Comprehensive Guide to Training Clients During Pregnancy 

Training Tips

Training clients during pregnancy requires a compassionate and informed approach to accommodate the evolving physical, emotional, and mental needs of expecting mothers. From the early weeks of pregnancy through postpartum recovery, a tailored fitness regimen can support their health, prepare the body for childbirth, and ease recovery after delivery. This guide, developed with insights from TrueCoach and FIT4MOM, explores key fitness strategies for each trimester and the postnatal phase to empower pregnant clients on their unique fitness journeys. 

First Trimester: Building a Foundation 

The first trimester is often a time of significant hormonal changes as the body adjusts to pregnancy, though visible changes may be minimal. As a trainer, your role is to help clients maintain their pre-pregnancy fitness routine while adapting to new physical and emotional needs. 

Training Goals: 

  • Focus on Foundation Strength: Encourage clients to strengthen the glutes, hips, and core. This foundation supports growing physical demands as pregnancy progresses. 
  • Adjust to Daily Changes: Encourage clients to conduct a self-check or body scan before each workout, tuning in to how they feel emotionally and physically. 

What to Start, Stop, and Continue: 

  • START: Emphasize exercises that strengthen the core and pelvic girdle. Introduce clients to exercises that improve posture, as these areas will bear extra load as the pregnancy advances. 
  • STOP: Avoid pushing clients to reach breathlessness, as increased progesterone can cause breathlessness even without intense exertion. Avoid sports that risk impacts, such as contact sports or those with a high risk of falling. 
  • CONTINUE: Clients who were active before pregnancy can usually maintain similar workout intensities and styles, as long as they feel comfortable. Use the talk test and perceived exertion rates to gauge intensity. 

Pro Tip: 
Tracking your client’s progress with a personal trainer app like TrueCoach allows you to monitor and adjust workouts based on daily fluctuations and trimester-specific changes. Pair this with wearable integrations to track metrics like heart rate for added safety and precision. Learn more about wearables here

Second Trimester: Adapting for Comfort and Safety 

In the second trimester, many women experience a surge in energy and can continue with moderate fitness routines. However, as the belly grows and balance may shift, some exercises may need to be modified to ensure comfort and safety. 

Training Goals: 

  • Encourage Strengthening and Flexibility: Focus on movements that promote lower body and core stability, accommodating the center of gravity shifts as the baby grows. 
  • Modify Exercises as Needed: As the belly expands, certain positions, such as those lying on the back, may need to be altered. Focus on core stability without exerting excess pressure. 

What to Start, Stop, and Continue: 

  • START: Introduce modified core exercises that don’t strain the abdominal wall, which can weaken due to hormonal changes. 
  • STOP: Avoid exercises that place direct pressure on the belly. High-impact exercises may need to be modified or substituted if they cause discomfort. 
  • CONTINUE: Clients can continue with most pre-pregnancy exercises if they feel comfortable, focusing on stability and alignment. 

Pro Tip: 
Use habit-tracking features in TrueCoach to help clients stay consistent with their modified routines. You can set reminders for hydration, stretching, or other essential practices. Explore how habit tracking works here

Third Trimester: Preparing for Birth 

The third trimester is marked by further physiological changes as the body prepares for childbirth. Weight gain, posture shifts, and breathing challenges due to the baby pressing against the diaphragm may make high-intensity workouts less feasible. The focus should be on gentle movement, flexibility, and breathing. 

Training Goals: 

  • Support Birth Preparation: Focus on releasing muscle tension and synchronizing movements with breath, especially in the core, pelvic floor, and lower back. 
  • Promote Posture and Alignment: Encourage exercises that maintain posture and alignment, addressing areas under additional strain from the baby’s weight. 

What to Start, Stop, and Continue: 

  • START: Emphasize breathing exercises to help clients release muscle tension and support a strong posture. Incorporate gentle pelvic floor and core exercises. 
  • STOP: Avoid prone positions, such as planks and lying on the stomach, as these can strain the front core muscles. Replace them with seated or standing core work. 
  • CONTINUE: Encourage low-impact exercises that the client finds enjoyable and comfortable. Support her decision to adjust intensity as needed based on energy levels. 

Pro Tip: 
Encourage mindfulness during this stage by tracking mood and energy levels through TrueCoach’s habit tracker. For expert guidance on creating tailored workouts, check out this guide to effective workout programming. 

Fourth Trimester: Postpartum Recovery 

The “fourth trimester” (first six weeks postpartum) focuses on gentle reintroduction to movement, supporting recovery, and prioritizing rest. This period requires a compassionate, non-judgmental approach as clients transition into motherhood. 

Training Goals: 

  • Prioritize Rest and Healing: Emphasize the importance of rest, sleep, and self-care over intense physical recovery. 
  • Introduce Gentle Movement: Encourage walking and deep breathing exercises to promote circulation, relieve stress, and gently restore mobility. 

What to Start, Stop, and Continue: 

  • START: Gentle movements like walking and breathing exercises. These activities support emotional well-being and facilitate a gradual return to physical activity. 
  • STOP: Discourage clients from rushing into pre-pregnancy routines. Overzealous exercise can interfere with healing. Emphasize signs of overexertion and the importance of pacing. 
  • CONTINUE: Encourage clients to get adequate rest and engage in light, mindful activities that boost overall wellness without the pressure to “bounce back.” 

Pro Tip: 
Leverage TrueCoach’s wearables integration to track recovery metrics like sleep and activity levels, ensuring clients ease back into fitness safely. 

Final Thoughts 

Training clients during pregnancy and postpartum requires specialized knowledge and a tailored approach. Each trimester presents unique physiological and emotional changes that influence the type, intensity, and frequency of exercises. By offering the right guidance, trainers can help expecting mothers stay active, manage pregnancy-related discomfort, and support a positive postnatal recovery. 

To further enhance your expertise, consider enrolling in a prenatal and postnatal fitness certification, like the one offered by FIT4MOM.  

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  • First published: November 19 2024

    Written by: TrueCoach