Prenatal and Postpartum Exercise Prescription


This course is approved for the following CECs/CEUs:

ACSM 10.0 BCRPA 10.0 BOC Category A 6.00
CPTN 7.0 HFPA 10.0 ISSA 10.0
KIPS 1.0 NAFC 1.0 NASM 1.0
NESTA 1.0 NETA 10.0 NFPT 1.0
NSCA 1.0 PTAG 10.0 YMCA 10.0

Virginia Board of Physical Therapy 6.0 (Type 1)–Please check with your state board for approval as most physical therapy boards will reciprocate approval for continuing education.


The American Academy of Health and Fitness (BOC AP#: P3645) is approved by the Board of Certification, Inc. to provide continuing education to Certified Athletic Trainers. This program is eligible for a maximum of 6.0 Category A hours/CEUs.


The American College of Sports Medicine’s Professional Education Committee certifies that “American Academy of Health and Fitness” meets the criteria for official ACSM Approved Provider status from December 2017 – December 2020. Providership # 817430


Pricing and Format Options For This Program:

Hard Copy Format: $159.00 + $8 for US Shipping or $43 for International Shipping


The Prenatal and Postpartum Exercise Prescription home study continuing education course offered to you in a distant-learning format presents what every fitness professional working with pre- and postnatal women should know about designing safe and appropriate exercise. 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 body-weight, flexibility, relaxation, and breathing exercises. It also suggests guidelines for strength training, water exercise, and competitive sports during pregnancy.

Certified health and fitness professionals holding more than one certification may obtain CECs/CEUS for all approved certification organizations (see list above) for which they need continuing education at no additional cost.

Course Objectives

1. Identify the current research and the effects of exercise on maternal and fetal health.

2. Describe anatomical and physiological changes that occur during pregnancy.

3. Discuss the current American College of Obstetricians and Gynecologists (ACOG) and international guidelines for exercise during pregnancy and postpartum.

4. Outline safe and appropriate exercise design for prenatal and postpartum women and discuss considerations for training during pregnancy and postpartum.

5. Identify specific and appropriate exercises and activities for prenatal and postpartum women.

6. Explain the benefits and guidelines of water exercises for pregnant clients.

7. Outline suggestions for initiating or enhancing a prenatal and postpartum exercise program.

8. Identify postnatal exercise goals and program design considerations for recovery from both vaginal birth and cesarean delivery.

9. Identify complications and common conditions of pregnancy and postpartum and management strategies.

10. Discuss fitness practitioners’ professional responsibilities, including health screening, monitoring exercise, record keeping, and emergency procedures.

11. Identify available resources that can be used in prenatal and postpartum exercise instruction and programming.

Course Materials

Hard copy format — The Prenatal and Postpartum Exercise Prescription™ with online test includes the 189-page Prenatal and Postpartum Exercise Design, Fourth Edition by Catherine Cram and Gwen Hyatt and the 266-page Exercising Through Your Pregnancy by James F. Clapp and Catherine Cram. Instructions for completing the 55 question multiple-choice online test and obtaining CECs are also included. Note: Course materials for this hardcopy format program are sent through USPS Priority Mail.

Table of Contents


Chapter 1. How Exercise Affects Pregnancy
Chapter 2. Exercise Effect on Fertility and Early Pregnancy
Chapter 3. Exercise Effects on Fetoplacental Growth
Chapter 4. Exercise Effects on Fetus and Early Childhood
Chapter 5. Benefits of Maternal Exercise
Chapter 6. Fitness Guidelines: Preconception and First Trimester
Chapter 7. Fitness Guidelines: Second and Third Trimester
Chapter 8. Fitness Guidelines: Postpartum
Chapter 9. Exercise Effects on Breastfeeding and Infant Growth
Chapter 10. Developing a Personalized Maternal Fitness Program

About the Authors
Prenatal and Postpartum Exercise Design CE Course-4th Edition
By Catherine Cram, Gwen Hyatt

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

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

ACOG 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

Health Screening for Physical Activity
Monitoring Exercise
Record Keeping
Scope of Practice
Emergency Procedures
Self-Check Quiz

Self-Check Quizzes Answer Key

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


Return Policy

If you’re not completely satisfied with your prepaid purchase, contact AAHF at 800.957.7348 to discuss a return. The return must be within 30 days of the date of receipt of your shipment. Study materials and educational resources must be received in original condition. All return shipments must be sent via USPS Priority Mail for tracking purposes to 7205 Sampal Place, Springfield, Virginia 22152. Upon receipt of the returned materials, the American Academy of Health and Fitness (AAHF) will refund full credit, excluding shipping/handling. Credit will be applied to the appropriate credit card via PayPal. We do not accept returns on online products, e-books, videos, CD/DVD-ROMs, and DVDs.

