Strenuous Exercise During Pregnancy 'Unlikely' To Prolong Labour Or Increase Risk Of Premature Birth

Were you worried about exercising during pregnancy?

Women completing “strenuous” exercise during pregnancy is “unlikely” to prolong labour or increases chances of having a premature birth.

The statement has come from the International Olympic Committee (IOC), published online in the ‘British Journal of Sports Medicine’.

The committee has said the overall quality of the evidence is “not strong”, but “moderately good”.  

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The statement draws on a review of published evidence, presented by an international panel of experts in Switzerland in September 2015.

It focuses on the potential effects of strenuous exercise on both mother and child in the periods immediately before and after birth, in bid to address some of the prevailing concerns.

These include fears that high intensity exercise and weight training may weaken the blood supply to the developing foetus.

“While strenuous exercise speeds up foetal heart rate, this is only temporary, with the heart rate returning to normal once exercise is stopped,” the statement reads.

“Elite athletes who want to become pregnant might want to consider limiting the intensity of high impact training routines in the week after ovulation and during the first three months of pregnancy.”

The statement said there is “strong evidence” that exercise during pregnancy reduces excessive birthweight, without boosting the risk of underweight at birth.

There is “moderately good evidence” that it doesn’t boosts the risk of premature birth.

There is also “moderately strong evidence” that exercise during pregnancy does not increase the rates of induced labour, the need for surgical widening of the vaginal opening (episiotomy) or an epidural (anaesthetic injection into the spine).

The committee released a summary showing an overview of their findings with exercise during pregnancy:

  • Elite athletes planning pregnancy might want to consider reducing high impact training routines in the week after ovulation.

  • Baby birth weights of exercising women are less likely to be excessively large (>4000g) and not at increased risk of being excessively small (<2500g).

  • Exercise does not increase the risk of premature birth.

  • Exercise during pregnancy does not increase the risk of induced labour; epidural anaesthesia; episiotomy or perineal tears; forceps or vacuum deliveries.

  • There is some encouraging evidence that the first stage of labour (before full dilatation) is shorter in women who exercise regularly.

  • There is also some encouraging evidence that exercise throughout pregnancy may reduce the need for caesarean section.

Before You Go

Pregnancy worries and words of comfort
I have no morning sickness! Is that bad news?(01 of10)
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You might have read things about how morning sickness signifies a healthy level of pregnancy hormones – but not having morning sickness does not mean you're lacking! Although many women suffer with it (and 'suffer' really is the word), many other women do not. Some women have it one pregnancy, but not in another. Attend all your usual checks and count yourself as one of the lucky ones! (credit:Alamy )
I drank before I knew I was pregnant, I might have harmed the baby(02 of10)
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This happens to many, many expectant mums, and it's unlikely to be a cause for concern at all. Mention it to your GP/midwife, and just keep off the booze now, until you can enjoy a celebratory glass of fizz when your bundle arrives. (credit:Alamy )
I'll lose the baby(03 of10)
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It's estimated about one in five pregnancies ends in early miscarriage, and it's thought most of those occur simply because the foetus wasn't developing properly. It does happen, but don't let it rule your thoughts because the vast majority of pregnancies do succeed. Try not to worry and remember that once you're into the second trimester, the chances of miscarriage is dramatically reduced. (credit:Alamy )
My baby might not be 'perfect'(04 of10)
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It's estimated that one in 16 babies in the UK is born with a birth defect – but this figure refers to all birth defects, and many are mild and can be treated. So it's likely your baby won't have a birth defect, and even if they do, they will be perfect in their own way – remember support is available for every eventuality. Take your folic acid and attend your antenatal screening appointments. (credit:Alamy )
I won't make it to the hospital on time(05 of10)
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You might have read terrifying stories about pregnant women giving birth in car parks and taxis – but these stories make it to the news because they are extraordinary, in the literal sense of the word! It very rarely happens, and most women get plenty of warning that labour is beginning. So plan well, and all is very likely to be fine. (credit:Alamy )
I might have to have a c-section(06 of10)
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If you do end up needing a c-section, you might feel disappointed – but believe us, in the moment the only thing you'll really care about is the safe delivery of your baby. It won't be the end of the world and you won't care a jot when your baby is in your arms. (credit:Alamy )
I won't be able to cope during labour(07 of10)
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There is just no telling how labour will be for you, so don't worry about it now. Make your birth plan, discuss it with your partner and midwife, and go with the flow on the day (it's okay to change your mind!). There will be lots and lots of help and support at your disposal. Not to mention drugs, should you need them. (credit:Alamy )
Labour will humiliating (will I poo on the bed?!)(08 of10)
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You've heard about that then? It can happen, but the doctors and midwives have seen it all – they have experienced every possible scenario. They won't be worrying about things like that, so neither should you. (credit:Alamy )
I don't know how to be a mum(09 of10)
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No-one does until they become one! Every new mum feels like they're winging it in the early days. As your baby grows and you get to know them, you'll learn. Trust in the fact that just about every mother has gone through it… and survived. (credit:Alamy )
I'm worried about gaining all that weight(10 of10)
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