Wellness
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Safe Pregnancy Exercises for Every Trimester

Written by Kiran Patel 9 min read Updated 2026 Educational Content

Worked example: building up gradually

If you were not active before pregnancy, the NHS advises not suddenly taking up strenuous exercise: start with no more than 15 minutes of continuous exercise, three times a week, and build gradually towards at least four 30-minute sessions a week.[1] The NHS gives the start and the goal, not the steps in between, so the progression below is only an illustration.

Illustrative weekSessionsTotal per week
Week 13 Γ— 15 min45 min
Week 23 Γ— 20 min60 min
Week 33 Γ— 25 min75 min
Week 43 Γ— 30 min90 min
Week 54 Γ— 30 min120 min

Keep to the talk test (you should be able to hold a conversation), and check with your midwife or doctor before starting.[1]

Frequently asked questions

Is exercise safe during pregnancy?

The NHS says exercise is not dangerous for your baby, and suggests keeping up your normal activity for as long as you feel comfortable. If in doubt, consult your maternity team.[1]

How hard should I exercise?

The NHS suggests you should be able to hold a conversation as you exercise; if you become breathless while talking, you are probably exercising too strenuously.[1]

I was not active before pregnancy. How do I start?

The NHS advises not suddenly taking up strenuous exercise. Tell the instructor you are pregnant and begin with no more than 15 minutes of continuous exercise, three times a week, increasing gradually to at least four 30-minute sessions a week.[1]

Which exercises should I avoid?

The NHS advises not lying flat on your back for prolonged periods, particularly after 16 weeks, and avoiding contact sports such as kickboxing, judo or squash, scuba diving, and exercising at heights over 2,500m until you have acclimatised. It advises caution with activities that risk falling, such as horse riding, downhill skiing, ice hockey, gymnastics and cycling.[1]

Should I do pelvic floor exercises?

Yes. The NHS says all pregnant women should do them, even if you are young and have no symptoms.[1]

References

  1. NHS (adapted by NHS 111 Wales from the NHS website). β€œExercise: Stay active when you’re pregnant.” Last updated 13/06/2023. https://111.wales.nhs.uk/livewell/pregnancy/exercise. Accessed October 18, 2026.

Pregnancy is not the time to stop moving β€” it’s the time to move smarter. The NHS says exercise is not dangerous for your baby, and suggests keeping up your normal daily activity or exercise for as long as you feel comfortable.[1] If in doubt, consult your maternity team.[1]

Of course, pregnancy changes your body significantly, and the exercise that's appropriate in week 8 is very different from what's appropriate in week 36. Here's a trimester-by-trimester guide to safe, effective prenatal movement β€” based on general guidance from health organizations. Check with your own healthcare provider before starting any exercise.

Why Exercise During Pregnancy Is So Important

The benefits of staying active during pregnancy are well-documented and significant:

  • Reduced risk of gestational diabetes: Regular exercise improves insulin sensitivity, which is crucial as pregnancy hormones naturally create some insulin resistance.
  • Easier adaptation: the NHS says the more active and fit you are, the easier it is to adapt to your changing shape and weight gain, cope with labour and get back into shape after the birth.[1]
  • Better weight management: Exercise helps keep pregnancy weight gain within recommended ranges, reducing complications during delivery and postpartum recovery.
  • Shorter labor: Women who exercise regularly tend to have shorter active labor and lower rates of cesarean delivery.
  • Reduced back pain: Strengthening core and back muscles supports the extra weight of pregnancy and significantly reduces low back pain.
  • Better sleep: Physical activity helps with the sleep disruptions that are common in pregnancy, especially in the third trimester.
  • Improved mood and reduced anxiety: Exercise releases endorphins that counteract the hormonal mood shifts of pregnancy.
  • Faster postpartum recovery: Women who stay active during pregnancy typically recover faster after birth.

General Safety Guidelines for All Trimesters

Before we get into trimester-specific exercises, here are the ground rules that apply throughout pregnancy:

  • Always get clearance from your OB-GYN or midwife before starting or continuing an exercise program, especially if you have any pregnancy complications.
  • Stay hydrated β€” drink water before, during, and after exercise.
  • Avoid overheating. Your core temperature matters for fetal development. Exercise in cool environments and avoid hot yoga or saunas.
  • Use the "talk test" β€” you should be able to hold a conversation during exercise. If you can't speak in full sentences, dial it back.
  • Wear a supportive bra and comfortable, non-restrictive clothing.
  • Listen to your body. Fatigue, shortness of breath, or discomfort are signals to ease up.
  • Avoid lying flat on your back after the first trimester, as the uterus can compress the vena cava and reduce blood flow.

