Current literature on exercise and pregnancy was reviewed. Normal anatomic and physiological changes of pregnancy are briefly outlined. Benefits of maternal exercise experienced by the mother and fetus have been reported by some researchers. Other researchers have documented respiratory and cardiovascular changes peculiar to exercise during pregnancy. Effects on the fetus are also discussed. Guidelines for exercise during pregnancy are discussed with recommendations for health professionals caring for pregnant women. It is concluded that exercise during pregnancy can be safe if common sense is used and guidelines are followed.With an increase in the number of women participating in regular exercise, more women are asking about continuing, or even initiating, activities while pregnant. While some women asking this question are professional athletes partaking in a high level of activity, the majority are recreational athletes concerned about their health and the health of the fetus. Studies have identified various maternal and fetal responses to exercise; however, further study is needed in many areas before conclusions can be reached concerning the amount, level, and type of exercise which is safe and perhaps beneficial for both mother and fetus. This paper is designed to review the current literature on the maternal and fetal effects of exercise during pregnancy, with recommendations for the pregnant woman who wishes to exercise. REVIEW OF THE LITERATURE Normal Anatomic and Physiologic Changes during Gestation which Affect the Ability to Exercise Posture, Center of Gravity, and Body WeightThe weight gain of 20-35 Ibs during an average, normal pregnancy causes shifts in the mother's posture and center of gravity. The protruding abdomen would cause a forward shift of ' Reprint requests should by addressed to:
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