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American College Of Obstetrician/Gyn (ACOG) Guidelines

American College of Obstetrician / Gyn (acog) Guidelines Pregnancy and Postpartum Exercise

During pregnancy regular exercise – at least 3 x week is preferred (non-impact loading)
Avoid exercise in the supine position after the first trimester. prolonged motionless standing should also be avoided.

Modify the intensity of exercise according to maternal symptoms. pregnant women should stop when fatigued and should not exercise to exhaustion. weight bearing exercises may under some circumstances be continued at intensities similar to those prior to pregnancy throughout pregnancy.

Non-weight bearing exercises, such as cycling or swimming, will minimize the risk of injury and facilitate the continuation of exercise during pregnancy.

Body changes in pregnancy should serve as a relative contraindication to types of exercise in which loss of balance could be harmful to maternal or fetal well-being, especially in the third trimester.

Pregnancy requires an additional 300kcal/day in order to maintain nutritional needs of pregnancy. during pregnancy women should be particularly careful to ensure an adequate diet.

Pregnant women who exercise in the first trimester should ensure adequate hydration with water, wear appropriate clothing, and exercise in an optimal environment to avoid overheating.

Many of the hormonal and body changes of pregnancy persist for four to six weeks postpartum. pre-pregnancy exercise routines should be resumed gradually based upon the person’s physical capability.

Reasons to discontinue exercise and seek medical advice

Any signs of bloody discharge from the vagina
Any “gush” of fluid from the vagina( premature rupture of membranes)
Sudden swelling of the ankles, hands , or face
Persistent, severe headaches and /or visual disturbance; faintness, dizziness
Swelling, pain, and redness in the calf of one leg
Elevation of pulse rate or blood pressure that persists after exercise
Excessive fatigue, palpitations, or chest pain
Persistent contractions (>6-8/hour) that may suggest onset of premature labor
Unexplained abdominal pain
Insufficient weight gain ( <1.0kg (2 lbs)/ month during last two trimester