Managing pregnancy with physical activity is vital in promoting maternal and fetal health. Regular exercise during this transformative period offers countless benefits, including improved cardiovascular function and reduced risk of gestational complications.
Physical activity encompasses a broad spectrum of movements, from daily tasks to structured workout programmes, all of which contribute to the overall well-being of expectant mothers.
Pregnancy induces significant physiological adaptations that influence exercise capacity. These changes include increased blood volume, elevated resting heart rate, and alterations in the body’s centre of gravity. As gestation progresses, the growing uterus may affect blood flow, particularly after the 20th week, necessitating thoughtful adjustments to exercise routines.
Despite these changes, engaging in regular physical activity during pregnancy correlates with a decreased incidence of gestational diabetes, hypertensive disorders, and operative deliveries.
Research indicates that exercise can reduce the risk of gestational diabetes mellitus by up to 59%, demonstrating a dose-dependent relationship between physical activity and prevention of pregnancy-related complications.
Current global guidelines recommend that pregnant women engage in moderate-intensity physical activity for at least 20 to 30 minutes daily on most days of the week. These recommendations aim to promote optimal health outcomes for both mother and child while managing pregnancy with safe and effective physical activity.
However, despite the known benefits and established guidelines, many pregnant women worldwide do not meet the recommended physical activity levels. Many women who were active before conception report decreased physical activity levels once they become pregnant, highlighting the need for greater awareness and support.
In this discussion, we’ll explore how managing pregnancy with physical activity leads to lasting benefits for both mother and baby.
Benefits of Managing Pregnancy with Physical Activity
Managing pregnancy with physical activity yields numerous maternal and fetal health benefits. Regular exercise enhances cardiovascular health, improves stamina, and contributes to better weight management throughout gestation.
These physiological improvements are crucial in reducing the risk of pregnancy-related complications and promoting overall well-being.
One of the most significant benefits of physical activity during pregnancy is its impact on mental health. Exercise has been shown to enhance mood and reduce the risk of prenatal depression.
The endorphin release associated with physical activity can help alleviate stress and anxiety, which are common concerns for many expectant mothers. Moreover, regular exercise often improves sleep quality and reduces fatigue, addressing two frequent pregnancy discomforts.
Managing pregnancy with physical activity also positively influences long-term health outcomes. Women who maintain an active lifestyle during pregnancy often experience easier postpartum recovery and are more likely to continue healthy habits after childbirth. This continuity of physical activity can contribute to better weight management and reduced risk of chronic diseases in the long term.
Furthermore, the benefits of maternal physical activity extend to the developing fetus. Studies have shown that regular exercise during pregnancy can improve fetal cardiovascular health and potentially enhance cognitive development. These findings suggest that managing pregnancy with appropriate physical activity may have far-reaching effects on the child’s long-term health and development.
It’s worth noting that the benefits of physical activity during pregnancy are not limited to structured exercise routines. Daily walking, swimming, or prenatal yoga can improve health outcomes. The idea lies in maintaining consistent, moderate-intensity activity throughout pregnancy, always in consultation with healthcare professionals.
Addressing Common Pregnancy Discomforts Through Exercise
Pregnancy often brings various discomforts, but managing pregnancy with physical activity can effectively alleviate many of these issues. Exercise is crucial in mitigating common pregnancy-related problems and enhancing overall well-being for expectant mothers.
Lower Back Pain Relief
The exercises below can help strengthen core muscles and improve flexibility, reducing strain on the lower back. Research indicates that women who engage in regular physical activity during pregnancy experience lower intensity of lumbopelvic pain.
- Pelvic tilts and cat-cow stretches
- Swimming and water aerobics
- Gentle yoga poses like child’s pose
Additionally, a study found that exercise-based interventions can reduce the prevalence of low back pain by up to 9%.
Reducing Swelling and Improving Circulation
Engaging in the following activities can significantly improve circulation and manage pregnancy-related oedema. Studies show that moderate exercise during pregnancy contributes to better overall cardiovascular health.
- Walking: Promotes blood flow and reduces fluid retention
- Ankle rotations: Stimulate circulation in the lower extremities
- Leg elevations: Help reduce swelling, especially in the ankles and feet
Furthermore, research has demonstrated that water-based exercises reduce leg oedema in pregnant women.
Techniques for Managing Nausea and Improving Digestion
The list of activities below can help alleviate nausea and promote better digestion. Managing pregnancy with physical activity has been shown to reduce the severity of pregnancy-related nausea and improve gastrointestinal function.
- Deep breathing exercises
- Gentle prenatal yoga
- Short, frequent walks
Managing Pregnancy with Physical Activity: Trimester-Specific Approaches
As pregnancy progresses, the body undergoes significant changes, necessitating adaptations in physical activity. Managing pregnancy with physical activity requires a trimester-specific approach to ensure safety and maximise benefits.
First Trimester: Establishing a Routine and Managing Fatigue
During the initial weeks of pregnancy, many women experience fatigue and nausea. Despite these challenges, establishing an exercise routine is crucial. Here’s how to approach it:
- Start with low-impact activities like walking or swimming
- Focus on shorter, more frequent sessions to combat fatigue
- Incorporate gentle stretching to maintain flexibility
Tip: Listen to your body and rest when needed. Managing pregnancy with physical activity in the first trimester is about finding balance.
