Abstract
This chapter focuses on practical considerations for exercise testing in elite pregnant athletes. A thorough clinical evaluation should be carried out in all pregnant athletes to rule out any medical or obstetrical reasons to stop or adapt activities. Participants must be fully informed of the purpose, procedures, risks and benefits, as well as their rights and expectations prior to completing exercise testing. Changes to the centre of gravity alongside decreased abdominal strength, increased fluid retention in the lower limbs and increased joint laxity contribute to impaired balance during pregnancy, and individuals therefore have higher risks of falling. Submaximal exercise testing is preferred during pregnancy. Regular resistance exercise in pregnant athletes may maintain muscular strength and endurance, as well as contribute to favourable adaptations that reduce the risk of pregnancy complications. Strength testing protocols used in pregnancy in a research environment utilized one- and ten-repetition maximum procedures established for the general population.
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