Evidence-based recommendations and guidance
- Avoid overheating, especially in first trimester
- Avoid activities which involve physical contact or danger of falling
- Avoid scuba diving
- Those living below 2500m should avoid physical activity at high altitude (>2500 m)
- Keep heart rate (HR) at <90% max (rate of perceived exertion (RPE) is a poor estimate of HR)
- Maintain adequate nutrition and hydration—drink water before, during and after physical activity
- Know the reasons to stop physical activity and consult a qualified healthcare provider immediately if they occur
- Avoid valsalva (big breath and hold)
- Avoid pressing on belly (belts, sandbags)
- Avoid supine exercises from 28 weeks, or if it causes dizziness at any time
- Learn to contract the pelvic floor before and during heavy lifting
- Identify and avoid coning (generally late 2nd trimester- around week 20 onwards)
References
Exercise Doc 