The Best Pregnancy Exercises for Beginners

I’m assuming since you’re reading this that you are new to prenatal exercise, so let’s take a second to acknowledge the important step you’re taking for the health of you and your baby.

In this article, I want to share with you advice on choosing cardio and strength exercises, but first, I have a disclaimer. I don’t like using the word “best” because there is no “best exercise for X trimester”. Every prenatal exercise program should be personalized, and exercise selection should be based on your needs and abilities. However, as a beginner, you may not realize what those exercises are or where to begin, so this article is to help get you started so that you can stay physically active during pregnancy. If you haven’t exercised in a while or never have exercised before, this article is for you.

Best Cardio Exercise During Pregnancy

The prenatal exercise guidelines recommend accumulating 150 minutes of moderate activity each week, and aerobic or cardio exercise is one component of physical activity. As a beginner, it’s important to understand intensity and progression. Unless you’ve been told otherwise, I’d recommend moderate-intensity exercise. Rather than relying on your heart rate during pregnancy, determine your intensity based on how hard it feels you’re working. You’re experiencing many cardiovascular changes, so heart rate monitoring may not be the most reliable for you. The good news is that research indicates using a scale that measures your perceived exertion correlates well with heart rate zones. Moderate-intensity exercise should feel like your overall workload during the workout feels like a 4-5 on the modified Borg scale. You can also consider the talk test. Moderate-intensity exercise should feel like you can talk, but you’re too winded to sing. 

To reap the benefits of aerobic activity, you do need to challenge yourself, so keep in mind that if you’re walking at a pace of 3mph on the treadmill now and that feels like moderate intensity, as you progress and become more aerobically fit, you may need to increase the speed or incline to reach that same intensity. I say may because as you progress in pregnancy, you also might feel more winded due to the baby taking up more space. This also means that although casual walks are great because moving is important during pregnancy, to receive aerobic benefits, your walking intensity needs to be more than a leisurely stroll. 

The other advice I’d give you to determine the best cardio exercise during pregnancy for beginners is to consider the impact level of aerobic exercise. Impact refers to how hard the exercise is on the joints. The harder the exercise on the joints, the more muscle strength is required to endure the impact and prevent injury. Exercises are usually categorized as high or low impact. Running, skiing, gymnastics, and jumping are examples of high impact. Walking, yoga, biking, elliptical, and swimming are examples of low-impact activities. 

As a beginner, the best aerobic exercise during pregnancy is low to moderate impact. If you’re inexperienced or haven’t worked out in a while, then pregnancy is not the time to test whether your body can handle high-impact activities. Added pregnancy weight may also make high-impact activities more uncomfortable, so choose an activity that you can do safely and comfortably. 

Best Strength Exercises During Pregnancy

The prenatal exercise guidelines also mention strength training as a component of exercise during pregnancy. Health and fitness organizations generally state that resistance training should be performed on all major muscle groups, like the back, chest, quadriceps, and hamstrings, twice per week. Although you may want sculpted biceps or triceps, isolating the smaller muscle groups is not the most beneficial goal during pregnancy. Your priority should be to be able to perform all major movement patterns, which target all of the major muscle groups. 

As a beginner, you’ll reap the benefits of an uncomplicated program. An example of this is a full-body circuit performed twice per week. Your circuit should focus on hitting all of the major movement patterns/muscle groups that you need to be able to move well and without pain throughout each trimester. 

Here is an example circuit

• Squat pattern: Body weight squats

• Push pattern: Dumbbell chest press

• Lunge pattern: Forward lunge

• Pull pattern: Supported single-arm dumbbell row

• Hinge (movement at the hips): Glute bridge

• Anti-rotation (keeping your body from being pulled to one side, like when holding a heavy purse in one hand): Pallof press

• Core with pelvic floor: Dumbbell front raise (exhale on the lift while engaging your deep abs toward your spine and lifting your pelvic floor muscles)

Remember, there are hundreds of exercises and a variety of ways to structure and select them, so feel free to substitute any of them. As you advance, you can vary the exercise by adding more weight, changing the equipment, increasing the reps/time performing the exercise, or going through the circuit for more rounds. Check out the free tutorials for support.

