Personal Trainer Continuing Education

Can Clients Work Out While Pregnant? Safe Exercise Tips for Expecting Moms

Overview to Exercise During Pregnancy

One of the most common questions health and fitness professionals hear from expecting clients is: “Can you work out while pregnant?”

First and foremost, the answer is talk to your doctor before you do anything! Understanding what moderate intensity means is crucial for safe exercise. You should only dophysical activity when a qualified medical professional has told you you’re safe to exercise, especially while pregnant.
The simplest answer is likely yes—healthy pregnant women can and often should continue exercising, provided it’s done safely and with the appropriate modifications. In fact, regular exercise during pregnancy offers a range of physical and emotional benefits for both the mother and the developing baby.


However, pregnancy brings about a wide range of physical changes—from fluctuating hormones and shifting posture to increased body temperature, blood flow, andweight gain. These changes mean that a woman’s exercise program must adapt throughout the trimesters. It's not just about maintaining fitness or trying to lose weight; it's about supporting the body through its evolving demands and preparing for the physical challenges of childbirth and postpartum recovery.


For decades, pregnant women were often told to “take it easy” and avoid physical activity. Today, those outdated myths are being replaced by evidence-based guidelines that emphasize the value of moderate exercise throughout pregnancy. The U.S. Department of Health and Human Services recommends that healthy pregnant women engage in at least 150 minutes of moderate intensity aerobic activity per week to enhance their fitness.

That can look like a brisk walk, low-impact aerobic exercise, stationary bike sessions, or even prenatal yoga—each tailored to the individual's fitness level and stage of pregnancy.

That said, the phrase "moderate intensity" can feel vague. For pregnant clients, it typically means being active enough to increase the heart rate and breathing, but still able to carry on a conversation. Trainers and healthcare professionals should guide expecting mothers in finding this balance, always adjusting based on warning signs and knowing when to stop exercising, like painful contractions, calf pain, dizziness, or shortness of breath.


There are also clear red flags when it comes to certain forms ofactivity. High-impact or high-risk workouts such as hot yoga, contact sports, horseback riding, downhill skiing, or anything involving high altitude should be avoided, especially during the second and third trimesters. Activities like scuba diving are dangerous due to the risk of decompression sickness, which can harm the developing baby. Similarly, sports like ice hockey, martial arts, and off-road cycling pose an increased risk of trauma, falls, or collisions, which are not compatible with a growing pregnancy.

A well-rounded pregnancy exercise plan often includes low-impact aerobic activity

This includes gentle stretching and strength training using light resistance. Particular attention should be paid to pelvic floor exercises, which help strengthen the pelvic floor muscles, reducing the risk of urinary incontinence and supporting the uterus as it grows. These exercises, along with proper breathing and posture techniques, can improve core stability and help minimize lower back pain—one of the most common complaints as pregnancy progresses.

It’s also essential to recognize that not all pregnancies are the same. Clients with pregnancy complications—such as gestational diabetes, severe anemia, preterm labor, or ruptured membranes—should not begin or continue an exercise routine without medical clearance. In fact, in these cases, it may be advised to avoid exercise altogether or restrict it to very light movement under supervision.


Ultimately, creating a safe and effective exercise program during pregnancy is about tuning in to the body, responding to its cues, and knowing when to push and when to pause. Expecting mothers should stop exercising immediately if they experience painful contractions, bleeding, dizziness, or chest pain. It's also critical to drink plenty of water, stay cool, and avoid long periods of exertion without rest.

So, can you work out while pregnant? Absolutely—when guided with care and a personalized approach, exercise can be a powerful tool for staying strong, managing stress, and preparing for the demands of labor and motherhood. As we explore each section ahead, we’ll break down the safe exercises, high-risk activities, and nuanced considerations that make all the difference in creating a safe, supportive, and sustainable fitness path for pregnant clients.

Benefits of Staying Active

Staying physically active during pregnancy offers a wide range of benefits for both mother and baby. Regular exercise can help manage weight gain, improve blood pressure, reduce the risk of gestational diabetes, and support overall cardiovascular health.


For many pregnant women, staying active also relieves common discomforts like back pain, constipation, and swelling. Mentally, an effective exercise routine can ease anxiety, improve sleep, and help relieve stress—all essential for navigating the emotional ups and downs of pregnancy. Strengthening the pelvic floor muscles through targeted pelvic floor exercises can also prepare the body for labor and reduce the risk of urinary incontinence later on.


Ultimately, exercise during pregnancy supports a smoother recovery postpartum and helps maintain the stamina needed for labor and everyday life with a newborn.

Safe Exercises for Pregnant Women

The key to a healthy exercise program during pregnancy is choosing movements that are effective yet low-risk. Most healthy pregnant women can safely engage in moderate-intensity aerobic activity, including brisk walks, swimming and water workouts, stationary bike sessions, and prenatal yoga.


These options promote circulation, strengthen muscles, and support blood flow without placing too much strain on joints or the growing baby. Gentle stretching and bodyweight strength exercises can also be beneficial, especially when focusing on areas like the hips, back, and pelvic floor. As pregnancy advances, balance may be affected, so exercises that minimize the risk of falling—such as seated or supported movements—are often best.


It’s also important to tailor the routine to the trimester, energy level, and any existing health conditions, with a focus on keeping the body strong, supported, and aligned as the pregnancy progresses.

