Activity Restriction During Pregnancy

Your health care provider may recommend specific activity restrictions during pregnancy for a variety of reasons. Activity restriction may require that you limit activities that take a lot of effort, such as exercise, lifting, or sex.

The type of activity restriction will vary depending on your risk or the problems you are having. Activity restriction may be recommended for a period of time until your baby is delivered.

Why are activity restrictions recommended?

Activity restriction may be recommended if:

  • Your placenta is partially or completely covering the opening of your cervix (placenta previa).

  • There is bleeding between the wall of the uterus and the amniotic sac in the first trimester of pregnancy (subchorionic hemorrhage).

  • You went into labor too early (preterm labor).

  • You have a history of miscarriage.

  • You have a condition that causes high blood pressure during pregnancy (preeclampsia or eclampsia).

  • You are pregnant with more than one baby.

  • Your baby is not growing well.

What are the risks?

Strict bed rest has physical and emotional risks and is no longer routinely recommended. The risks depend on your specific restriction. Risks of strict bed rest include:

  • Loss of muscle conditioning from not moving.

  • Blood clots.

  • Social isolation.

  • Depression.

  • Loss of income.

Talk with your health care team about activity restriction to decide if it is best for you and your baby. Even if you are having problems during your pregnancy, you may be able to continue with normal levels of activity with careful monitoring by your health care provider.

Follow these instructions at home:

A pregnant person reclining on a couch while reading a book.
If needed, based on your overall health and the health of your baby, your health care provider will decide which type of activity restriction is right for you. Activity restrictions may include:

  • Avoiding activities that take a lot of effort.

  • Not lifting or straining. You may have to avoid lifting. Ask your health care provider how much you can safely lift.

  • Resting in a sitting position or lying down for periods of time during the day.

Pelvic rest may be recommended along with activity restrictions. If pelvic rest is recommended:

  • Do not have sex or an orgasm. Do not use sexual stimulators.

  • Do not use tampons. Do not douche. Do not put anything into your vagina.

  • Avoid any activity in which your pelvic muscles could become strained, such as squatting or vigorous lower body exercises.

Questions to ask your health care provider

  • Why is my activity being limited?

  • How will activity restrictions affect my body?

  • Why is rest helpful for me and my baby?

  • What activities can I do?

  • When can I return to normal activities?

Get help right away if:

  • You have pain. This includes:

    • Chest pain.

    • Cramping in your lower abdomen.

    • Pain in your upper abdomen.

    • A low, dull backache.

    • Severe headache that does not get better with pain medicine.

  • You have regular contractions.

  • You felt your water break (membranes rupture).

  • You have other concerning symptoms such as:

    • Blurry vision, or seeing spots or flashing lights.

    • Noticing that your baby is not moving as much as usual, or you are not feeling any movement.

    • Redness, pain, or swelling in an arm or leg.

    • Dizziness or feeling like you will faint.

    • Difficulty breathing.

  • You have vaginal discharge or vaginal bleeding.

  • You have thoughts of hurting yourself.

These symptoms may be an emergency. Get help right away. Call 911.

  • Do not wait to see if the symptoms will go away.

  • Do not drive yourself to the hospital.

Get help right away if you feel like you may hurt yourself or others, or have thoughts about taking your own life. Go to your nearest emergency room or:

  • Call 911.

  • Call the National Suicide Prevention Lifeline at 1-800-273-8255 or 988. This is open 24 hours a day.

  • Text the Crisis Text Line at 741741.

Summary

  • Your health care provider may recommend specific activity restrictions during pregnancy for a variety of reasons.

  • Activity restriction may require that you limit activities such as exercise, lifting, sex, or any other activity that requires a lot of effort.

  • Discuss the risks and benefits of activity restriction with your health care team to decide if it is best for you and your baby.

  • Contact your health care provider right away if you think you are having contractions or you notice vaginal bleeding, discharge, or cramping.

This information is not intended to replace advice given to you by your health care provider. Make sure you discuss any questions you have with your health care provider.

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