So in summary, the takeaway points are:

1. The best aerobic exercise for most moms-to-be is going to be low impact and moderate intensity. 

2. The best prenatal strength program for beginners is one that is full body and covers all of the major muscles/movement patterns, using a resistance that you can perform 10-15 reps without strain or breath holding. 

3. The best prenatal exercises that help you stay active during pregnancy, are ones that you enjoy and are those that you can do consistently and without pain. 

4. Your specific exercise selection should be personalized to meet your needs.

One additional side note based on my experience working with beginner moms during pregnancy is that I know it can be hard to find the time and energy to perform separate aerobic and strength training sessions. If you have to choose, select resistance training in a format like the circuit mentioned. This will ensure you’re strengthening muscles and allow you to elevate your heart rate at the same time. You can then add walk breaks throughout the day or after dinner to supplement those structured sessions to meet the recommended minimum of 150 minutes each week.

As always, if you need more guidance, I’m happy to help. You deserve to feel empowered. Start by mastering the major mom movements.

FAQ

Q: Is strength training safe during pregnancy for beginners?

A: Yes, strength training is safe and recommended during pregnancy for most beginners. Prenatal fitness guidelines suggest working all major muscle groups twice per week using a resistance that allows you to complete 10 to 15 reps without straining or holding your breath. A full-body circuit format works well because it builds strength, elevates your heart rate, and doesn't require a lot of equipment or experience to get started.

How To Start Working Out During Pregnancy and Postpartum

Whether you’re pregnant and want to begin exercising to have a more comfortable pregnancy or are a new mom ready to focus on fitness again, with all of the apps and internet clutter, it can be hard to figure out where to begin. That is why I’m sharing the method I developed and have used with hundreds of moms and moms-to-be. It’s called Core, Function & Fitness (CFF). CFF is an approach. It’s a strategy. It's a guide to help you determine where to begin and what to focus on during your workouts.

Where Should Moms Start with Exercise During Pregnancy and Postpartum?

Start with your core. Whether you're building a prenatal fitness plan from scratch or putting together a postpartum fitness plan after having a baby, the Core, Function and Fitness method gives you a clear order of priority: establish a strong and functional core first, then build toward functional movement, then pursue broader fitness goals. This framework works at every stage of motherhood because it meets you where you are and grows with you.

The Foundation

During and after pregnancy, the foundation of your fitness program should be core strength and function. Core refers to the 360-degree cylinder from your diaphragm to your pelvic floor, including both abdominal and back muscles. A functional core means that your deep stabilizing muscles activate to support your spine before any movement. A functional core also means you know how to breathe (exhale on exertion) with movement, and that you’re treating any pelvic floor concerns like tight pelvic floor muscles or urinary incontinence. A strong and functional core will enhance your ability to advance in exercise and will make daily life more comfortable.

If we look at CFF as a pyramid, “core” is the base layer and what you’ll prioritize when you begin an exercise program. This doesn’t mean that core needs to be your only focus, but if you’re short on time or searching for workouts, this will help you strategize and select the correct exercises. If time and energy aren’t an issue, you can certainly do workouts that are more than core, but keep in mind that if your core isn’t yet strong and functional, you’ll want to ensure any other formats of exercise you’re choosing don’t require more core strength than you presently have.

For example, if you’re pregnant and beginning an exercise program, you can focus on breathing and engaging your abs with each movement you perform. So if you’re doing squats, lunges, and arm exercises, rather than just going through the motion, you’re exhaling on exertion or engaging the deep abs as you curl the dumbbell during a biceps exercise.

Middle of the Pyramid

So now that you’ve spent some time activating your pelvic floor, deep abs, and using your breath, you’re ready to shift your focus to “function”. The term functional training is a bit trendy, so I’ll provide you with my simple definition. Functional training is performing exercises that help you meet the physical demands in your life. This means factoring in the type of job you have, the workouts you plan to do, or the physical demands of caring for your child at different stages. During pregnancy, functional training can involve performing exercises that help you better adapt to the changes your body is experiencing, like strengthening your back because you’re being pulled forward due to the weight of your breasts and belly. Function is the next step in my model because you should be able to feel good moving through your daily life before setting more lofty fitness goals (for example, if your back hurts every time you lift your child, doing an hour spin class maybe shouldn’t be your priority). Functional training also means addressing pain and specific weaknesses. It is easier to attain function when you have a strong core, so for that reason, “function” sits on top of the “core” layer in my pyramid.

