Expecting? Try These Basic Prenatal Modifications for 5 Popular Exercises (2024)

Keeping active during pregnancy is one of the best things you can do for yourself and your baby. Not only is it safe to work out using pregnancy-approved movements, but science says it also helps reduce your stress levels, improves your baby’s growth and development in the womb, and is associated with shorter, easier labor and swifter healing after delivery.

During pregnancy, there are specific exercises to avoid, some to ensure you include, and others that need modifications to stay safe and effective. Because more than 85% of women will have children at some point in their lives, knowing how to adjust training for pregnancy is valuable information essential for staying safe and enjoying exercise.

Keeping Active During Pregnancy

According to the guidelines provided by the American College of Obstetricians and Gynecologists and the Society of Obstetricians and Gynaecologists of Canada (SOGC), pregnant people with clearance from a healthcare provider—and who have no health conditions or concerns that would make training inadvisable—should engage in physical activity throughout their pregnancy. This should include both aerobic and resistance training.

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5 Prenatal Exercise Modifications

Numerous exercises are considered safe during pregnancy. If your healthcare provider has given you the green light, you can choose from a wide range of strength training exercises that are safe and beneficial. Some examples include variations of squats, hinge movements, bridges, lunges, and loaded carries. Pulling exercises such as rows and pulldowns, presses, and core stabilizing and strengthening movements also have a place in any well-designed exercise program.

During pregnancy and postpartum, you can benefit most from hinging hip-dominant exercises, pulling rowing movements, and stabilizing core exercises. But these exercises should be adapted to your growing abdomen and the pressures it places on your muscles and joints. Here are five exercises you can adapt to pregnancy.

Modifying Exercise Intensity in Pregnancy

The SOGC-CSEP guidelines on intensity recommend that if you have been active before becoming pregnant, you can continue to exercise at low to moderate intensities but should likely be wary of high-intensity exercise. If you have been sedentary or have a BMI of 30 or more, start with lower-intensity activity and gradually increase to a moderate level.

Front Plank Modification: Incline Front Plank

Front planks are a safe and effective core stability exercise you can do when trying to conceive, during the first trimester, and often at the beginning of the second trimester. However, you should stop doing front planks if you feel your belly is hanging or bulging since this can increase the separation of the abdominal wall (diastasis recti).

Instead, try performing your planks on an incline. The incline will reduce the load on the abdominal and back muscles. Here's how to perform the incline front plank.

  1. Kneel in front of a bench.
  2. Place your forearms against the edge.
  3. Raise your hips and extend your legs one at a time behind you to come into a plank with your weight supported on your forearms.
  4. Hold for 30 to 60 seconds, contracting your abdominals and breathing smoothly.

Expecting? Try These Basic Prenatal Modifications for 5 Popular Exercises (1)

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Glute Bridge Modification: Bodyweight Hip Thrust

Glute bridges are a hinging, hip-dominant movement that increase glute strength. They help protect your pelvis and back from the strains and pains of pregnancy. Bridges also increase awareness of your glute muscles, boosting muscle activation that can be lacking for many people who have anteriorly tilted pelvises and stretched hamstring muscles.

But it's not advisable to lay flat on your back after the first trimester. Switching to a hip thrust with your back elevated is a great substitution. Here is how to do a bodyweight hip thrust.

  1. Sit on the ground with your back against a bench.
  2. Lean your upper body onto the bench and raise your hips, rolling the tops of your shoulders and upper back onto the bench.
  3. Keep your feet about hip-width apart, toes forward or slightly turned out if it's more comfortable.
  4. Ensure alignment from your head to your upper back down to your pelvis with a neutral spine.
  5. Lower your hips toward the floor, inhaling.
  6. Maintain a straight line from head to pelvis throughout the movement.
  7. Drive your feet into the floor, inhale, and push to raise your hips back up, squeezing your glutes at the top.

Barbell Squat Modification: Goblet Squat

Squats strengthen the spinal stabilizing muscles, quadriceps, pelvic floor, and pelvic opening while building functional strength essential for daily activities during pregnancy. Barbell or wider stance squats, while excellent for building general strength and core stability, can be tricky during the later months of pregnancy. You may feel a heaviness in the perineum or can leak urine.

