Maternal Health & Clinical Guidelines

Exercise Safety Protocols During Pregnancy

Despite the many benefits of exercise during pregnancy, there is a small portion of women with preexisting or developing medical or obstetric complications for whom exercise during pregnancy may not be safe. To give you complete peace of mind, all of my prenatal training frameworks strictly follow the medical exercise safety guidelines set by the Royal College of Obstetricians and Gynaecologists (RCOG).

Before you begin any pre-natal training sessions, please check the lists of medical conditions and lifestyle factors outlined below to ensure training is safe for you.

Absolute Contraindications

Exercise is NOT permissible under any circumstance due to risk to mother and/or baby:

  • Hemodynamically significant heart disease

  • Restrictive lung disease

  • Incompetent cervix or cerclage

  • Multiple gestation at risk for premature labor

  • Persistent 2nd or 3rd trimester bleeding

  • Placenta previa after 26 weeks gestation

  • Premature labor during current pregnancy

  • Ruptured membranes

  • Preeclampsia or pregnancy-induced hypertension

  • Severe anemia

Relative Contraindications

Exercise is still possible, but must be discussed with a doctor:

  • Anemia

  • Unevaluated maternal cardiac arrhythmia

  • Chronic bronchitis

  • Poorly controlled type 1 diabetes

  • Extreme morbid obesity

  • Extreme underweight (BMI less than 12)

  • History of extremely sedentary lifestyle

  • Intrauterine growth restriction in current pregnancy

  • Poorly controlled hypertension

  • Orthopedic limitations

  • Poorly controlled seizure disorder

  • Poorly controlled thyroid disease

  • Heavy smoker