Top of the Pyramid

You’re ready to move up the pyramid when you have a solid core foundation, and you’re functionally moving well during the day and your workouts. “Fitness” is the top piece and refers to goals such as muscle definition, weight loss, sports performance, and running. This is the last step along the CFF progression because you’ll have a better chance of achieving fitness when you effectively know how to engage your core and you know how to perform exercises correctly and without pain. I’ll reiterate that it doesn’t mean that you have to wait to set your fitness goals, but increasing your run distance shouldn’t be the priority before you’ve spent time on the other components. When you move to the top of the pyramid, the idea is that you’ve already set yourself up to achieve your specific fitness goals.

For example, if you do have a goal to run postpartum, you can first focus on making sure your core can support proper running form and that your pelvic floor muscles can handle the impact and load. Functional training might include single-leg strength activities so that when you do run, your body is better prepared. 

Summary

I developed the Core, Function and Fitness method to help you prioritize your efforts and make workout selection less overwhelming. The pyramid can also be explained as a pie chart with the percentages of core, function, and fitness components shifting as your needs are being met. Maybe you’re starting with core being 80% of the chart because you just had a baby, but after a few months of training, core might then become just 30%, and fitness takes the majority. This pie chart is a good visual because it emphasizes that you’re never solely focusing on just one thing. All components are important and will be integrated into your plan.

Whether you like the pyramid or the pie chart, the main point I'm making is that this is a tool that can keep you active through all 40 weeks of pregnancy and help you feel stronger than ever after having a baby.

If you're looking for a more comprehensive guide to putting this framework into practice through every stage of motherhood, consider Active Mom: Your Guide to Feeling Strong and Confident in Pregnancy, Postpartum, and Beyond.

Have You Been Cleared for Exercise?

If you’re currently pregnant and have been consistent with exercise, you’re probably already planning your return to exercise postpartum, especially if exercise has always been a part of your life. I know most of my clients who have continued to stay active during pregnancy have goals to return to fitness as soon as their doctor gives the OK postpartum.

If you’ve recently had a baby, you may be awaiting your postpartum appointment to find out if you are “cleared for exercise”. Getting cleared for exercise can feel liberating if you’ve been missing that sense of control over your body. However, it’s important to understand what being cleared means as well as how to return to physical activity after pregnancy.

What Does "Cleared for Exercise" Mean?

Being cleared for exercise is your doctor’s medical opinion that you are physically ready to start increasing physical activity, or that it’s generally safe for you to exercise. This typically happens at your 6-week postpartum check-up, but if you’ve had complications like tearing or are recovering from a c-section, that may happen a bit later. 

In other words, your doctor will either tell you it’s safe, or that it’s not. Which, don’t get me wrong is important information. You shouldn’t begin to increase physical activity or exercise if you have contraindications. However, the trouble with the yay or nay approach is that it’s one size fits all. Postpartum exercise clearance usually comes with the advice that you should ease back into it and listen to your body. This is not inherently bad advice, but it’s pretty subjective and doesn’t educate you on what a proper progression looks like, or why easing back into it is essential. Fortunately for you, if you’re reading this, you probably already have an understanding that there are important considerations when returning to exercise after having a baby. In the rest of this article, I’ll provide you with tips and strategies to guide you in your return to fitness.

What do the postpartum exercise guidelines say?

At the time of this article (12/2023), postpartum exercise guidelines have not been published. BUT, there is encouraging news that they’re finally in the works and should be released soon. I’ll link to them when they come out, but in the meantime, I’m going to provide you with some tips inferred from the research that exists, my background in exercise science, as well as the practical experience I have working with pregnant and postpartum moms.

Do you need to see a pelvic floor physical therapist or postpartum exercise specialist?

The ideal answer is yes, it would be great if everyone was able to receive personal guidance from a professional after having a baby. The more realistic answer for most people is that it depends. If you have any concerning symptoms like incontinence, pelvic or back pain, abdominal separation, or others then I strongly encourage you to see a pelvic floor physical therapist as a starting point. If you live in a major city there are probably those that accept insurance, as well as cash-based, but you should be able to see someone. Additionally, if you are concerned about excessive fatigue, anxiety, or depression, I’d also recommend seeing a professional before beginning a structured exercise program beyond general physical activity. If you were not active during pregnancy or you’re new to strength training or core exercises, a postpartum exercise specialist can save you a lot of time and energy in the long run by helping you determine which exercises are best for you.