To help with this, you can try loading the squat in the front and adopting a narrower squat using less weight. Here is how to do a goblet squat in pregnancy.

  1. Position your feet about shoulder-width apart, slightly wider, and slightly turned out to whichever position is most comfortable.
  2. Hold a dumbbell close to your chest, cupping underneath with your fingertips over the top.
  3. Check your stance and ensure your chin is slightly tucked and your weight is evenly balanced on each side across your entire foot.
  4. Inhale as you squat down, pushing/hinging your hips back (not bending forward) and bending your knees in the direction of your feet.
  5. Exhale as you push through your feet to stand back up, focusing on controlled movement.
  6. Maintain proper alignment throughout the squat with your head, chest, and pelvis in line, aiming to keep your chest up as much as possible.

Expecting? Try These Basic Prenatal Modifications for 5 Popular Exercises (2)

Additional Tips

As the pregnancy progresses, holding a dumbbell can become uncomfortable since it will bump into your belly. Here's how to modify the squat further.

  1. Bend over to pick up the dumbbell with both hands.
  2. Curl it up to your chest, and position it just underneath your chin.
  3. Tuck your chin slightly, and get into your squat stance.
  4. Squat by hinging at the hips, inhaling, sending your glutes back, and pushing your knees out in line with your shins and feet.
  5. Push through your feet and exhale to raise while keeping your spine neutral and chest high.
  6. Return the dumbbell gently to the floor.

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Bent-Over Row Modification: Seated Row

Pulling and rowing movements are vital for pregnancy to help combat rounded shoulders and strained postural muscles. Building strength and stability in your back helps counteract the effects of your belly changing your center of gravity.

But bent-over rows can be too stressful on your lower back and can cause a heavy, bulging feeling in your abdomen. Instead, try seated rows, which safely work the same muscles without the strain. You can do these with resistance bands or a cable machine. Here's how.

  1. Face the cable machine and grab the handles, palms facing inward.
  2. Lean slightly forward to ensure the ribs align over the hips and sit on your sit bones rather than tucking under, maintaining good posture.
  3. Root your feet into the ground for stability and support, and pull your shoulder blades back and down, ensuring they glide properly over the rib cage.
  4. Focus on pulling with the back muscles rather than your arms, thinking of your hands as hooks. Your elbows should be in line with your shoulders.
  5. Pull the handles toward your body with a controlled movement, keeping your palms facing in.
  6. Stop once the handles reach your torso, contracting your shoulder blades before slowly reversing the motion.

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Push-Up Modification: Band-Assisted Pushups

Pushups are an excellent chest-strengthening exercise that also help build core stability, shoulder strength, and mobility. But as you get heavier, especially in the front of your body, they can become too challenging and cause some low back strain. If this is the case, you can try using a resistance band to help you perform pushups, adding some assistance at the bottom. Here's how to do band-assisted pushups.

  1. Loop a strength band around the top of a squat rack and kneel on the floor, holding the band.
  2. Place the center of the band around your hips and your hands on the floor, under your shoulders.
  3. Extend your legs back one at a time so you are in the top of a pushup position.
  4. Maintain a neutral spine, squeeze your glutes, and engage your abdominals. This is the starting position.
  5. Bend your elbows to lower your chest to the floor, then push back to the starting position.

Expecting? Try These Basic Prenatal Modifications for 5 Popular Exercises (4)

If you still feel back tension or any bulging in your abdomen, avoid pushups and replace them with resistance band or cable chest presses performed in a split stance.

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Expecting? Try These Basic Prenatal Modifications for 5 Popular Exercises (2024)

FAQs

When do you need to start modifying exercise when pregnant? ›

Second Trimester

At 14 weeks, we recommend avoiding activities like skiing, contact sports, karate and other activities that increase your risk of falling. You may continue with walking, swimming and pre-pregnancy exercise as long as it isn't high-impact or lifting weight over 25 pounds.

