Background: This mini-review synthesizes current research on exercise knowledge and practices among pregnant women, with a focus on low- and middle-income countries (LMICs). Key Findings: Recent studies indicate a generally positive attitude towards exercise during pregnancy across various cultural contexts. Walking and housework emerge as the most common forms of physical activity among pregnant women in these settings. Influencing Factors: The review explores factors influencing exercise knowledge and practice, including education level, parity, socio-economic status, and cultural beliefs. It also examines the sources of information pregnant women rely on for exercise guidance. Identified Needs: Despite growing awareness, there remains a need for more specific, culturally appropriate guidance on safe and beneficial exercises during pregnancy. Recommendations: The review concludes with recommendations for healthcare providers and policymakers, emphasizing the importance of incorporating exercise counseling into routine antenatal care and tailoring interventions to local contexts. Conclusion and Future Directions: This comprehensive overview highlights the potential for improving maternal and fetal health outcomes through appropriate physical activity during pregnancy, while also identifying areas for future research.