As a pelvic floor physiotherapist and yoga teacher, I’ve had the privilege of supporting many women, including those navigating high-risk pregnancies. Exercise during the first trimester, especially in high-risk scenarios, can be a complex and emotional journey. While research supports the benefits of physical activity during pregnancy, the reality of what is safe and possible depends on each woman’s unique situation. Let’s unpack what we know from studies and what I’ve seen in practice.
What the Studies Say About Exercise in High-Risk Pregnancies
Research highlights that moderate exercise during pregnancy can:
Reduce the risk of gestational diabetes and preeclampsia.
Improve cardiovascular health and maternal weight management.
Support mental health by reducing stress and anxiety.
However, in high-risk pregnancies, certain complications like recurrent miscarriage, spotting, or a history of preterm birth require caution. Guidelines emphasize individualized approaches:
The American College of Obstetricians and Gynecologists (ACOG) recommends low-impact activities for most pregnant women but stresses that high-risk cases should be guided by a healthcare provider.
Studies in Obstetrics & Gynecology suggest that even in high-risk pregnancies, gentle movement—like walking or breathing exercises—can be beneficial for circulation and stress reduction, provided there are no contraindications.
Working with High-Risk Pregnancies: Examples from Experience
When working with high-risk pregnancies, one of the most challenging aspects is balancing the evidence with the reality of what a woman’s body is telling her. Here are some examples that highlight this dynamic:
Example 1: A Mom with Previous Miscarriages and Heavy Spotting
