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First-trimester exercise: 3 common mistakes that may increase injury risk

Written By Marcus Webb, CPT
Jul 28, 2026
Reviewed by   Noah Miller, PhD
Certified Personal Trainer and sports nutrition enthusiast. I write about fitness, recovery, and the lifestyle habits that keep you feeling your best.
First-trimester exercise: 3 common mistakes that may increase injury risk
First-trimester exercise: 3 common mistakes that may increase injury risk Source: Pixabay

You’ve just found out you’re pregnant, and you’re motivated to stay active. That’s a great instinct—exercise during pregnancy supports your mood, energy levels, sleep, and even prepares your body for labor. But the first trimester comes with a unique set of bodily changes that many expecting mothers don’t fully anticipate. Your joints are already starting to loosen due to the hormone relaxin, your center of gravity is subtly shifting, and fatigue can hit like a wave.

While movement is generally safe and recommended, there are a few specific habits that can raise the risk of injury during these first 12 weeks. You don’t need to be afraid, but you do need to be smart. Here are three common exercise mistakes that are worth understanding so you can keep your workouts safe and effective.

1. Pushing Through Joint Pain or Instability

During the first trimester, your body begins to produce more relaxin—a hormone that helps ligaments and joints become more flexible to accommodate your growing baby. This is essential for later stages of pregnancy, but in the first few months, it can make your knees, hips, and lower back feel a little loose or unstable.

The mistake many active women make is continuing to push through heavy lifting, deep lunges, or high-impact moves without adjusting for their new joint mobility. What felt like a normal squat depth before pregnancy could now place extra strain on your pelvic joints. That stability you relied on in your shoulders and hips isn’t quite the same anymore.

How to adjust

Focus on controlled, slower movements. Reduce your range of motion slightly if you feel a pinch or a stretch that isn’t muscular in nature—it might be your ligaments working harder than before. Avoid sudden directional changes, heavy weights in unstable positions, and exercises that cause joint clicking or pulling. Listen to the subtle signals your body is already sending you. It’s not about going easy; it’s about going wisely.

2. Overlooking Core Overload and Diastasis Risk

Many women assume they need to keep doing crunches, planks, and rotational core work to stay fit. But the first trimester is actually a key time to stop certain abdominal exercises—especially those that place high pressure on the midline of your belly. Even if you can’t see a bump yet, your abdominal muscles are beginning to stretch and separate (this is called diastasis recti), and intense core exercises can accelerate that separation.

“Don’t measure your core strength by how many crunches you can do. Measure it by how well you can brace without doming.” — Physical therapist specializing in prenatal fitness

Safer core choices

Swap full sit-ups for deep core engagement like heel slides, bird-dog variations, or side-lying leg lifts. Avoid any movement that causes your belly to push forward into a cone shape (this is called “doming” and is a sign of intra-abdominal pressure overload). Focus on maintaining a neutral spine and bracing as if you’re about to cough. Your deep transverse abdominis is your best friend right now—not your rectus abdominis.

3. Ignoring Progesterone’s Effect on Your Heart Rate and Breathing

A less-discussed change in the first trimester is that progesterone levels rise significantly—and this hormone directly impacts your cardiovascular system. Progesterone makes your blood vessels dilate and increases your resting heart rate. You may feel breathless easier, get winded walking up stairs, or feel your heart racing during a workout that used to feel moderate.

Many women interpret this as being “out of shape” or “lazy” and try to push harder to catch up to their previous performance. That’s a mistake. Forcing your heart rate up too high, especially in warm environments, can lead to overheating, dizziness, and even syncope (fainting), which increases fall risk.

The right intensity

Work at a conversational pace. If you can’t speak in full sentences during your workout, you’re likely working too hard. This is not the time to chase personal records or beat your previous mile time. Consider switching from high-intensity interval training (HIIT) to steady-state walking, swimming, or stationary cycling. Your heart is already working overtime—respect that and let your breathing be your guide.


The first trimester is a transition period, not a stop sign. Most women can continue exercising safely, but the key is to adapt your approach before injury catches up with you. By respecting your looser joints, protecting your core, and honoring your breath, you’ll set a strong, sustainable foundation for the months ahead.

Check in with your healthcare provider before starting or continuing any routine, especially if you have concerns about pelvic pain, prior injuries, or bleeding. Every pregnancy is different, but the principles of smart, injury-aware movement apply across the board.

Related FAQs
Running is generally safe if you were already a runner before pregnancy, but you may need to slow your pace and reduce distance. Be mindful of joint looseness from relaxin, and stop if you feel pelvic pressure or dizziness. Always stay hydrated and avoid overheating.
Yes, but lower the weight and avoid exercises that place stress on your midline, like heavy squats with a bar or overhead presses with unstable shoulders. Focus on controlled movements, good form, and never hold your breath during exertion (Valsalva maneuver).
Watch for sharp pelvic pain, vaginal bleeding, dizziness, severe shortness of breath, or a racing heart that doesn't settle quickly after stopping. Also avoid any abdominal doming or coning during core moves. These are signals to stop and rest.
Standard sit-ups and crunches are not recommended during the first trimester because they increase intra-abdominal pressure and can worsen or accelerate diastasis recti (abdominal separation). Opt for safer core exercises like side-lying leg lifts or standing pelvic tilts instead.
Key Takeaways
  • Avoid pushing through joint pain caused by relaxin, as this can strain loosened ligaments and lead to overuse injuries.
  • Swap traditional crunches and planks for low-pressure core exercises to reduce the risk of diastasis recti.
  • Respect your elevated heart rate and breathlessness from progesterone by maintaining a conversational pace during workouts.
  • Always warm up properly and avoid sudden directional changes or heavy loads on unstable joints.
Medical Note
This article is for informational purposse only and should not be taken asanb caring teotio ongpontyBeotot bacnts Spotiroeprofestional medical loloice. Awwver consux with a healthcart-professenar-tal for medical advice and ineatment.
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About the Author
Marcus Webb, CPT
Fitness & Wellness Coach