Pregnancy and baby

Exercise in pregnancy

What exercise should I do during pregnancy?

Stay active when you're pregnant

The more active and fit you are during pregnancy, the easier it will be for you to adapt to your changing shape and weight gain. It will also help you to cope with labour and get back into shape after the birth.

Keep up your normal daily physical activity or exercise (sport, running, yoga, dancing, or even walking to the shops and back) for as long as you feel comfortable. Exercise is not dangerous for your baby – there is some evidence that active women are less likely to experience problems in later pregnancy and labour.

You can read the whole article, or use the links to go directly to the topics:

Exercise tips

Exercises to avoid

Exercises for a fitter pregnancy (stomach-strengthening exercises, pelvic tilt exercises, and pelvic floor exercises)

Exercise tips 

Don’t exhaust yourself. You may need to slow down as your pregnancy progresses or if your maternity team advises you to. If in doubt, consult your maternity team. As a general rule, you should be able to hold a conversation as you exercise when pregnant. If you become breathless as you talk, then you're probably exercising too strenuously.

If you weren't active before you got pregnant, don’t suddenly take up strenuous exercise. If you start an aerobic exercise programme (such as running, swimming, cycling, walking or aerobics classes), tell the instructor that you're pregnant and begin with no more than 15 minutes of continuous exercise, three times a week. Increase this gradually to at least four 30-minute sessions a week.

Remember that exercise doesn't have to be strenuous to be beneficial.

Exercise tips when you're pregnant:

  • always warm up before exercising, and cool down afterwards
  • try to keep active on a daily basis: half an hour of walking each day can be enough, but if you can't manage that, any amount is better than nothing
  • avoid any strenuous exercise in hot weather
  • drink plenty of water and other fluids
  • if you go to exercise classes, make sure your teacher is properly qualified, and knows that you’re pregnant as well as how many weeks pregnant you are 
  • you might like to try swimming because the water will support your increased weight. Some local swimming pools provide aquanatal classes with qualified instructors. Find your local sport and fitness services

Exercises to avoid

  • don't lie flat on your back, particularly after 16 weeks, because the weight of your bump presses on the main blood vessel bringing blood back to your heart and this can make you feel faint
  • don't take part in contact sports where there's a risk of being hit, such as kickboxing, judo or squash
  • don't take part in horse-riding, downhill skiing, ice hockey, gymnastics or cycling, because there's a risk of falling
  • don't go scuba-diving, because the baby has no protection against decompression sickness and gas embolism (gas bubbles in the bloodstream)
  • don't exercise at heights over 2,500m above sea level until you have acclimatised: this is because you and your baby are at risk of altitude sickness

Exercises for a fitter pregnancy

If you are pregnant, try to fit the exercises listed below into your daily routine. They will strengthen your muscles so that you can carry the extra weight of pregnancy. They'll also make your joints stronger, improve circulation, ease backache, and generally help you feel well.

Stomach-strengthening exercises

As your baby gets bigger, you may find that the hollow in your lower back increases and this can give you backache. These exercises strengthen stomach (abdominal) muscles and may ease backache, which can be a problem in pregnancy:

  • start in a box position (on all fours) with knees under hips, hands under shoulders, with fingers facing forward and abdominals lifted to keep your back straight
  • pull in your stomach muscles and raise your back up towards the ceiling, curling the trunk and allowing your head to relax gently forward. Don't let your elbows lock
  • hold for a few seconds then slowly return to the box position
  • take care not to hollow your back: it should always return to a straight/neutral position
  • do this slowly and rhythmically 10 times, making your muscles work hard and moving your back carefully
  • only move your back as far as you can comfortably

Pelvic tilt exercises

  • stand with your shoulders and bottom against a wall
  • keep your knees soft
  • pull your tummy button towards your spine, so that your back flattens against the wall: hold for four seconds and release
  • repeat up to 10 times

Pelvic floor exercises

Pelvic floor exercises help to strengthen the muscles of the pelvic floor, which come under great strain in pregnancy and childbirth. The pelvic floor consists of layers of muscles that stretch like a supportive hammock from the pubic bone (in front) to the end of the backbone.

If your pelvic floor muscles are weak, you may find that you leak urine when you cough, sneeze or strain. This is quite common and you needn’t feel embarrassed. It's known as stress incontinence and it can continue after pregnancy.

By performing pelvic floor exercises, you can strengthen the muscles. This helps to reduce or avoid stress incontinence after pregnancy. All pregnant women should do pelvic floor exercises, even if you're young and not suffering from stress incontinence now. 

