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    Women's Health6 min read

    Exercising for Two: Safe, Simple Training During Pregnancy

    Shiva Malhotra
    By Shiva Malhotra
    Barefoot Protocol
    Evidence-based health, movement & longevity
    Published: 25 March 2026, 10:00 AM AEST
    Last updated: 25 March 2026, 10:00 AM AEST
    Pregnant woman walking outdoors in natural light

    Pregnancy is not a reason to stop moving. For most healthy pregnancies, the right kind of exercise helps you feel better, move better, and prepare your body for birth and recovery.

    Simple, evidence-based guidance. Always discuss exercise choices with your obstetric provider.

    The Short Version

    For most healthy pregnancies, staying active is safe and beneficial. The goal is not to train harder — it is to train smarter. Your body is changing quickly, and your workouts need to adapt with it.

    This article gives you the basics: what to do, what to avoid, when to stop, and how to make movement work for this specific season of your life.

    150 min
    of moderate activity per week is the target for most healthy pregnant women — guidance from the CDC and major obstetric bodies
    Talk test
    If you can hold a conversation while moving, your intensity is likely in the right zone. Fixed heart rate targets are less reliable during pregnancy.
    Most healthy pregnancies
    Exercise is associated with minimal risk and meaningful benefits including reduced risk of gestational diabetes and hypertensive disorders

    What Changes During Pregnancy?

    Joints become looser

    Pregnancy hormones increase joint flexibility. This is useful for birth but means you are more vulnerable to overstretching. Avoid deep, end-range stretches and unstable movement.

    Balance shifts

    As your abdomen grows, your centre of gravity moves forward. Movements that felt stable before may feel different now. Choose exercises where you feel fully in control.

    Heart rate behaves differently

    Your cardiovascular system is working harder throughout pregnancy. Fixed heart rate targets are less reliable. Use the talk test instead — if you can speak in short sentences, your effort level is likely appropriate.

    Overheating matters more

    Your core body temperature is already slightly elevated during pregnancy. Avoid hot yoga, saunas, and exercising in excessive heat. Stay well hydrated before, during, and after movement.

    The supine position after around 20 weeks

    Lying flat on your back for extended periods after approximately 20 weeks may cause discomfort and can compress a major blood vessel. Choose side-lying, inclined, seated, standing, or all-fours positions as alternatives when needed.

    The Big Rules

    Get medical clearance first

    Before starting or continuing exercise during pregnancy, discuss it with your doctor or qualified healthcare provider. This is especially important if you have any complications or pre-existing conditions.

    Use the talk test

    Aim for moderate effort. You should feel like you are working, but still be able to hold a short conversation. This is more reliable than heart rate targets during pregnancy.

    Choose stable, controlled movement

    Avoid pushing into unstable positions or deep stretches. Pregnancy hormones make joints more mobile than usual, which increases injury risk at end range.

    Avoid the supine position after ~20 weeks

    Choose incline, side-lying, seated, standing, or all-fours alternatives for any exercise that would otherwise require lying flat on your back for extended periods.

    Good exercise choices include

    Walking — Swimming — Stationary cycling — Light to moderate resistance training — Gentle mobility work — Low-impact cardio

    Stay cool, hydrated, and fuelled

    Drink water before, during, and after exercise. A small snack beforehand may help if needed. Stop immediately if you feel overheated.

    What's Usually a Good Idea — and What's Not

    Usually good optionsUsually better to avoid
    WalkingContact sports
    SwimmingActivities with a high fall risk
    Stationary cyclingHorse riding and skiing
    Light to moderate resistance trainingScuba diving
    Prenatal-appropriate mobility workHot yoga and saunas
    Low-impact cardioVery heavy lifting
    Anything that causes pain, discomfort, overheating, or instability

    Stop Exercising and Seek Medical Advice If You Notice:

    • Vaginal bleeding
    • Leaking fluid
    • Regular painful contractions
    • Chest pain
    • Dizziness or feeling faint
    • An unusual or severe headache
    • Muscle weakness that affects your balance or ability to walk
    • Calf pain or swelling
    • Shortness of breath that begins before exercise starts

    This list is a guide, not a complete medical reference. Always follow the advice of your healthcare provider.

    A Simple Weekly Target

    Pattern A: 30 min × 5 days

    Mon
    30m
    Tue
    30m
    Wed
    30m
    Thu
    30m
    Fri
    30m
    Sat
    Sun

    = 150 minutes

    Pattern B: 20–25 min most days

    Mon
    25m
    Tue
    20m
    Wed
    25m
    Thu
    20m
    Fri
    25m
    Sat
    25m
    Sun

    = 140–175 minutes

    Some movement is better than none. You do not need perfect weeks to benefit.

    What This Looks Like in Real Life

    Choose movement that feels stable and controlled — not movement that tests your limits. Lower the intensity on tired days rather than skipping entirely. On days when a full session feels like too much, a 15-minute walk still counts.

    Focus on consistency rather than performance. Swap harder sessions for walking, swimming, or gentle strength work when your body needs it. Stop when something feels wrong — not just difficult.

    This season is not about proving toughness. It is about supporting your body through one of the most demanding things it will ever do.

    The Bottom Line

    For most healthy pregnancies, staying active is a smart, well-supported habit. Aim for around 150 minutes of moderate movement each week. Use the talk test to guide your intensity. Choose stable, controlled exercise. Pay attention to warning signs.

    Your goal is not to win pregnancy. Your goal is to support your body through it.

    This article is for general information only and does not replace medical advice. Always consult your obstetric healthcare provider about exercise during pregnancy.

    Need help training safely during pregnancy? If you want a simple, realistic approach to movement during pregnancy, I can help you build a safer, more personalised routine that works for where you are right now.

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    Shiva Malhotra, ACE Certified Personal Trainer and founder of Barefoot Protocol
    Shiva Malhotra
    ACE Certified Personal Trainer · CPR Certified · Sydney, Australia

    I'm Shiva. I rebuilt my own body after 40 and now coach adults over 35 — especially South Asian professionals — to do the same, without extreme diets or punishment workouts.

    Read more about my story →

    "If you want to stay strong and confident through pregnancy, let’s build a plan that is safe for both of you."

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