Research shows that women who maintain regular physical activity during early pregnancy experience less fatigue and improved mood. A study found that moderate-intensity exercise in the first trimester can reduce the risk of gestational diabetes by up to 25%.
Second Trimester: Accommodating a Growing Belly and Changing Balance
As the body changes more visibly, exercises need to be adapted:
- Modified strength training to support the growing body
- Balance exercises to accommodate the shifting centre of gravity
- Pelvic floor exercises to prepare for later stages of pregnancy
Studies show that women who maintain regular physical activity during the second-trimester experience fewer discomforts and better overall health outcomes. Engaging in pelvic floor exercises during this period has been associated with a 50% reduction in urinary incontinence during late pregnancy and postpartum.
Third Trimester: Preparing for Labour and Maintaining Comfort
In the final stretch, the focus shifts to preparation for childbirth and maintaining comfort:
✅ Low-impact cardio to maintain endurance
✅ Gentle stretching to alleviate discomfort
✅ Relaxation techniques to prepare for labour
Managing pregnancy with physical activity in the third trimester can lead to shorter labour duration and reduced need for interventions during childbirth. Research indicates that women who exercise regularly in late pregnancy have a 20% lower risk of cesarean delivery.
Always consult a healthcare professional before starting or modifying any exercise programme during pregnancy.
Physical Activity for Gestational Weight Management
Managing pregnancy with physical activity is crucial in achieving appropriate gestational weight gain. Insights of the nuances of healthy weight gain during pregnancy are essential for optimal maternal and fetal outcomes.
Healthy Weight Gain During Pregnancy:
- Underweight women (BMI <18.5): 12.5-18 kg
- Normal weight women (BMI 18.5-24.9): 11.5-16 kg
- Overweight women (BMI 25-29.9): 7-11.5 kg
- Obese women (BMI ≥30): 5-9 kg
These guidelines, established by the Institute of Medicine, aim to support fetal growth while minimising risks associated with excessive or insufficient weight gain.
Exercise’s Contribution to Appropriate Weight Gain
Physical activity during pregnancy influences gestational weight gain through multiple mechanisms:
- Metabolic regulation: Regular exercise enhances insulin sensitivity, promoting efficient glucose utilisation and reducing the risk of excessive fat accumulation.
- Muscle preservation: Resistance training helps maintain lean muscle mass, contributing to healthier weight composition.
- Appetite regulation: Moderate-intensity exercise may help regulate appetite hormones, potentially preventing overeating.
A study of over 2,000 pregnant women found that those engaging in regular physical activity were 28% less likely to exceed recommended weight gain guidelines.
Balancing Nutrition and Physical Activity
Optimal gestational weight management requires a synergistic approach combining proper nutrition and exercise:
- Caloric intake: Pregnancy requires 340-450 calories per day in the second and third trimesters.
- Nutrient density: Focus on foods rich in essential nutrients rather than empty calories.
- Timing of meals: Consuming small, frequent meals can support energy levels for physical activity.
Research indicates that women who combine balanced nutrition with regular exercise experience a 36% reduction in the risk of gestational diabetes compared to those who focus solely on diet or exercise.
Preparing for Labour and Delivery Through Exercise
Managing pregnancy with physical activity brings benefits of gestational health to labour preparation. Targeted exercises can significantly enhance a woman’s physical readiness for childbirth, potentially leading to more positive labour experiences.
Strengthening Muscles for Labour
Ideal muscle groups to focus on include:
- Pelvic floor muscles: Kegel exercises
- Core muscles: Modified planks and bird-dog poses
- Lower body: Squats and lunges
A randomised controlled trial found that women who performed pelvic floor muscle training during pregnancy experienced a 19% reduction in the duration of the second stage of labour.
Endurance-Boosting Activities
Improving cardiovascular endurance can help women better cope with the physical demands of labour:
- Swimming: Low-impact, full-body workout
- Stationary cycling: Controlled intensity without balance concerns
- Prenatal aerobics classes: Structured workouts tailored for pregnancy
Research indicates that women who maintained moderate-intensity aerobic exercise throughout pregnancy were 58% less likely to request pain medication during labour than their sedentary counterparts.
Relaxation Techniques and Breathing Exercises
Preparing the mind is as crucial as preparing the body:
- Progressive muscle relaxation
- Visualisation exercises
- Diaphragmatic breathing
A study of 197 pregnant women found that those who practised relaxation techniques regularly during pregnancy reported significantly lower pain intensity during labour.
Breathing exercises, particularly the “slow breath” technique, have been associated with reduced anxiety and increased sense of control during labour. Women practising this technique reported a 25% reduction in perceived pain during contractions.
Managing pregnancy with physical activity through these targeted exercises and techniques can contribute to a more positive childbirth experience. The combination of physical preparation and mental relaxation techniques equips expectant mothers with valuable tools for dealing with the challenges of labour and delivery.