The American Academy of Health and Fitness reserves the right to discontinue the sale and/or support of any of its continuing education courses. Notification of such will be given six months prior to discontinuance to allow for course completion and testing. No refund will be given for courses that are discontinued.

Shipping Information

Orders shipped to other countries may be subject to customs charges and/or other taxes and fees charged by authorities in the destination country. Any customs charges and/or other taxes and fees charged by the destination country are the responsibility of the customer. We are unable to advise the exact charges that may occur as they vary from country to country. If you have questions, please contact us and we will share our experience for your specific country.

Additional Information

Different professional organizations offer continuing education credits, most commonly called CECs (continuing education credits) and CEUs (continuing education units). Most CECs/CEUs require one contact hour of professional activity for one credit. Example conversions are: ACE, NSCA and NASM: 0.1 = 1.0 contact hour; ACSM, BOC, ISSA, WITS and YMCA: 1.0 = 1.0 contact hour.


First NameEnter the certification organization(s) for which you are seeking credits: How would you rate this educational activity overall? The program met my expectations. The quality of materials and program design met my expectations.The information received was useful and beneficial.What did you like the most about this program?General Comments:
Strongly Agree
Strongly Agree
Strongly Agree
The information was presented logically, effectively, and with proper citations / references.
Great Course - would highly recommend to others.
Strongly Agree
Strongly Agree
Strongly Agree
Pictorial workouts
The exercise descriptions
Strongly Agree
Strongly Agree
Strongly Agree
I loved the practical application of exercises. Very easy to apply in my career 
Strongly Agree
Strongly Agree
Strongly Agree
I liked the strong evidence-based approach to each aspect of prenatal and postpartum exercise and fitness. 
This has been an excellent course, with a very comprehensive material coverage.

Evaluations prior to new system.

Submission DateFirst NameLast NameEnter the certification organization(s) for which you are seeking credits:Promotional materials were accurate and complete.Administrative instructions were complete and understandable.The course content met my expectations.How will you apply the content of this course to your work?What recommendations and/or general comments do you have?How did you hear about this course?Would you recommend this course to a friend?
2018-02-02 17:21:42KateGoldmanNASMStrongly AgreeStrongly AgreeStrongly AgreeAdd it to my specialties.NoneThrough the NASM CEU websiteYes
2018-02-02 06:31:26AlexanderAddisonNSCAStrongly AgreeStrongly AgreeStrongly AgreeYes
2017-12-26 22:04:44KristinMooreNCSA-CSCSAgreeAgreeAgreeYes
2017-12-22 16:37:57BrittanyVan GilderNSCAStrongly AgreeStrongly AgreeAgreeThere were several grammatical errors in the online test.Through the NSCA continuing education coursesYes
2017-12-18 21:07:00QuandraTiceISSAStrongly AgreeStrongly AgreeStrongly AgreeAssure to follow all guidelines and and recognize any risk factors or signs to terminate training. Also, make sure to stay in my line of scope while working with prenatal client.I enjoyed all areas of this
2017-12-14 17:46:27kathleenpayneNSCAStrongly AgreeStrongly AgreeStrongly AgreeI am going through the postpartum phase myself right now, so I am slowly incorporating what I have learned into my own exercise prescription. Once I am back to training others I will use what I have learned to help other mothers continue to exercise during pregnancy, as well as get back into exercising after delivery.The books were very informative, and after reading them and taking my notes I was able to pass the test no problem. I learned a lot of new information. The instructions were also very clear. Thank you!Through the NSCA siteYes
2017-11-21 20:19:06NSCA-CPTAgreeAgreeAgreeYes
2017-11-12 16:09:02NSCAStrongly AgreeStrongly AgreeStrongly AgreeI always strayed away from working with pregnant women for fear of giving incorrect exercise advice. I now feel competent to work with this population. Also, I just had a baby and will incorporate the postnatal exercise prescription information into my own regimen.On the test, question #41 is written incorrectly. I think the writers meant to use the work "exercise" instead of "pregnancy".Through the NSCA website approved continuing education courses.Yes
2017-10-25 20:44:18NSCAAgreeDisagreeStrongly AgreeI train pregnant women a lot and it helps to stay fresh on the latest research and brush up on my knowledge.The instructions that I got about taking the test were different from what it really was. I was given "the test" to take prior to going online here to take it and it said it was the same test, but it wasn't. Also, it said I'd have 2 hours and I only had 1. Luckily I knew the info and was ready to take and pass the test, but maybe you should update your admin instructions.NSCA websiteYes
2017-09-29 14:37:45NSCAAgreeNeutralAgreeYes
2017-09-25 11:55:34Elina Physical TherapyStrongly AgreeStrongly AgreeStrongly AgreeI will use this when treating prenatal/postpartum clients and in creating safe exercise prescriptions.good courseNASM websiteYes