Article Type: Original Article

During my tenure as a sports medicine specialist, I have been approached by many women who would either like to continue exercising during their pregnancy or begin an exercise programme at this juncture in their lives. There are many physiological changes during pregnancy that need to be understood to ensure a safe exercise prescription. Once these changes and appropriate recommendations are instituted, then the risks to the developing fetus and the pregnant mother are ameliorated. We will review the physiologic changes during pregnancy and their impact on the foetus, the contraindications to exercise, the benefits of exercise to pregnancy and labour, and the recommendations for exercise prescription by the American College of Obstetricians and Gynecologists (ACOG).