How to do pelvic floor exercises:

  • close up your anus as if you're trying to prevent a bowel movement
  • at the same time, draw in your vagina as if you're gripping a tampon, and your urethra as if to stop the flow of urine
  • at first, do this exercise quickly, tightening and releasing the muscles immediately
  • then do it slowly, holding the contractions for as long as you can before you relax: try to count to 10
  • try to do three sets of eight squeezes every day: to help you remember, you could do a set at each meal

As well as these exercises, practise tightening up the pelvic floor muscles before and during coughing and sneezing.

Find out about preventing, living with, and treating incontinence.

Find out more about keeping fit and healthy after you've had your baby.  

Need activity ideas for the rest of the family?

Get a free personalised activity plan from Games4Life to help get your family more active this summer. Please bear in mind that the activity plans are not designed for use during pregnancy, but can be useful for your partner, children and other family members.


Last reviewed: 12/02/2013

Next review due: 12/02/2015

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Comments are personal views. Any information they give has not been checked and may not be accurate.

sasha011 said on 04 April 2013

I am 14 weeks pregnant and still continuing at the gym but just wanted to check it is still ok to exercise my abdominal muscles when pregnant.

I have stopped doing sit-ups (laying on the floor) as heard this is not good but am still doing them without laying on the floor.

So can you confirm it is ok to exercise abdominal muscles and that it will not harm the baby.

Thanks

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2littletjs said on 10 March 2013

I am 29 plus 2 days. I lost about 7 stone before falling pregnant on weight watchers over a period of 18 months. I was determined not to put on an excessive ammount of weight in this, my third pregnancy. As part of losing this weight i was doing 8 or 9 gym classes a week, ranging from legs, bums and tums, to aerobics, dancercise and step aerobics. Although i have taken the classes from high impact to low impact, i am still doing all of my regular classes and have no plan to stop any time soon. My consultant tells me i can carry on till i deliver. I am hoping to carry on till 36 weeks, and then have some time off to prepare for birth. The thought that is killing me is not being able to attend the gym for 6 weeks after birth. :-((

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Susie said on 02 July 2012

Hello, I'm sorry to hear you're having issues with your pelvis. You can find out more information about pregnancy related pelvic pain (also sometimes called SPD, or symphysis pubis dysfunction) here:

http://www.nhs.uk/conditions/pregnancy-and-baby/pages/pelvic-pain-pregnant-spd.aspx

I hope that helps.

Susie at NHS Choices

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Hannah Parker said on 31 May 2012

I'm 30 weeks pregnant today, and despite an issue with my pelvis which makes walking a bit more difficult, I'm still enjoying exercise.

So far I've mainly been doing some jogging, weight exercises for arms and legs, and home DVDs. I have had to scale it back a bit but I find the cross trainer is a nice replacement to the jogging and I'm still doing my weight training as it relies less on my pelvis for movement and still gives you a good workout!

I've been keeping track of my exercise progress on my blog, including tips, DVD reviews and routines, which some of you may be interested in. See here and happy exercising!

http://www.mumsdays.com/category/exercises/

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Rose82 said on 19 July 2011

Before I got pregnant (I’m only 6 weeks so that’s not too long ago!) I was going jogging at least twice a week for about 5k each time. One of the signs I was pregnant was definitely feeling more tired and not being able to jog as far or as fast as before. I’m desperate not to give up completely but know my aim to do a half marathon in the Autumn are a tad too adventurous given my current exhaustion! So I’ve scaled back to a home exercise DVD and pilates at my local leisure centre. Pilates is so good for core strength and we used a lot of the exercised in my post natal exercise class. I’m keen to have strong stomach muscles to help prevent back pain and so I don’t end up a blob after baby number 2! Also – exercise for me as a mum is a treat as even a half hour jog is valuable time to myself with just my ipod and some fresh air!

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kelseysmum said on 08 April 2010

I have just found out that im pregnant and for the last 2 months I have been eating healthier and excersising regularly at the gym or on the wii fit

I am going to continue to excersise and have so much more energy than I used to have, dispite being pregnant now. I have recently started going to Aqua Beam on a Tuesday night and its great fun and provides a good all over workout. I also swim with my daughter every weekend. I have lost nearly a stone in the last 12 weeks and am determined not to pile on too much baby fat throughout my pregnancy. It would be good to get back into shape pretty quickly after the baby has been born.

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