9 Prenatal Pilates Exercises Safe During All Trimesters

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Pilates is a form of low-impact exercise that improves flexibility and core strength of the body. It also enhances mental awareness. Pilates pregnancy exercises may have several benefits for expectant mothers, but not all are suitable for every gestation phase.

However, you should check with your doctor before starting any workout during pregnancy and seek the guidance of a trained professional. This post tells you about pilates exercises and the precautionary measures for a safe and effective workout.

What Is Pilates?

Pilates is a versatile exercise developed by Joseph Pilates.

It aims at improving posture, movement and pelvic alignment. The movements focus on lower abdominal muscles, pelvic floor muscles, and back muscles, which are pivotal to your posture, strength, and balance. The exercises can be practiced either on a mat or by using equipment such as reformers, trapeze tables, exercise balls and resistance bands (1).

Is It Safe To Do Pilates During Pregnancy?

Dr. Laura Williams

, a doctor of physical therapy and a board-certified women’s health clinical specialist from Salida, Colorado, says, “It is safe to begin pilates any time during pregnancy or to continue doing it throughout pregnancy if this was already a part of your fitness routine. Pilates is an excellent way to maintain the pelvic floor and a deep core range of motion, coordination, and strength throughout pregnancy. Do it as often as is tolerated without leading to excessive soreness, and the frequency of practice may change throughout pregnancy.”

You may do Pilates throughout pregnancy, provided your doctor considers it safe for you. While Pilates is usually safe and gentle, you should not over-exert your body or stretch too much (2). The series of controlled movements in Pilates can be modified to suit your tolerance levels.

All forms of Pilate exercises are safe to do during the initial stages of pregnancy. But from the 16th week, you should avoid activities that involve lying on your back (3).

What Are The Benefits Of Pilates While Pregnant?

Pilates mainly targets the muscles and their functioning, which are usually prone to problems such as loss of muscle tone, endurance, edemaⁱNoticeable swelling resulting from excessive fluid retention in the body , and poor balance, and postural issues during pregnancy.

Practicing Pilates regularly results in the following benefits:

1. Helps strengthen stomach and gluteal muscles

The relaxin hormone, released during pregnancy, makes the ligaments highly flexible. This flexibility can make hip, pelvic muscles and lower back vulnerable to injuries. Pilates can tackle this laxity in ligaments by focusing on the deep abdominal and glute muscles. It improves stability in the hip, pelvis and lower back regions, thus minimizing the pain and injuries (4).

2. Can provide some relief from back pain

Exercising the core abdominal muscles stabilizes the back and pelvic regions. Pilates also strengthens the posture, and thus reduces back pain (5).

3. Builds up pelvic floor

Pilates work on strengthening the hammock of the pelvic floor and supports the uterus, bladder, and bowel as your baby moves downwards with increasing weight. It will, therefore, prevent the risk of incontinenceⁱLack of control in excretion of urination or bowel movements when you sneeze or cough (6).

4. Helps gain control over breathing

Breathing is a key element of Pilates, and it is useful during pregnancy and labor

. A stiffness develops in the upper back as the bump grows and that could hinder deep breathing. Pilates improves flexibility in this region and eases the breathing pattern (7).

5. Improves balance

It is natural for you to feel more clumsy or imbalanced during your maternity period. Pilates strengthens the core and enhances stability and balance, thus keeping you safe when you walk (8).

6. Helps reduce strain

Four-point kneeling positions (on your hands and knees) help reduce the excess load on your pelvis and lower back. They also help your baby get into the right birthing position (9).

7. Controls weight gain

Practicing gentle Pilates regularly will help prevent excess weight gain during pregnancy (9).

8. Strengthens legs

You are more likely to experience leg cramps, fluid retention, and varicose veinsⁱVeins that are dilated and swollen, typically seen in legs during pregnancy. Leg strengthening exercises can minimize such complications (9).

9. Offers relaxation

It is essential to take some time out for yourself. Pilates gives you that opportunity to switch off from everyday stress and relax (10).

10. Helps reduce postpartum fatigue

Pilates is a feasible workout to minimize postpartum fatigue. It can also lower the risk of depression and is useful in maintaining the health of the mother and the newborn (11).

Research finds

Pilates exercise during pregnancy improves the birthing process and increases maternal satisfaction without causing maternal and fetal complications (15).

