is not high risk, and you have checked with your healthcare provider, some basic guidelines to keep in mind include:
- Exercise most days of the week, with a goal of 20-30 minutes a day.
- During the second and third trimesters, avoid exercise that involves lying flat on your back because this causes less blood flow for both you and the baby.
- Avoid exercising to the point of exhaustion or breathlessness.
- Be aware that your sense of balance will change throughout pregnancy, which could lead to falls.
- Drink plenty of fluids before and during exercise.
- Avoid overheating your body, especially in the first trimester.
What types of exercise are good choices during pregnancy?
Most women can continue their pre-pregnancy exercise routine during pregnancy, but you may need to modify some activities. Listen to your body and stop when you feel too tired or if you feel dizziness, headaches, muscle weakness, nausea, chest pain, fewer fetal movements, or have contractions. Do not get discouraged: even mild to moderate exercise can help your fitness level and mood.
In general, you can safely participate in a wide range of recreational activities. Non-weight bearing exercises such as stationary cycling, swimming, or water aerobics are easiest on your body throughout your entire pregnancy. Check with your healthcare provider if you are wondering if you should try a certain type of exercise or activity.
What types of exercise should I try to avoid during pregnancy?
Avoid exercise or activities that can increase the chance of injury or falls. Contact sports such as ice hockey, soccer, and basketball could result in trauma to both you and your baby. In addition, the chance of falling during activities such as gymnastics, horseback riding, jet skiing, water skiing, surfing, and downhill skiing may be higher during pregnancy from balance changes. Scuba diving, skydiving, and any exercise at or above altitudes of 6,000 feet are not recommended since they are all associated with lower oxygen levels. Check with your healthcare provider if you are wondering if you should try a certain type of exercise or activity.
Can I still do yoga or Pilates during pregnancy?
There are several types of yoga and there is not enough information about each to say if one is better than another for pregnant women. ACOG recommends exercise/movement most days of the week. You may have to describe to your healthcare provider the type of exercises that you do and the length of time to help in deciding whether to continue during pregnancy.
Hot yoga (also known as Bikram yoga) and hot Pilates are conducted in rooms typically between 95ºF and 104ºF (35ºC to 40ºC). These activities are not recommended during pregnancy due to the excessive heat exposure and lack of studies showing safety.
If I am doing intense training, is there anything I should consider while pregnant?
It depends on the training. Talk with your healthcare provider about your training and goals. As an athlete, you may need to modify your training program for safety in each stage of pregnancy. While there may be risk involved in physical activity for some pregnant women, most healthcare providers believe that the benefits of being active far outweigh the risks, even for those who wish to continue participation at an elite level. Your pre-pregnancy levels of fitness, as well your particular sport, must be taken into account when planning the intensity, duration, and frequency of exercise during pregnancy.
If you regularly consult with medical advisors, and follow medical advice regarding your training, it is unlikely that your exercise program or sport will cause problems. Discuss the safety and concerns of your particular sport or training program with your healthcare provider.
Studies have found that some athletes use supplementation to enhance performance. Few studies have been done to demonstrate the safety of various supplements during pregnancy. Be sure to consult a sports nutritionist as well as your physician if you are considering taking any sort of supplementation. MotherToBaby also has a fact sheet on herbal products at https://mothertobaby.org/fact-sheets/herbal-products-pregnancy/pdf/.
When can I begin to exercise after giving birth?
There is no set date for all women. Talk to your healthcare provider to find out how soon you can begin to exercise after giving birth. Your body will continue to go through changes from your pregnancy for many weeks after your baby is born. How long you should wait will depend on a few factors, including how active you were able to be during pregnancy, any health problems you have and what type of delivery you had.
Does exercise affect breastfeeding?
Exercise has not been found to affect breastfeeding. In general, you will still produce the same amount of milk whether you exercise or not. However, it is extremely important to drink a lot of water when breastfeeding, especially if you are exercising. Be sure to discuss all your breastfeeding questions with your healthcare provider.
What if the baby’s father exercises?
Studies have found that moderate exercise does not adversely affect semen. In general, exposures that fathers have are unlikely to increase risks to a pregnancy. For more information, please see the MotherToBaby fact sheet Paternal Exposures and Pregnancy at https://mothertobaby.org/fact-sheets/paternal-exposures-pregnancy/pdf/.
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