Time for the Tips

Aerobic

The general physical activity guidelines for adults recommend 150 minutes per week of moderate or moderate-vigorous physical activity, with activity occurring on most days. The postpartum guidelines may skew a bit, but will not be drastically different. In any case, that duration and intensity is what you’re working up to and not where you’re starting. For most moms that I’ve worked with, getting out and pushing the baby in the stroller for 10-20 minutes every day is a great starting point. Walking is great because you can still spend time with your baby, being outside may boost your mental health, it’s a low-impact activity ensuring you’re not stressing your healing pelvic floor too soon, and it’s a trackable activity that you can strategically progress to longer durations, distances, and intensities. 

Strength

Here’s where I plug the method I developed called the Core, Function & Fitness approach. The idea is that the core is the foundation of fitness and where you should prioritize your efforts. During the postpartum period, this most often means addressing any pelvic floor concerns and coordinating breath with your deep ab muscle activation. Initially, this could be through pelvic tilts or heel slides but can progress to exercises like the deadbug. After you’ve made some progress in core strength and function, you can add in functional strength training. So this might mean you’re spending 5-10 minutes on isolated core exercises and then doing a full body circuit focusing on muscles you need to move through your day pain-free, as well as the major movement patterns. For example, lengthening chest muscles and strengthening upper back muscles is usually a necessary focus for moms due to the feeding posture. 

After you’ve laid a solid foundation of core training and strength training you can continue to increase the duration, frequency, and intensity of your workouts, while also setting more specific goals like running.

Don’t Forget About Lifestyle Factors

To benefit from exercise, there are more factors than the workout or activity. Things like sleep, nutrition, hormones, childcare, the ability to be consistent, and the ability to recover all determine whether you’ll get the benefits you’re expecting from exercise. For this reason, not jumping back into structured workouts until you are more healed, getting a bit more sleep, and have found ways to stay hydrated and eat a balanced meal is a reasonable decision and it’s smart. Now this doesn’t mean you should do anything. You should begin to increase physical activity and address core strength at a minimum, but it means that rather than aiming for pre-pregnancy 60-minute workouts at the gym, your starting point might be daily walks and two minutes of isolated core work when the baby is doing tummy time.

On the flip side, if you have childcare help, you’re feeling healed and sleep deprivation isn’t an issue, you may be feeling like you’re ready to get back to your old routine. To that I’ll say, remember that your abdominal and pelvic floor muscles and tissues are still healing and your hormones are still fluctuating, so even if you’re feeling good, I’d suggest the same gradual core, function then fitness framework. You may move through the progression quicker than someone else but don’t skip the gradual transition.

The Takeaway

This article is just one piece of the postpartum exercise puzzle, but I hope it gave you some perspective on getting cleared for exercise. To summarize:

• Prioritize healing

• Remember that lifestyle factors should support the type of workouts you’re doing

• Core, then add functional strength then set fitness goals

Being an active mom is a lifestyle and will look different as you move through different stages of motherhood. The fourth trimester is not even the first chapter, we’ll call it the introduction.

Ready for more tips? Download 5 Tips for a Stronger Core After Pregnancy.

Pregnancy Back Pain Explained

It’s estimated that on average 50% of expecting moms suffer from back pain during pregnancy, but some studies show this number as high as 90%. It tends to be highest during the third trimester. This condition might be referred to as pregnancy-related low back pain or pregnancy-related pelvic girdle pain. In this article, I want to explain the causes of pregnancy back pain, provide you with suggestions for relief, and encourage you to use core and strength training as a tool to prevent or reduce back pain as you move through each trimester. Many of the moms I work with keep waiting for back pain to kick in, but with proper preparation and awareness, it never does!

What causes back pain during pregnancy?

• Pregnancy Hormones: During pregnancy, a hormone produced by the placenta called relaxin helps your body relax and stretch. This includes muscles and ligaments around the pelvis to prevent pre-termis uterine contractions and allow your baby to pass through the birth canal during delivery. The relaxation of these ligaments in the pelvis may impact the stability of your spine and pelvis, causing pain. 