Sources
- Barakat R, et al. A program of exercise throughout pregnancy. Is it safe to mother and newborn? Am J Health Promot. 2014;29(1):2-8.
- Bø, K, et al. Exercise and pregnancy in recreational and elite athletes: 2016/2017 evidence summary from the IOC expert group meeting, Lausanne. Part 5. Recommendations for health professionals and active women. Br J Sports Med 2018;52:1080–5.
- Cantarero-Villanueva I, et al. The effectiveness of a deep water aquatic exercise program in cancer-related fatigue in breast cancer survivors: a randomised controlled trial. Arch Phys Med Rehabil. 2013;94(2):221-230.
- Chan, CWH, et al. Effectiveness of physical activity interventions on pregnancy-related outcomes among pregnant women: a systematic review. Int J Environ Res Publ Health 2019;16.
- Clapp JF. Influence of endurance exercise and diet on human placental development and fetal growth. Placenta. 2006;27:527–534.
- Clapp JF 3rd, Kim H, Burciu B, Lopez B. Beginning regular exercise in early pregnancy: effect on fetoplacental growth. Am J Obstet Gynecol. 2000;183(6):1484-1488.
- Coll, C, et al. Changes in Leisure-Time Physical Activity From the Prepregnancy to the Postpartum Period: 2004 Pelotas (Brazil) Birth Cohort Study. J Phys Act Health. 2016. April;13(4):361–5.
- Daley AJ, et al. The role of exercise in treating postpartum depression: a review of the literature. J Midwifery Womens Health. 2007;52(1):56–62.
- Davenport, MH, et al. Prenatal exercise for the prevention of gestational diabetes mellitus and hypertensive disorders of pregnancy: a systematic review and meta-analysis. Br J Sports Med 2018;52:1367–75.
- Dias LAR, et al. Effect of pelvic floor muscle training on labour and newborn outcomes: a randomised controlled trial. Rev Bras Fisioter. 2011;15(6):487-493.
- Domenjoz I, et al. Effect of physical activity during pregnancy on mode of delivery. Am J Obstet Gynecol. 2014;211(4):401.e1-11.
- Ebrahimi N, et al. Effects of ginger and exercise on nausea and vomiting in pregnant women: a randomised controlled trial. Nurs Midwifery Stud. 2020;9(2):83-89.
- Gaston A, Prapavessis H. Tired, moody and pregnant? Exercise may be the answer. Psychol Health. 2013;28(12):1353-1369.
- Institute of Medicine and National Research Council. Weight Gain During Pregnancy: Reexamining the Guidelines. Washington, DC: The National Academies Press; 2009.
- Jiang H, et al. Can physical activity reduce excessive gestational weight gain? Findings from a Chinese urban pregnant women cohort study. Int J Behav Nutr Phys Act. 2012;9:12.
- Melzer K, et al. Physical activity and pregnancy: cardiovascular adaptations, recommendations and pregnancy outcomes. Sports Med. 2010;40(6):493–507.
- Miquelutti MA, Cecatti JG, Makuch MY. Evaluation of a birth preparation program on lumbopelvic pain, urinary incontinence, anxiety and exercise: a randomised controlled trial. BMC Pregnancy Childbirth. 2013;13:154.
- Mørkved S, Bø K. Effect of pelvic floor muscle training during pregnancy and after childbirth on prevention and treatment of urinary incontinence: a systematic review. Br J Sports Med. 2014;48(4):299-310.
- Nascimento SL, et al. Physical exercise during pregnancy: a systematic review. Curr Opin Obstet Gynecol. 2012;24:387–394. Ruchat, SM, et al. Effectiveness of exercise interventions in the prevention of excessive gestational weight gain and postpartum weight retention: a systematic review and meta-analysis. Br J Sports Med 2018;52:1347–56.
- Price BB, Amini SB, Kappeler K. Exercise in pregnancy: effect on fitness and obstetric outcomes-a randomised trial. Med Sci Sports Exerc. 2012;44(12):2263-2269.
- Ruchat SM, Mottola MF. The important role of physical activity in the prevention and management of gestational diabetes mellitus. Diabetes Metab Res Rev. 2013;29(5):334-346.
- Russo LM, et al. Physical activity interventions in pregnancy and risk of gestational diabetes mellitus: a systematic review and meta-analysis. Obstet Gynecol. 2015;125(3):576-582.
- Shiri R, et al. Exercise for the prevention of low back pain: systematic review and meta-analysis of controlled trials. Am J Epidemiol. 2018;187(5):1093-1101.
- Wang C, et al. A randomised clinical trial of exercise during pregnancy to prevent gestational diabetes mellitus and improve pregnancy outcome in overweight and obese pregnant women. Am J Obstet Gynecol. 2017;216(4):340-351.
- Wolfe, LA, Weissgerber, TL. Clinical physiology of exercise in pregnancy: a literature review. J Obstet Gynaecol Can 2003;25:473–83.
- World Health Organization. Global Recommendations on Physical Activity for Health. Geneva: World Health Organization. 2010.
- Yildirim G, Sahin NH. The effect of breathing and skin stimulation techniques on labour pain perception of Turkish women. Pain Res Manag. 2004;9(4):183-187.