First Trimester (Weeks 1–13)

The first trimester is often the hardest for exercise β€” not because it's medically dangerous, but because nausea, fatigue, and exhaustion make getting off the couch feel impossible. If that's where you are, be gentle with yourself. Even a 10-minute walk counts.

If you were exercising before pregnancy, you can generally continue at the same level in the first trimester with some modifications. If you weren't exercising, now is a great time to start with low-impact activities.

Walking

The most accessible and underrated pregnancy exercise. A brisk 30-minute walk daily counts as your recommended aerobic activity and can be done at any fitness level, in any trimester. Start your day with a walk to boost energy and ease morning nausea β€” many women find that gentle movement actually helps with nausea more than resting does.

Swimming and Water Aerobics

Water exercise is ideal in pregnancy. The buoyancy reduces pressure on your joints, the water keeps you cool, and swimming provides excellent full-body cardiovascular conditioning without impact. Water aerobics classes specifically designed for pregnant women are widely available and allow you to maintain intensity while minimizing discomfort.

Prenatal Yoga

Prenatal yoga builds flexibility, balance, and core strength while incorporating breathing techniques that are invaluable during labor. It's also one of the best tools for managing pregnancy anxiety. Look for classes specifically labeled "prenatal yoga" β€” they avoid poses that compress the abdomen or require lying flat on the back for extended periods.

Stationary Cycling

Great for cardiovascular fitness without the fall risk of outdoor cycling. As your belly grows, adjust the seat and handlebar height to maintain comfort. Keep intensity moderate.

Second Trimester (Weeks 14–27)

Many women feel their best in the second trimester β€” nausea has typically eased, energy returns, and the bump is visible but not yet burdensome. This is a wonderful window to be active. Keep up with first trimester activities and add these:

Pelvic Floor Exercises (Kegels)

Your pelvic floor supports your bladder, bowel and uterus. Pelvic floor exercises help reduce or avoid stress incontinence after pregnancy, and the NHS says all pregnant women should do them, even if they are young and have no symptoms. It suggests three sets of eight squeezes a day.[1]

Modified Strength Training

Light to moderate strength training is safe and beneficial in the second trimester. Focus on functional movements: squats, lunges, rows, shoulder presses, and modified push-ups. Use lighter weights with higher repetitions. Avoid exercises that require lying flat on your back β€” use an incline bench or perform seated or standing alternatives.

Pregnancy Pilates

Pilates focuses on core strength, posture, and controlled movement β€” all of which are particularly valuable as your center of gravity shifts. Modified Pilates (avoiding supine positions after week 20) can significantly reduce back pain and improve body awareness through pregnancy and delivery.

Prenatal Dance Classes

Low-impact dance classes designed for pregnancy are joyful, social, and excellent cardio. They also support coordination and body confidence as your shape changes.

Third Trimester (Weeks 28–40)

By the third trimester, your center of gravity has shifted significantly, your ligaments are more relaxed (due to the hormone relaxin), and your lung capacity is reduced as the baby pushes up on your diaphragm. Exercise should become gentler and more intentional β€” but it should not stop.

Walking

Still the gold standard. Even short, gentle walks support circulation, reduce swelling in the legs and feet, and may help encourage the baby into optimal position for birth. Walking also releases endorphins that help manage third trimester discomfort and anxiety about labor.

Swimming

Even more beneficial in the third trimester, when the water's buoyancy provides relief from the weight of pregnancy. Many women find swimming one of the few exercises that feels truly comfortable at 32+ weeks.

Gentle Stretching and Prenatal Yoga

Focus on hip openers, gentle spinal stretches, and breathing exercises. Cat-cow stretches, supported squats, and child's pose (widened to accommodate the belly) are excellent for relieving lower back and hip tension common in late pregnancy.

