Pregnancy Exercise Guide – Trimester-Wise Safe Workouts

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Staying active during pregnancy improves stamina, reduces back pain, lowers the risk of gestational diabetes and helps prepare the body for a smoother normal delivery. As a Gynaecologist with 27+ years of experience, I encourage pregnant women to follow safe and structured workouts that match their trimester and medical condition.

This medically reviewed 2025 guide explains safe trimester-wise exercises, benefits, do’s & don’ts, breathing techniques, posture tips and when to avoid workouts.

Benefits of Exercise During Pregnancy

  • Reduces back pain & body stiffness
  • Improves sleep
  • Prevents excessive weight gain
  • Improves blood circulation
  • Reduces constipation
  • Helps maintain healthy blood pressure
  • Supports normal delivery

General Exercise Guidelines for Pregnancy

  • Start slowly if you were inactive before pregnancy
  • Wear comfortable clothes and supportive footwear
  • Stay hydrated before, during and after exercise
  • Avoid overheating
  • Stop if you feel breathless or dizzy

Trimester-Wise Pregnancy Exercises

First Trimester (0–12 Weeks)

Focus: Building stamina, gentle strengthening, avoiding fatigue.

  • Walking: 20–30 minutes daily
  • Pelvic Tilts: Strengthens lower back
  • Cat–Cow Stretch: Improves spine flexibility
  • Breathing Exercises: Essential for managing stress
  • Arm & Shoulder Rotations: Improves posture

Avoid: Jumping, high-intensity workouts, abdominal crunches.

Second Trimester (13–27 Weeks)

Focus: Improving posture, strengthening pelvis, reducing backache.

  • Walking / Light Jogging
  • Modified Squats: Help prepare for normal delivery
  • Butterfly Pose: Opens pelvic region
  • Side-Lying Leg Lifts: Strengthens hips
  • Swimming (if approved): Excellent low-impact exercise

Avoid: Lying flat on your back for long periods.

Third Trimester (28–40 Weeks)

Focus: Preparing for labour, improving flexibility and posture.

  • Brisk Walking
  • Pelvic Floor Exercises (Kegels): Essential for labour
  • Wall Squats: Improve pushing ability
  • Birth Ball Exercises: Reduces pelvic pressure
  • Side-Lying Stretches: Relieve lower back discomfort

Avoid: Balancing exercises, heavy lifting, fast movements.

Breathing Exercises for Pregnancy

  • Deep Breathing: Helps during labour
  • Alternate Nostril Breathing: Reduces stress
  • Short Breaths: Useful during contractions

Exercises to Avoid During Pregnancy

  • Contact sports
  • Heavy weightlifting
  • Hot yoga
  • Skipping / jumping
  • Abdominal crunches
  • Running on uneven surfaces

Signs You Should Stop Exercising Immediately

  • Dizziness
  • Chest pain
  • Severe breathlessness
  • Vaginal bleeding
  • Decreased fetal movement
  • Water leaking

Posture Tips During Pregnancy

  • Sit with back supported
  • Avoid slouching
  • Use pillows between knees while sleeping
  • Lift objects by bending knees, not waist

WHO Recommendations

  • 150 minutes of moderate physical activity weekly
  • Combination of aerobic and strengthening exercises
  • Avoid lying flat after second trimester

Authoritative External Links

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Frequently Asked Questions (FAQ)

1. Is exercise safe throughout pregnancy?

Yes, unless your doctor advises otherwise. Light to moderate workouts are safe and beneficial.

2. Can I start exercising if I never exercised before?

Yes, begin with slow walking and light stretches.

3. Are squats safe during pregnancy?

Yes, modified squats help prepare for normal delivery.

4. Can exercise help reduce back pain?

Yes. Cat–cow stretches and pelvic tilts are especially helpful.

5. When should I stop exercising?

Stop immediately if you feel dizzy, breathless, pain, or if fetal movements reduce.

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Dr. Mamta Agrawal
Dr. Mamta Agrawal is a senior Gynecologist & Obstetrician with over 27+ years of clinical experience in women’s healthcare. She specializes in high-risk pregnancy care, normal & C-section deliveries, PCOS, infertility treatment, menstrual disorders, menopause care, and safe medical abortion services.Dr. Agrawal holds an MBBS and DGO and is known for her ethical, patient-first approach and evidence-based treatments. She has successfully treated thousands of women across all stages of life—from adolescence to menopause.She currently practices at Agrawal Clinic, New Ashok Nagar, Delhi, and Virmani hospital, mayur vihar phase2 providing compassionate, confidential, and personalized gynecological care. Dr. Mamta Agrawal regularly educates patients through medically reviewed articles to ensure accurate and trustworthy health information.
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