What are the 10 rules of safer exercise while pregnant? ›

Tips for safe pregnancy exercise
  • Check in with your provider.
  • Start slow (or continue)
  • Know which exercises to avoid during pregnancy.
  • Make pregnancy modifications.
  • Warm up and cool down.
  • Avoid overheating.
  • Eat well.
  • Drink plenty of water.

What are the best exercises for prenatal pregnancy? ›

Staying active during pregnancy can have many benefits, including easing aches and pains and helping to prevent too much weight gain. Along with aerobic exercise, such as walking and swimming, exercises to strengthen muscles are important to include in a well-rounded exercise program.

What exercises to modify during pregnancy? ›

Exercises like Russian twists, leg lifts, pikes and sit ups should be substituted for exercises like side planks, Pallof presses, wood chops, bird-dogs, suitcase carries and other anti-rotation exercises. This is especially the case as the belly starts to grow… you need to allow the rectus abdominals to stretch.

When to start prenatal exercise? ›

You can start exercising at any time during your pregnancy. If you are not used to exercising, you could start doing 10 minutes at a time and gradually build up to 30 or 40 minutes. Avoid contact sports, such as boxing, rugby or football, and sports where you could fall, such as horse riding or climbing.

What exercises should be avoided before pregnancy? ›

Don't
  • Engage in exercise that's considered vigorous in intensity without first talking to your healthcare professional8
  • Exercise so much that you become underweight1
  • Stop exercising if you are about to begin or are in the middle of fertility treatments.
May 27, 2024

What kind of exercise is safe during early pregnancy? ›

Experts agree these exercises are safest for pregnant women: Walking—Brisk walking gives a total body workout and is easy on the joints and muscles. Swimming and water workouts—Water workouts use many of the body's muscles. The water supports your weight so you avoid injury and muscle strain.

What core exercises should I avoid when pregnant? ›

Ab Exercises to Avoid During Pregnancy

“You want to avoid any kind of crunching or twisting in the torso,” Butler says. “That promotes the splitting in the abs, and afterward it can lead to hernias.” Which means doing sit-ups while pregnant is not a good idea—and neither is doing crunches or Russsian twists.

Can I plank while pregnant? ›

The short answer is, yes. Planks are safe.

Is it safe to box while pregnant? ›

Consult with your doctor. Stay well-hydrated by drinking plenty of water before, during and after exercising (but no more than 16 ounces at a time). As long as you do not overdo it and limit your distance, you should be fine. Performing multiple reps with light to moderate weights is perfectly safe and encouraged.

When do you need to modify core exercises in pregnancy? ›

If, at any point, you do notice a gap in your abdomen that's wider than three finger-widths apart, you will need to modify your ab workouts during and after pregnancy.

What exercise is good for a pregnant woman about to give birth? ›

Deep squats help relax and lengthen the pelvic floor muscles and stretch the perineum. Stand with your legs wider than hip width. Slowly squat down as far as you can go with your hands pressed together in front of you. Your physical therapist can talk with you about how often and how many deep squats you should do.

What yoga modifications for pregnancy? ›

While pregnant, it is best to avoid any postures that are considered “belly up core” and put extra stress on your rectus abdominals. Rather, focus on core exercises that tone your side bodies and the back line of your body. How to: Start in a tabletop position, extend opposite leg and arm away from your center.

When to modify ab exercises in pregnancy? ›

If, at any point, you do notice a gap in your abdomen that's wider than three finger-widths apart, you will need to modify your ab workouts during and after pregnancy. The good news is that diastasis recti heals on its own (with a little help from you) after birth.

When to start modifying yoga during pregnancy? ›

During your 2nd and 3rd trimester, you can place a block underneath your forehead to allow more room for your belly. How to: Spread your knees wide to breathe space into your groins and extend your fingers to the top of your mat. Slide the block under your forehead to lift your abdomen up.

What month should you stop exercising when pregnant? ›

It is safe to stay active right up to the end of your pregnancy if you are having an uncomplicated pregnancy.

When to modify pilates for pregnancy? ›

Exercise modifications are required from the 2nd trimester for a variety of reasons. Most important reason being to accomodate the growing bump. We recommend both new and existing clients continue with Foundation or Prenatal classes so we can make the moficiations that are needed.

References

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