This article introduces a periodization model designed for beginner to elite perinatal athletes, emphasizing trimester-phased training aligning with gestation, delivery, and postpartum needs. Amid progressing global recommendations on perinatal exercise and increasing female participation in high-intensity and strength training, the primary aim is to propose an evidence-based, structured approach to training that consolidates these trends. The physical and psychological demands of labor mirrors that of an athletic endeavor. As such, this article explores emerging evidence supporting maternal and fetal safety and benefit of high-intensity training, allowing pregnant individuals to prepare in accordance with the task ahead. Training phases parallel to preseason, in-season, peaking, and recovery shift in focus based on the physiological need and biomechanical necessity within the pregnancy timeline. This translation of science to practice underscores the potential for tailored training programs to positively impact maternal, fetal, and neonatal health, urging further research and unified guidelines in this evolving field.
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