9 Pregnancy Pilates Exercises (Suitable For All Trimesters)

Here are nine exercises that are safe and effective for you.

1. Pelvic floor muscle exercise

Strengthens pelvic floor muscles and prevents complications during and after delivery.

• Sit on your knees with legs together and butt on the heels. You can also choose to lie down with your head elevated and knees bent.

• Imagine that you are trying to control the urge to urinate. You will feel the muscles squeeze.

• Hold this position for ten seconds, and then relax gradually.

• Repeat it ten times.

2. Deep tummy strengthening

Increases back support.

• Lie on one side with the knees slightly bent. Breathe in and breathe out. And try to pull in the tummy towards the spine.

• You can also try squeezing the pelvic floor muscles at the same time.

• Stay in this position for about ten seconds.

• Relax your tummy muscles gently and repeat it ten times.

3. Pelvic tilts

Strengthens your lower back and pelvis. This exercise involves lying in a supine position. Hence, do not try this without consulting your physical trainer.

• Lie on your back with the head and shoulders elevated on a pillow, and knees bent. Breathe in gently.

• While breathing out, press your lower back down using the abdominal muscles. Your pelvis tilts, and the tailbone rises gently when you do this.

• Hold for about five to ten seconds.

• Repeat five to ten times.

Research finds

A small study indicates that pilates safely enhances lumbopelvic (lower back and pelvis) stabilization, reduces discomfort, improves physical mobility, and addresses sleep problems in pregnant women with low back pain (16).

4. Upper back stretch

Improves your posture.

• Sit cross-legged with your back in an upright position and place your hands behind the head.

• Breathe in slowly.

• While breathing out, draw in your tummy and extend the back as you look up at the ceiling.

• Take another breath by squeezing your shoulders and resume to the starting position.

• Repeat it five to ten times.

5. The cat stretch

Strengthens back muscles.

• Begin by getting on all fours – keep your hands beneath the shoulders and knees beneath the hips.

• Breathe in as you relax your tummy.

• While breathing out, draw the tummy inwards, arch your back upwards and bend your head down and look at the tummy.

• Breathe in again by gently going back to the starting pose.

• Repeat the same for about five to ten times.

6. Thigh stretch

Strengthens abdominal muscles, lower back, hips, and buttocks.

• Kneel down on a carpet or mat with your knees hip-width apart, and pull in the abs.

• Lean back while breathing in and squeeze your butt, raise your arms parallel to the floor and palms facing down.

• Breathe out as you lower the arms down.

• Resume to the starting position.

7. The sword

Improves balance and strengthens abdominal muscles, back, and legs.

• Stand with your feet apart, wider than your hips.

• Bend your knees and move the right hand towards the left knee as shown in the picture.

• Now raise your right hand upwards to the right, as you would take a sword out from the hip belt. Keep looking at the hand while doing so.

• Repeat the same with your left side.

8. Sword arm

Improves balance, strengthens abs, arms, back, and hips.

• Kneel with the right knee and both hands placed on the floor. Stretch the left leg with abs pulled in and hips facing upwards.

• Breathe in as you draw the left hand to the sky and look up towards your hand.

• Breathe out by lowering the hand to the starting position.

• Switch to the left side and repeat.

9. Wagging the tail

Improves flexibility, stability and strengthens the lower back and abs.

• Start on all fours and keep your wrists aligned to the shoulders.

• Suck in your belly, lift one knee and make circular movements with the leg.

• Repeat the same with another leg.

• Repeat three to four times.

Point to consider

Pregnant women who use the Pilates diaphragmatic breathing method can better cope with labor pain and childbirth (15).

Pilates Exercises to Avoid During Pregnancy

Exercises that include back and stomach can cause discomfort or injuries to your body. Pilate exercises that are not appropriate to do during pregnancy include:

• Supine exercises that contract the rectus abdominis, such as lying on the back or double leg stretch (12).

• Exercises that involve lying on the tummy or any form of face-down plank positions.

• Deep stretches such as hamstring stretch, which is done by lying on the back and getting one leg perpendicular to the body, should be avoided.

You may do the other exercises but only with your doctor’s approval. Also, take every care not to hurt yourself while doing Pilates.

