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Providing Maternal Exercise Certificate Training & Products to Health and Fitness Professionals

Prenatal and Postpartum Exercise Manual

Prenatal and Postpartum Exercise Design Continuing Education Certificate Course 4th Edition 2016

By Catherine Cram, Gwen Hyatt

A continuing education course for personal trainers, group exercise instructors, and health/fitness professionals working with pregnant and postpartum women.

Online format $99
Manual and test accessed online.
PLEASE NOTE: You will receive an email within six hours after your purchase is processed with information on your key code for online order access.
Print format $109 ($7 shipping)
Includes print manual and test, with the option to take the test online.
PLEASE NOTE: You will receive an email within six hours after your purchase is processed with information on your shipment tracking for a print order.


Course components can be delivered as printed products or online:

  • Workbook
  • Continuing education exam

Discover what every fitness professional working with pre- and postnatal women should know about designing safe and appropriate exercise routines with the Prenatal and Postpartum Exercise Design, Fourth Edition CE Course. Learn the effect of exercise on maternal and fetal health and how to set intensity levels and modify exercise based on guidelines from the American Congress of Obstetricians and Gynecologists (ACOG), the Royal College of Obstetricians and Gynaecologists (RCOG), and the Society of Obstetricians and Gynaecologists of Canada (SOCG).

This course covers the latest research; demonstrates appropriate core strengthening and pelvic floor exercises; and includes suspended bodyweight, flexibility, relaxation and breathing exercises. It also suggests guidelines for strength training, water exercise and competitive sports during pregnancy.

This self-guided course allows you to work at your own pace and explore the material through a comprehensive text and study guide, finishing with a 55-question exam composed of multiple-choice and true-or-false questions (test may be taken online with either format or mailed/faxed with print format). Certificate and CEs are provided at completion and passing of test.

Course Objectives

  • Identify the current research and the effects of exercise on maternal and fetal health.
  • Describe anatomical and physiological changes that occur during pregnancy.
  • Discuss the current American College of Obstetricians and Gynecologists (ACOG) and international guidelines for exercise during pregnancy and postpartum.
  • Outline safe and appropriate exercise design for prenatal and postpartum women and discuss considerations for training during pregnancy and postpartum.
  • Identify specific and appropriate exercises and activities for prenatal and postpartum women.
  • Explain the benefits and guidelines of water exercises for pregnant clients.
  • Outline suggestions for initiating or enhancing a prenatal and postpartum exercise program.
  • Identify postnatal exercise goals and program design considerations for recover from both vaginal birth and cesarean delivery.
  • Identify complications and common conditions of pregnancy and postpartum and management strategies.
  • Discuss fitness practitioners’ professional responsibilities, including health screening, monitoring exercise, record keeping, and emergency procedures.
  • Identify available resources that can be used in prenatal and postpartum exercise instruction and programming.


Chapter 1. Benefits of Exercise During and After Pregnancy
Effect of Prenatal Exercise on Maternal Health
Effect of Exercise on Fetal Health
Effect of Postpartum Exercise on Maternal Health and Infant Growth
Self-Check Quiz

Chapter 2. Anatomy and Physiology of Pregnancy
Anatomy and Physiology of Pregnancy Cardiovascular and Circulatory Changes During Pregnancy
Respiratory Changes During Pregnancy
Metabolic and Thermal Changes During Pregnancy
Anatomical Changes During Pregnancy
Self-Check Quiz

Chapter 3. Prenatal Exercise Prescription
COG Guidelines Reaffirmed 2009
International Guidelines for Exercise During Pregnancy and Postpartum
Prenatal Exercise Design
Prenatal Exercises
The Pregnant Competitive Athlete
Self-Check Quiz

Chapter 4. Postnatal Exercise Prescription
Postnatal Expectations
Vaginal Birth Recovery Program
Cesarean Delivery Recovery Program
Scar Mobilization
Core Strengthening Exercises After Cesarean Delivery
Postpartum Exercise Prescription
Abdominal Rehabilitation
Strength Training
Proper Body Mechanics and Ergonomics
Exercise and Breastfeeding
Check Points
Self-Check Quiz

Chapter 5. Maternal Exercise Program Design
Instructor Responsibilities
Program Goals
Fitness Components
Exercise Session Format
Mainstreaming the Pregnant Student
Self-Check Quiz

Chapter 6. Complications and Common Conditions of Pregnancy and Postpartum
Obstetrical Complications
Common Conditions
Bed Rest
Self-Check Quiz

Chapter 7. Professional Responsibilities
Monitoring Exercise
Record Keeping
Scope of Practice
Emergency Procedures
Self-Check Quiz

Self-Check Quiz Answer Keys

Client Handouts
Nutritional Needs During Pregnancy
Weight Gain During Pregnancy
Essential Nutrients During Pregnancy
Common Complaints and Problems During Pregnancy
Exercise Dos and Don’ts for Prenatal Women
Nutritional Needs Postpartum and When Breastfeeding
Weight Loss While Breastfeeding
Lifting and Carrying Safely
Proper Body Mechanics When Lifting Your Baby

Health History Questionnaire
Status of Current Pregnancy
Physician Consent Form
Maternal Fitness Class Record


Approved Education Organization List
*Course certificate and continuing education credits provided through Human Kinetics following passing of home study written exam.

ACE 0.70
ACSM 7.00
AEA 7.00
AFAA 7.00
AFPA 7.00
BCRPA 6.00
canfitpro- FIS 4.00
canfitpro- PTS 4.00
CDR 7.00
CFES-PT 6.00
CPTN 4.00
CSEP 5.00
ECA 7.00
FNB 5.00
HK-DSWF Certificate of Completion 7.00
ICEA 8.50
ISSA 7.00
Lamaze International 8.50

MFC 5.00
NASM 0.70
NASN 0.70
NCHEC 7.00
NCSF 3.50
NETA 7.00
NFPT 1.00
NSCA 0.80
NSPA 7.00
OFC 7.00
OSHF 5.00

This program has been approved by Lamaze International for 8.5 Lamaze Contact Hours (LIN 16-07). These hours
may be applied towards recertification as an LCCE educator under the learning competencies 1 – 3.

Skills Active / REPs pre requisites can be found here:

“In the absence of a Service-wide conditioning/reconditioning program for Airmen who are pre/post-partum, the Air Force relied on the education/training outlined in the Catherine Cram’s hand-outs and online resources. The materials provided by Ms. Cram provided standardized and evidence-based information, which was essential in the program development of the AF programs.”
Dr. Nita Hawk, Ed.D. CHES/ACSM
Health Promotion Program Manager/Fitness Analyst Defense Health Headquarters/AFMSA
“I had the amazing opportunity to not only attend, but to host Catherine’s training for her comprehensive course, Prenatal & Postpartum Exercise Design. Attendees left feeling prepared to dispel the common myths and misconceptions regarding exercise during pregnancy and postpartum, prepared to modify for common aches/pains and well aware of their professional responsibilities. I have implemented so much of what we learned into practice and continue to rely on the course to guide me in my practice. I highly recommend this course to anyone who is looking to truly fortify their knowledge base and confidence level!”
Maura Shirey, RN, CPFE
Owners, Bodies for BirthTM
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