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Exercise Guidelines for Each Trimester of Pregnancy

April 11, 2025 by Dr. Lori Gore-Green

Staying active during pregnancy offers numerous benefits—from improving mood and sleep to reducing pregnancy discomforts and even aiding in labor and recovery. However, as your body changes across the trimesters, so should your approach to fitness. With the right modifications and safety precautions, exercise can remain a healthy and enjoyable part of pregnancy.

First Trimester (Weeks 1–12): Establishing Healthy Habits

In the first trimester, many women experience fatigue, nausea, and hormonal changes, but it’s generally safe to continue pre-pregnancy workout routines with minor modifications. The goal during this phase is to maintain fitness, not to achieve new personal bests.

Recommended activities:

  • Brisk walking

  • Swimming or water aerobics

  • Low-impact aerobics

  • Light strength training

  • Prenatal yoga or stretching

Tips:

  • Stay hydrated and avoid overheating.

  • Focus on listening to your body—rest if you’re feeling overly tired or unwell.

  • Avoid high-risk activities such as contact sports or exercises with a high risk of falling.

Second Trimester (Weeks 13–27): Focus on Posture and Core Stability

The second trimester is often called the “honeymoon” phase of pregnancy. Nausea often subsides, energy levels may increase, and the risk of miscarriage drops. However, as your baby grows, your center of gravity shifts, which can affect your balance and coordination.

Recommended activities:

  • Prenatal Pilates for core strength

  • Stationary biking

  • Modified strength training using resistance bands or light weights

  • Swimming and aquatic workouts

  • Pregnancy-safe aerobic classes

Tips:

  • Avoid lying flat on your back for extended periods, as this can restrict blood flow.

  • Support your joints with low-impact exercises to accommodate the loosening effects of the hormone relaxin.

  • Strengthen your pelvic floor with Kegel exercises to support your uterus and prepare for delivery.

Third Trimester (Weeks 28–40): Prioritize Comfort and Mobility

By the third trimester, physical limitations increase as your belly grows, and you may feel more tired or uncomfortable. The focus now shifts to gentle movement, circulation, and preparing your body for labor.

Recommended activities:

  • Gentle stretching and prenatal yoga to relieve tension

  • Walking (shorter, more frequent sessions)

  • Water aerobics for low-impact, full-body engagement

  • Pelvic floor exercises and deep breathing techniques

Tips:

  • Avoid activities requiring balance or sudden direction changes.

  • Focus on flexibility and relaxation techniques to support labor preparation.

  • Listen to your body closely and scale back if you feel any discomfort, dizziness, or contractions.

General Safety Tips for All Trimesters:

  • Always consult your healthcare provider before beginning or continuing an exercise routine during pregnancy.

  • Warm up before exercising and cool down afterward.

  • Avoid overexertion—moderate exertion should allow you to talk comfortably while exercising.

  • Watch for warning signs like vaginal bleeding, shortness of breath before exertion, dizziness, or chest pain, and stop immediately if they occur.

Pregnancy is a time of great change, but with thoughtful modifications, exercise can be a powerful tool for maintaining health and preparing your body for the journey ahead.

Filed Under: Dr. Lori Gore-Green, Women's Health Tagged With: Dr. Lori Gore-Green, exercise, Gynecology, pregnancy, Pregnant

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