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<p>Regular physical activity during pregnancy is now considered safe and medically recommended. It demonstrably reduces the risk of gestational diabetes, pre-eclampsia, excessive weight gain, and mental health issues. Targeted pelvic floor training also lowers the incidence of urinary incontinence and severe perineal trauma. International societies such as World Health Organization (WHO), American College of Obstetricians and Gynecologists (ACOG), and the German Society for Gynecology and Obstetrics (DGGG) recommend at least 150 min of moderate-intensity exercise per week, supplemented by strength, coordination, and pelvic floor training. Yet, many pregnant individuals fail to follow these guidelines—despite being well informed. Studies point to an “awareness–compliance gap.” Gynecologists are key to bridging this divide: structured counseling during prenatal care can enhance motivation, assess individual risks and help overcome barriers to physical activity. This review provides a&#xa0;practical, evidence-based overview of recommended exercise types, contraindications, and counseling strategies for clinical practice.</p>

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Schwangerschaft & Sport

  • 期刊论文

  • 发表日期：

    2025年8月13日

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  • Maria Trattner,
  • Florian Rieder

摘要

Regular physical activity during pregnancy is now considered safe and medically recommended. It demonstrably reduces the risk of gestational diabetes, pre-eclampsia, excessive weight gain, and mental health issues. Targeted pelvic floor training also lowers the incidence of urinary incontinence and severe perineal trauma. International societies such as World Health Organization (WHO), American College of Obstetricians and Gynecologists (ACOG), and the German Society for Gynecology and Obstetrics (DGGG) recommend at least 150 min of moderate-intensity exercise per week, supplemented by strength, coordination, and pelvic floor training. Yet, many pregnant individuals fail to follow these guidelines—despite being well informed. Studies point to an “awareness–compliance gap.” Gynecologists are key to bridging this divide: structured counseling during prenatal care can enhance motivation, assess individual risks and help overcome barriers to physical activity. This review provides a practical, evidence-based overview of recommended exercise types, contraindications, and counseling strategies for clinical practice.