These Are the Best and Worst Third Trimester Exercises, According to a Prenatal Trainer
When *everything* starts to feel harder, these moves prep mamas-to-be for labor, childbirth, and beyond.
If you've ever left a prenatal yoga class feeling, well, underwhelmed—or left a workout class wondering if you *really* should be a doing a certain exercise with a baby on the way—that's only natural.
"There has been an overabundance of caution with respect to pre- and postnatal exercise recommendations," says Carolyn Appel, C.S.C.S., director of education for PROnatal Fitness, a fitness company aimed at preparing women for childbirth and motherhood.
"Up until recently, the commonly dispensed advice from doctors to pregnant women has been to take it easy and minimize exertion," she says.
But now, that's changing. Professional athletes and celebs have brought attention to working out, even intensely, during the nine months of pregnancy, and research finds that movement has enormous benefits for both mama and baby (woo!). (Related: 6 Amazing Benefits of Yoga During Pregnancy)
One reason why working out into your third trimester can be so beneficial? "When you stress yourself consistently, you become better able to tolerate greater amounts of stress," says Appel. "Therefore, continuing to put the work in when the going gets tougher in the third trimester will actually create a more resilient body that will be better able to handle everyday activities." Even more: You don't have to lift massive weights to get benefits. "Just doing bodyweight or lightly-weighted squats will probably feel like work, says Appel.
But in the third trimester, exercise also just feels harder. You weigh more. You're likely suffering from heartburn. You always have to pee. What once felt good (running, maybe) just doesn't anymore.
And as it turns out, certain moves are more beneficial than others during this precious time period. So what should you do—and what should you skip?
In particular, focusing on deep core strength—which Appel says is vitally important for resisting the alignment and pressure changes linked with a heavier bodyweight—and pelvic floor relaxation is key. Alternatively, certain movement patterns (like your beloved plyos) might be best reserved for post-baby.
Here, Appel outlines five third trimester exercises that prep mamas-to-be for childbirth, motherhood, and beyond—and five movement patterns you might want to think about putting on hold.
Her general rules of thumb for ladies in the homestretch: (A) if it doesn't feel good, don't do it, (B) if you can't do something with good form, don't do it, and (C) if you leak while you're doing a certain exercise, table it.
And remember: Before working out during pregnancy, always be sure you're cleared by your doctor.
5 Best Exercises for the Third Trimester of Pregnancy
In order to maximize your body's rhythms and strengths during pushing and labor, you want to exhale while maintaining a relaxed pelvic floor as the baby passes through the birth canal, says Appel. This move helps you learn how to do just that. "Any tension held in the pelvic floor will be added resistance to the body and baby's efforts."
How to do it: Inhale by expanding the rib cage 360 degrees then exhale a stream of air through pursed lips. After a few breaths like this, recreate the sensation as if you were peeing. The type of release needed to pass urine or stool is the lengthening of the pelvic floor that you are striving to feel and maintain while breathing in and out. Practice this pushing prep at the beginning of a workout, on rest breaks, or even during the end of workout stretch. (Related: Pelvic Floor Exercises Every Woman Should Do)
Single-Arm Supported Fly
"Most of early motherhood is spent in a chronically rounded forward posture with the upper body," says Appel. "The shoulders, elbows, and wrists are in a flexed position due to all the hours of feeding, holding, and carrying around a newborn." Extension-based patterns such as flyes counteract those forces, she says. (Related: 4 Ways You Need to Change Your Workout When You Get Pregnant)
How to do it: Stand with feet hip-width apart and knees soft, holding a light dumbbell in one hand. Hinge at the hips with soft knees, a flat back, and neutral neck, leaning torso forward about 45 degrees. Let hand hang directly below shoulder, palms facing in to start. Place other hand on a chair or stand in a split squat stance with hand on front leg. Exhale as you lift up and inhale as you lower down. Point thumb upward to increase focus on shoulder external rotation. Switch sides.
"During labor, women typically seek out certain positions that help alleviate the pain of the contractions while also facilitating the descent of the baby," says Appel. "The deep squat is one such labor position that often feels good to get into and the more women practice it leading up to the big day, the more pain management options they will have when they need it most." (Related: Squat Therapy Is a Genius Trick for Learning Proper Squat Form)
How to do it: Start on all fours and push back into a squat position. Hold the position while incorporating twists with one arm straight up in the air or do standing deep squats by starting standing and lowering into the position.
"One of the activities new moms will be doing quite a lot of is bathing their little ones. In an effort to minimize stress to a body that has already gone through the trauma of childbirth, practicing this hinge-based pattern during pregnancy will ingrain good habits," says Appel.
How to do it: Begin sitting tall on knees holding a medium-resistance weight. Inhale and send hips back into a hinge and reach arms forward and down and exhale to come back up. Add variability by adding a rotation with your reach. Hold the arm extension for a second or two to make the move more difficult.
"Deadlifts are terrific lower-body strengthening moves, especially because picking things up from the ground becomes much more difficult as women get heavier during pregnancy," says Appel. (Related: Should You Be Deadlifting with a Trap Bar?)
How to do it: Using medium-resistance weight, inhale as you send hips back to initiate movement and hinge forward keeping a neutral spine. Exhale to stand back up and repeat.
5 Exercises or Movements to Avoid During Late-Stage Pregnancy
To avoid intra-abdominal pressure, which contributes to both diastasis recti (DR) and pelvic floor dysfunction, make sure to exhale during exertion, says Appel. (In a squat, you'd inhale on the way down, for example).
Quick Changes of Direction
"One of the hormones of pregnancy, relaxin, loosens soft tissue, potentially causing women to experience a loss of stability (especially during single-leg activities)," says Appel. Stick to moves that are a bit slower and more controlled, she suggests. (Related: 4 Ways You Need to Change Your Workout When You Get Pregnant)
Downward Facing Moves
"When the belly gets large there is a lot of pressure on the front of the abdominal wall," says Appel. "We don't want to add to that by spending time in downward facing positions (think: planks and push-ups)." Regress by going on your knees, raising up your hands, or swapping these moves out altogether.
Crunches, situps, and leg lifts are examples of traditional "ab" exercises that you want to avoid in your third trimester, says Appel. That intra-abdominal pressure increases with these flexion-based exercises, she says. "Additionally, these moves encourage DR." A classic sign of DR to keep an eye out for: a doming or protrusion in the middle of your belly when doing challenging ab exercises. (Related: Abs Exercises That Can Help Heal Diastasis Recti)
High Impact Work
Even if you were all about high-impact work earlier on in your pregnancy, it's a good idea to curtail it at this point, says Appel. "The pelvic floor, the group of muscles at the base of the pelvis responsible for holding all of the pelvic organs in place and keeping fluids from coming out unintentionally, is getting stretched and weakened having to support all of the extra body weight." Asking it to deal with higher impact activities on top of that? That can just add to that pressure, she notes. "Continuing to run or do plyometrics in the late stages of pregnancy might feel tolerable but it may also make for a longer recovery postpartum."