Facilitators and Barriers to Prenatal Exercise from the Biopsychosocial Perspective of Pregnant Individuals: “If You Keep Moving, Then You Won't Stop”

Exercise during pregnancy is influenced by intersecting biological, psychological, social, and structural factors. Pregnant individuals may value exercise but lack the confidence, resources, and systemic support necessary to sustain it. Interventions should extend beyond education to include culturally responsive, accessible, and community-based approaches that strengthen confidence, social support, and structural equity to promote sustainable prenatal physical activity.