Birth Ball Exercises

Sitting and gently bouncing on a birth ball helps relieve pelvic pressure and encourages optimal fetal positioning. Hip circles on the ball can ease back pain and are also used as a labor support tool. Many hospitals and birthing centers have birth balls available during labor.

Exercises to Avoid During Pregnancy

  • Contact sports (hockey, basketball, soccer, boxing) β€” risk of abdominal trauma
  • Activities with fall risk (downhill skiing, horseback riding, gymnastics, outdoor cycling)
  • Scuba diving β€” pressure changes are harmful to the fetus
  • Hot yoga or any exercise in excessive heat
  • High-altitude exercise if not acclimatized (above 6,000 feet)
  • Exercises that require prolonged lying on your back after week 20
  • Heavy lifting with breath-holding (Valsalva maneuver) β€” increases intra-abdominal pressure

Warning Signs: When to Stop and Seek Help

Stop exercising immediately and contact your healthcare provider if you experience:

  • Vaginal bleeding or fluid leakage
  • Regular painful contractions
  • Dizziness, faintness, or chest pain
  • Severe shortness of breath not explained by exertion
  • Calf pain or swelling (possible deep vein thrombosis)
  • Decreased fetal movement
  • Severe headache or visual disturbances

Exercises to Avoid During Pregnancy

While most moderate exercise is safe, certain types carry specific risks during pregnancy that make them unsuitable, particularly beyond the first trimester:

  • Contact sports (football, basketball, martial arts) β€” risk of abdominal trauma from collision or fall
  • Lying flat on your back for prolonged periods, particularly after 16 weeks β€” the NHS says the weight of your bump presses on the main blood vessel bringing blood back to your heart, which can make you feel faint[1]
  • Hot yoga or exercise in excessive heat β€” elevated core body temperature, particularly in the first trimester, carries developmental risks
  • High-altitude exercise above 2,500m (if not already acclimatised) β€” reduced oxygen availability; discuss with your doctor if planning travel or exercise at altitude
  • Scuba diving β€” decompression risks and arterial gas embolism risk to the fetus
  • Heavy weightlifting involving Valsalva manoeuvre (holding breath under load) β€” increases intra-abdominal pressure; switch to lighter weights and breathe throughout

Exercise Guidance Trimester by Trimester

First Trimester (Weeks 1–12)

Fatigue and nausea may make exercise feel challenging. Don't force intense sessions β€” listen to your body. Walking, gentle yoga, swimming, and light resistance training are all appropriate. Avoid very high-impact activities if you're at increased risk of miscarriage (discuss with your doctor), but for most uncomplicated pregnancies, continuing pre-pregnancy exercise at the same level is safe.

Second Trimester (Weeks 13–26)

Many people find this a comfortable trimester for exercise, but it varies. Keep to what feels comfortable, and consult your maternity team if in doubt.[1]

Third Trimester (Weeks 27–40)

Modify as needed. Your centre of gravity has shifted, balance is affected, and joints are more mobile due to relaxin hormone β€” increasing injury risk in sudden movements. Reduce impact, prioritise walking, swimming (excellent throughout pregnancy), and prenatal yoga. Pelvic floor exercises are particularly valuable in this trimester.

Documented Benefits of Prenatal Exercise

The evidence for exercise during pregnancy is clear and consistent:

  • Reduces risk of gestational diabetes and pregnancy-induced hypertension
  • Associated with lower risk of excessive gestational weight gain
  • Reduces pregnancy-related low back pain
  • Improves sleep quality during pregnancy
  • Reduces risk of postnatal depression
  • Improves overall mood and psychological wellbeing throughout pregnancy

Unless your midwife or doctor has advised you to reduce activity due to a specific pregnancy complication, regular moderate exercise is one of the most beneficial things you can do for yourself and your pregnancy.

πŸ“… Track Your Pregnancy Progress

Use our free Pregnancy Due Date Calculator to know exactly which trimester you're in and track key milestones.

Check My Pregnancy Week β†’

Moving your body during pregnancy is one of the most loving things you can do for yourself and your baby. Find activities you genuinely enjoy, listen to your body's feedback, and don't be afraid to modify as your pregnancy progresses. Every trimester brings its own movement possibilities β€” and the goal is consistency, not intensity.

Medical Disclaimer: This article is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare provider for personalized guidance regarding your health.