by Elizabeth Eden, MD

Cite This!
Please copy/paste the following text to properly cite this How Stuff Works article:

Eden, Elizabeth.  "How to Exercise During Pregnancy."  20 November 2006.  HowStuffWorks.com. <http://health.howstuffworks.com/how-to-exercise-while-pregnant.htm>  07 September 2008.
Health Videos
Health Videos

Prenatal Exercise Safety

Every pregnant woman should consult her physician before beginning an exercise program. Discuss which exercises are effective yet safe and those to avoid. It is particularly important that you not begin exercising on your own if:

Exercising while pregnant can provide significant health benefits, but there are some special health concerns to consider.
©2006 Publications International, Ltd.
Exercising while pregnant can provide
significant health benefits, but
there are some special health
concerns to consider.

  • you have any type of cardiac (heart) or respiratory condition

  • you have diabetes that developed before or during pregnancy

  • you have high blood pressure, whether the onset was before pregnancy or occurred as a symptom of toxemia

  • you have a history of premature labor

  • your placenta is implanted completely over or near your cervix (placenta previa)

  • you have physical impairments or musculoskeletal disease that would prevent exercise even in the nonpregnant state
Should any of the above conditions apply, consult your physician and follow his or her guidelines. In some instances, a stretching program or a modification of the program suggested here may be appropriate. But again, be sure to seek medical guidance first.

Appropriate Clothing
  • Wear loose-fitting, comfortable clothes. Choose materials that keep away moisture to help you stay dry and cool. Comfort is more important than glamour.

  • Wear a good support bra while exercising. In pregnancy (and postpartum, if you breast-feed), your breasts are larger than usual, and the supporting structures may be somewhat relaxed due to hormonal changes. For exercising, an adequate bra should 1) provide firm support; 2) limit bouncing; 3) be made of firm, mostly nonelastic, nonchafing, sturdy, nonallergenic materials; and 4) fit well, especially around the edges of the breasts beneath the arms.

    Sports bras that meet
    all these requirements are available in sports and department stores. If your breasts are very large and heavy, wear two bras for extra support and comfort during your workout: Wearing a nursing or maternity bra beneath a sports bra (or vice versa, if that's more comfortable) works very nicely to minimize bouncing and increase comfort.

  • Wear good shoes. This is very important! Walking and aerobic activity (even the low-impact variety without all the hopping, jumping, kicking, and skipping) involve contact with relatively hard surfaces. Proper shoes provide protection, support, cushioning, traction, and flexibility. Ordinary tennis shoes are not adequate. You need a good pair of walking shoes or aerobic shoes with adequate arch supports, heel cushioning, and lateral support that touches all the surfaces of your feet except over the toes. These are available from stores specializing in athletic equipment. Describe the type of exercise you will be doing, so the clerk can help you select the best shoes for you.
Making Exercise Safe and Effective

For anyone engaged in an exercise program, it is important to know if you are under- or overworking your heart. If you underwork your heart muscle, you won't build stamina or endurance. If you overwork your heart, you could become short of breath, dizzy, nauseated, or faint.

During pregnancy, it is especially important not to overwork. There are many internal body changes taking place that require oxygen and energy, in addition to the fact that a whole new person is growing inside you! That is why you should learn how to measure your body's responses to exercise.

One sign of overworking is shortness of breath. If you are working at just the right pace, you should be able to carry on a normal conversation while exercising (the talk test). But to be more accurate, you can learn to use your own pulse to tell you exactly how your body is responding to exercise.

If at any time during exercise you feel extremely fatigued, faint, dizzy, lightheaded, nauseated, or clammy and cold even though you are sweating, stop exercising, but walk around for a while and then have a seat. If you feel unwell during a structured class, let the instructor know before you leave. She may want to keep an eye on you for a bit, or she may want to help you seek medical assistance.

Also, see your physician before resuming exercise. These are warning signs. Listen to your body. There may be a very simple cause or one that is complicated and serious. Your physician, not your fitness instructor or you, should determine the cause.