Activities to Avoid

While staying active is beneficial, certain forms of physical activity are not safe during pregnancy and should be avoided. Exercises that carry a high risk of falling or direct trauma to the abdomen—such as horseback riding, downhill skiing, off-road cycling, and anything of the sort—can be dangerous for both mother and baby. Likewise, contact sports like soccer or basketball, as well as activities that involve rapid direction changes, heighten the chance of injury.


Pregnant clients should also steer clear of hot yoga and other high-heat environments, as elevated body temperature in early pregnancy has been linked to birth defects. Additional high-risk activities include scuba diving (due to decompression sickness), water skiing, and training at high altitudes, especially without acclimatization, which can increase the risk of altitude sickness or limit oxygen to the developing baby. As a general rule, if there’s any doubt about safety, it’s best to err on the side of caution and consult a healthcare provider.

High-Risk Activities and Precautions

While many forms of exercise during pregnancy are safe, there are specific scenarios that require extra vigilance—or complete avoidance. Pregnant clients with conditions like severe anemia, preterm labor, gestational diabetes, preterm birth risk, or ruptured membranes must consult with a healthcare provider before continuing or beginning any physical activity. Some women may also experience pregnancy complications that call for activity modification or medical supervision.


Even in healthy pregnancies, certain high-risk activities—like scuba diving, ice hockey, horseback riding, or exercise at high altitudes—pose a danger to both the mother and the developing baby. It’s also important to watch for warning signs during any workout: sudden calf pain, chest pain, dizziness, painful contractions, or vaginal bleeding are all indicators to stop exercising immediately. Staying hydrated, avoiding overheating, and dressing appropriately for temperature changes are additional precautions that help protect both mom and baby during every stage of an exercise program.

Common Concerns and Complications

It’s normal for pregnant clients to have questions and concerns about how exercise might affect their body and their baby. Many wonder how much exercise is too much, or whether working out could lead to preterm labor or other pregnancy complications. For most healthy pregnant women, regular physical activity is not only safe but beneficial—but every pregnancy is different, and it's crucial to adapt workouts accordingly. As the uterus expands and posture shifts, some women may experience lower back pain, balance issues, or discomfort during abdominal exercises.

Others might worry about conditions like urinary incontinence or increased fatigue.

These are common, and many can be managed through thoughtful movement—such as incorporating pelvic floor exercises, modifying positions, and avoiding strenuous exercise or any motion that compresses the belly.


Monitoring for symptoms like excessive fatigue, sharp pain, or shortness of breath helps trainers and clients catch signs of distress early. The goal is never to push through discomfort, but to support the body’s natural changes and reduce risks as the pregnancy progresses.

Nutrition and Hydration

Exercise is only one piece of a healthy pregnancy—nutrition and hydration play equally critical roles. As pregnant women take on the physical demands of both growing a baby and maintaining an exercise routine, their bodies require more fuel and fluids than usual.


Staying well-hydrated is essential, especially during moderate intensity or aerobic activity, to help regulate body temperature, support blood flow, and prevent dehydration-related complications like dizziness or preterm contractions. Clients should be encouraged to drink plenty of water before, during, and after workouts—ideally sipping every 15–20 minutes when active.


Nutritionally, focusing on balanced meals rich in whole grains, lean proteins, healthy fats, and a variety of fruits and vegetables can help maintain energy and support the baby’s development. Exercise also increases caloric needs, so clients trying to lose weight or limit weight gain due to extra weight should be reminded that restrictive dieting during pregnancy can harm the developing baby.


The goal is not to cut calories, but to nourish the body in alignment with the physical and hormonal demands of pregnancy and everyday life.

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Listening to Your Body

One of the most important principles ofexercise during pregnancy is learning to listen to your body. While staying active offers many benefits, the experience of pregnancy is deeply individual, and what feels right one day may feel wrong the next.


Encourage clients to pay attention to subtle signals—calf pain, lightheadedness, overheating, or painful contractions—and to treat these as cues to rest or modify their exercise routine.


Even in the absence of discomfort, fatigue and changing energy levels are normal as pregnancy progresses, and pushing through can do more harm than good. Remind clients that taking a break, shortening a session, or choosing a gentler movement like prenatal yoga or a brisk walk is still productive.


This intuitive, flexible approach not only prevents injury but also cultivates a positive, compassionate mindset toward physical changes. By building awareness and trust in their body’s feedback, pregnant women can stay safely engaged in movement while honoring the needs of both themselves and their growing baby.

Final Tips

It needs to be reiterated: before starting or continuing any exercise program during pregnancy, it is essential for every woman to receive clearance from a qualified medical provider. Even healthy pregnancies come with unique considerations, and what’s safe for one person may not be safe for another. This step ensures that exercise plans are not only effective but aligned with individual medical needs, including risks associated with cesarean delivery and other factors.


With the right guidance and a focus on moderate intensity, pregnant women can safely enjoy the physical, emotional, and even long-term health benefits of an active lifestyle. Whether it’s walking, swimming, gentle strength training, or pelvic floorexercises, staying active supports better blood flow, reduces discomfort, and prepares the body for labor and recovery. That said, not all movement is created equal. Avoiding high-risk activities like hot yoga, horseback riding, and downhill skiing, and staying alert to warning signs such as dizziness, calf pain, or unusual fatigue, helps minimize the risk of injury or pregnancy complications.


Encourage clients to keep their workouts simple, intentional, and adaptable. Remind them to drink plenty of water, fuel their bodies with nutrient-rich foods, and give themselves permission to rest. With a little planning, the support of their care team, and a lot of self-awareness, exercise during pregnancy can become one of the most empowering and supportive tools available to expectant moms—and a strong foundation for the journey ahead.