• Pregnancy Posture: As your uterus and baby grow, your center of gravity shifts, and you develop more of a curve in your lower back as your pelvis tilts forward. This change of posture called lordosis can increase the stress on the spine and cause back pain.

• Pregnancy Weight Gain: The additional weight gained during pregnancy puts more strain on the muscles and joints, which can result in discomfort, especially at the end of a long day.

Can you prevent back pain during pregnancy?

Based on my personal experience working with moms, it’s a definite yes! Although we can’t control your hormones, we can use strength training and mobility exercises to help your body adapt to the anatomical changes during pregnancy, improve posture, and handle the additional weight/stress. Research shows that core stabilizing exercises can help reduce the risk of lower back pain. During pregnancy your “six-pack abs” called the rectus abdominis lengthen as your belly grows, however, those muscles are not your primary stabilizers. Muscles like your multifidus and transverse abdominis, as well as your glutes, play a major role in core stability, and they can still be strengthened during pregnancy! 

By building body awareness and strengthening key muscle groups, many moms find great relief and even avoid back pain altogether. Keep in mind that your ability to do certain exercises will change as you move through pregnancy so this is not a one size fits all list.

Strengthen

• Transverse abdominis: these muscles act as a corset around your waist. You can activate and strengthen them with exercises like plank variations (wall, shoulder taps, up-downs, etc.), Pilates moves (hundred, side lying leg kick, corkscrew, etc.), or one of my favorites when going against gravity isn’t advised is pallof variations (press, shuffle, etc.)

• Multifidus: This muscle runs along your spine. Exercises like a side hip lift, side plank, bird dog, and bridge march are great ways to activate and strengthen those spinal stabilizers.

• Glutes: This is an oversimplified explanation, but glutes support the stability of your spine and pelvis. Many moms I work with tend to be quad-dominant (front thigh muscle) when doing exercises like lunges and squats. During pregnancy, if your body is constantly being front-loaded and your back and core muscles are being overworked, it is essential to have the assistance of muscles in the back of your body like your glutes. Research tells us that glute exercises combined with back stabilizing exercises are more effective than back stabilizing exercises alone in decreasing back pain. Because the glutes move the hips in different directions and include three different muscles, it’s important to use a variety of exercises. Some of my favorites include side leg lifts using a pilates ball under the hip/rib area to stabilize the pelvis, hip thrusts, seated abduction, and Romanian deadlifts.

Mobilize

It may seem counterintuitive to talk about relaxin AND the need to work on mobility during pregnancy, but as your body changes you’ll need to keep joints mobile and muscles flexible. If you’re experiencing back discomfort, stretches like cat/cow, wagging the tail, pelvic tilts on a stability/yoga ball, and a side stretch can feel good. 

You’ll also want to focus on joints and muscles that aren’t directly involved in the pain area. Because your spine is segmented, tightness and immobility above and below your lower back can impact your level of discomfort, specifically immobility in your thoracic spine (mid back) and hips. 

1. You can use foam rolling to increase mobility in your upper and mid-back. 

2. Try the figure four stretch, hamstring stretches, and a kneeling hip flexor stretch to target the hip area.

A note on lifestyle modifications

Although we’ve focused on the exercise component of reducing your risk of pregnancy back pain, lifestyle modifications can also help prevent discomfort. 

• Ensure you have a supportive bra to support your growing breasts. Supportive shoes are also important, especially if your feet begin to flatten. 

• When you’re sitting, use a lumbar support and try to keep your feet flat on the floor, with knees at hip height. When standing, aim to keep your ribcage stacked over your hips, while also aligning your ears over your shoulders. 

• You’ve heard the term “lift with your legs” to avoid injuring your back. Most people think of squatting in order to do this. However, when you’re pregnant, a squat may not always be comfortable, in which case you can hinge at your hips mimicking the deadlift. This will call on your glutes and hamstrings to support your back.

To close this article, the main takeaway is that although back pain is common, many pregnant moms can prevent it by staying consistent with exercise and being aware of daily life factors. As we continue to learn more about prenatal exercise, specifically strength and core training, I hope the notion that pregnancy has to be miserable begins to fade. Happy training!

If you’re looking for a few more core tips, check out this free download which provides you with 5 strategies for core training during pregnancy.

If you already are experiencing back pain or leaking, consider this FREE 5-day course to gain a better understanding of how to reduce your risk for pain and incontinence.