Now that you know what you're doing, you're ready to work out. Go to the next page to find out how to start your aerobic exercise program.

To learn more about the topics covered in this article, try the following links:

  • Prenatal Vitamins will tell you everything you need to know about these pills commonly prescribed to expectant mothers and how they affect both mom and the baby.
  • To learn about what types and quantities of foods to eat while pregnant, try Pregnancy Nutrition Guidelines.
  • To find out more about pregnancy in general, read How Pregnancy Works.
  • To find out more about other prenatal procedures, go to How Prenatal Testing Works.
This information is solely for informational purposes. IT IS NOT INTENDED TO PROVIDE MEDICAL ADVICE. Neither the Editors of Consumer Guide (R), Publications International, Ltd., the author nor publisher take responsibility for any possible consequences from any treatment, procedure, exercise, dietary modification, action or application of medication which results from reading or following the information contained in this information. The publication of this information does not constitute the practice of medicine, and this information does not replace the advice of your physician or other health care provider. Before undertaking any course of treatment, the reader must seek the advice of their physician or other health care provider.

Symptom Checker:

  Abdominal Bloating   Abdominal Fullness Prematurely Afte...   Abdominal Lumps   Abdominal Mass   Abdominal Pain   Abdominal Rigidity   Abdominal Sounds   Abdominal Swelling   Abnormal Posturing   Abnormal Tooth Shape   Abnormally Dark Or Light Skin   Absent Menstruation   Absent Thirst   Agitation   Ambiguous Genitalia   Ankle Pain   Appetite Decrease   Appetite Increase   Apraxia   Arachnodactyly   Armpit Lump   Autistic Behavior   Babinski's Reflex   Bed Wetting   Belching   Binge Eating   Blackheads   Bleeding Gums   Bleeding Into The Skin   Blindness   Blockage Of Leg Arteries   Blood In The Semen   Blood in Urine   Bloody Or Tarry Stools   Bone Pain Or Tenderness   Bounding Pulse   Bowel Incontinence   Breast Lump   Breast Pain   Breath Odor   Breath Sounds   Breathing - Slowed Or Stopped   Breathing Difficulty   Breathing Difficulty When Lying Dow...   Breathing That Sounds Abnormal   Broad Nasal Bridge   Bulging Fontanelles   Bullae   Chemosis   Chest Pain   Chills   Clammy Skin   Claw Foot   Claw Hand   Cloudy Cornea   Clubbing Of The Fingers Or Toes   Cold Intolerance   Coloboma Of The Iris   Comedones   Confusion   Constipation   Contracture Deformity   Coughing   Coughing Up Blood   Crying Excessively in Infants   Cyst   Decerebrate Posture   Decorticate Posture   Decreased Consciousness   Decreased Urine Output   Delayed Growth   Delayed or Absent Tooth Formation   Depression   Diarrhea   Difficulty with Urination   Dizziness   Drooling   Drowsiness   Dry Eyes   Dry Hair   Dry Skin   Ear Discharge   Earache   Earlobe Creases   Elbow Pain   Epicanthal Folds   Erection Problems   Erosion   Excessive Or Unwanted Hair In Women   Excessive Thirst   Excessive Urination   Excessive Urination at Night   Excessively Large Fontanelles   Eye Burning, Itching and Discharge   Eye Pain   Eye Redness   Eye Slant   Eyelid Drooping   Eyes That Bulge   Face Pain   Facial Paralysis   Facial Swelling   Fainting   Fatigue   Female Sexual Dysfunction   Fever   Finger Pain   Fingers That Change Color   Flank Pain   Floating Stools   Focal Neurological Deficits   Foot Pain   Foot, Leg, And Ankle Swelling   Foul Smelling Stools   Frequent Or Urgent Urination   Frontal Bossing   Gas (Flatulence)   Gastrointestinal Bleeding   Genital Sores (Female)   Genital Sores (Male)   Groin Lumps   Groin Pain   Gynecomastia   Hair Loss   Hallucinations   Hand Or Foot Spasms   Hand Tremors   Hearing Loss   Heart Murmurs And Other Sounds   Heart Palpitations   Heartburn   Heat Intolerance   Heavy, Prolonged, or Irregular Mens...   