Williams suggests, “You can perform many reformer exercises through pregnancy, specifically those on hands and knees, kneeling, side-lying, and standing. Lying supine may decrease blood supply to the fetus during the second and third trimester. Signs of this will be dizziness, nausea, or lightheadedness. At this time, supine exercises should be excluded, but many other modifications are available.”

Precautions For An Effective Pilate Workout

Pilates is considered to be safe during pregnancy, but a few precautions can help you avoid injuries and get maximum benefits from the workout:

• Choose an experienced instructor who can assist you with the exercise. Get your posture, abdominal and pelvic floor strength assessed to find the right Pilates workout for you.

• Monitor your energy levels and do not over-exercise.

• Avoid abdominal curls and crunches, and overstretching your joints.

• Wear comfortable and non-restrictive clothing.

• Mind your balance with a growing belly. Avoid getting off the floor quickly.

• Do not lie flat or with your feet raised over your head during the second half of pregnancy. This can pressurize your blood vessels leading to the reduced blood supply to the heart.

• Focus on posture, gentle contractions, and pelvic floor muscles in the later stages of pregnancy.

• Stay hydrated and avoid exercising in hot and humid conditions.

• If you feel any discomfort or fatigue, stop the exercise immediately.

• Do not exercise soon after eating or on an empty stomach. Exercise about one to two hours after a meal.

Yoga Vs. Pilates For Pregnancy

Pregnancy Pilates is all about working on the muscles used for childbirth (13) whereas yoga focuses on a broad spectrum of the body system (14). Pregnancy Pilates assures balance, coordination, and strength of the muscles. Prenatal yoga promises overall well-being by targeting issues such as aches, fatigue, cramps, emotional wellness, vitality, and more.

Infographic: What Are The Benefits Of Pilates While Pregnant?

Plates is a low-impact exercise program that can improve strength and balance, reduce stress and alleviate common pregnancy discomforts such as back pain and swelling. Explore more of its benefits before you try out this exercise. But remember to consult your doctor to know the safety precautions and prevent complications.

Illustration: Momjunction Design Team

Image: Stable Diffusion/MomJunction Design Team

Prenatal Pilates is the perfect way to stay fit and healthy during pregnancy. This video is a wonderful session designed by an expert to keep you safe and comfortable during all three trimesters.

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Reviewer Expert Author Editor Fact Checker

Dr. Sangeeta AgrawalFRCOG, MD, DNB, DGO

Dr. Sangeeta Agrawal is an obstetrician and gynecologist with around 29 years of experience in the field. She worked in Royal London, St. Bartholomew’s, North Middlesex, and Barnet General hospitals in London and currently runs her clinic in Mumbai.

Read full bio of Dr. Sangeeta Agrawal

• 
  Dr. Laura WilliamsLLC Laura Williams is a doctor of physical therapy (DPT) from the University of Colorado School of Medicine and board-certified women’s health clinical specialist with six years of experience. She also works as a pelvic health consultant at her business Hearth Healing, LLC, where she offers individualized virtual postpartum support.
  
  Laura Williams is a doctor of physical therapy (DPT) from the University of Colorado School of Medicine and board-certified women’s health clinical specialist with six years of experience. She also works as a pelvic health consultant at her business Hearth Healing, LLC, where she offers individualized virtual postpartum support.

Rebecca MalachiBSc

Rebecca is a pregnancy writer and editor with a passion for delivering research-based and engaging content in areas of fertility, pregnancy, birth, and post-pregnancy. She did her graduation in Biotechnology and Genetics from Loyola Academy, Osmania University and obtained a certification in ‘Nutrition and Lifestyle in Pregnancy’ from Ludwig Maximilian University of Munich (LMU).

Read full bio of Rebecca Malachi

Swati PatwalM.Sc. (Food & Nutrition), MBA

Swati Patwal is a clinical nutritionist, a Certified Diabetes Educator (CDE) and a toddler mom with more than a decade of experience in diverse fields of nutrition. She started her career as a CSR project coordinator for a healthy eating and active lifestyle project catering to school children.

Read full bio of Swati Patwal

Aneesha AmonzMSc

Aneesha holds a Bachelor's degree in Biotechnology from USTM, Meghalaya and Master’s degree in Applied Microbiology from VIT, Vellore. With two years of experience, she has worked on different research projects in the field of Food Sciences.

Read full bio of Aneesha Amonz