Heel Pain   Hemolytic Crisis   Hepatomegaly   Heterochromia   Hiccups   Hip Pain   Hoarseness Or Changing Voice   Hump Behind The Shoulders   Hyperactivity   Hyperelastic Skin   Hypermobile Joints   Hyperventilation   Hypotonia   Impaired Smell   Increased Head Circumference   Indigestion   Infantile Reflexes   Insect Bites And Stings   Intercostal Retractions   Intertrigo   Irritability   Itching   Jaundice (Yellow Skin)   Joint Pain   Joint Swelling   Knee Pain   Leg Pain   Lichenified   Limited Range Of Motion   Lordosis   Low Nasal Bridge   Lower Back Pain   Macule   Malaise   Memory Loss   Metopic Ridge   Microcephaly   Micrognathia   Morbid Obesity   Morning Sickness   Moro Reflex   Motormental Retardation   Mouth Sores   Muscle Aches   Muscle Atrophy   Muscle Cramps   Muscle Function Loss   Muscle Twitching   Nail Abnormalities   Nasal Congestion   Nasal Discharge   Nasal Flaring   Natal Teeth   Nausea And Vomiting   Neck Lumps   Neck Pain   Night Blindness   Nightmares   Nikolsky’s Sign   Nipple Discharge   Nodules   Nosebleed   Numbness And Tingling   Obesity   Opisthotonos   Pain During Sexual Intercourse   Painful Menstrual Periods   Painful Urination   Pale or Clay-Colored Stools   Paleness   Papule   Patches   Patchy Skin Color   Pectus Carinatum   Pectus Excavatum   Penis Pain   Photophobia   Pilonidal Dimple   Pinna Abnormalities And Low-set Ear...   Point Tenderness   Polydactyly   Polyhydramnios   Poor Feeding In Infants   Preauricular Tag Or Pit   Premenstrual Breast Tenderness and ...   Prognathism   Pupils That Are Different Sizes   Purpura   Pustules   Rapid Shallow Breathing   Rash in a Child Under 2 Years   Rashes   Rib Cage Pain   Ridged Sutures   Scales   Scrotal Swelling   Seizures   Sensorineural Deafness   Separated Sutures   Shin Splints   Short Philtrum   Short Stature   Shoulder Pain   Simian Crease   Skeletal Limb Abnormalities   Skin Blushing/flushing   Skin Discoloration   Skin Lumps   Skin Turgor   Sleeping Difficulty   Sneezing   Snoring   Sore Throat   Spasticity   Speech Impairment (adult)   Splenomegaly   Splinter Hemorrhages   Strange Behavior   Stress And Anxiety   Striae   Subcutaneous Emphysema   Sunburn   Sunken Fontanelles   Supernumerary Nipples   Swallowing Difficulty   Swallowing Pain Or Burning   Sweating   Sweating Decrease   Swelling   Swollen Glands   Swollen Gums   Taste Impairment   Telangiectasia   Tenesmus   Testicle Lump   Testicle Pain   Tinnitus   Tongue Problems   Tooth Discoloration   Toothaches   Ulcers   Uncontrollable Eye Movements   Uncontrollable Movement   Uncontrolled Or Slow Movement   Uncoordinated Movement   Unpredictable Or Jerky Movement   Urinary Incontinence   Urine Discoloration   Vaginal Bleeding Between Periods   Vaginal Bleeding In Pregnancy   Vaginal Discharge   Vaginal Itching   Vesicles   Vision Problems   Vomiting Blood   Walking Abnormalities   Watery Eyes   Weak or Absent Pulse   Weakness   Webbing Of The Fingers Or Toes   Weight Gain   Weight Loss   Wheezing   White Spots in the Pupil   Whitehead   Widely Spaced Teeth   Wrinkles   Wrist Pain   Yawning