Active Living

 Pregnancy Postpartum Physical Training (P3T)

Last Updated: June 24, 2020
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The intent of Army Pregnancy Postpartum Physical Training (P3T) is to implement mandatory standardized Army-wide P3T.   P3T is aligned with exercise recommendations from the American College of Obstetricians and Gynecologists and the 2018 revised Physical Activity Guidelines for Americans.  Policies released in recent years strengthen the ability for P3T to meet approved Army standards.

  • AR 40-502 and DA PAM 40-502 (July 2019)
  • AR 350-1, Appendix F-5 e & f (Dec 2017)
  • FM 7-22, chapter 4.21-4.25

P3T Program Overview Video on YouTube - SEARCH FOR

Get Back in Shape after Pregnancy Postpartum Army Public HealthExternal Link

MEDCOM, through the APHC, maintains the P3T educational materials and offers a P3T leader course for P3T leadership. Local commanders are responsible for execution according to the implementation standards set forth in the APHC TG 255 series, Pregnancy Postpartum Physical Training Manuals.  Standardized execution progresses as leaders are educated regarding P3T, new responsibilities established, and adequate personnel trained to fill the needs for local P3T.

Technical Guides 255D, Exercise Leader Manual, 255B, Instructor Trainer Manual, 255 E, Soldier Workbook, 255F, Remote Soldier Workbook, 255C, Medical Expert Manual are all available on the P3T AKO websiteExternal Link


Exercise is an essential element of a healthy lifestyle, and obstetric care providers should encourage their patients to continue or to commence exercise as an important component of optimal health. Women who habitually engaged in vigorous-intensity aerobic activity or who were physically active before pregnancy can continue these activities during pregnancy and the postpartum period. Observational studies of women who exercise during pregnancy have shown benefits such as decreased gestational diabetes mellitus, cesarean birth and operative vaginal delivery, and postpartum recovery time. In the absence of obstetric or medical complications or contraindications, physical activity in pregnancy is safe and desirable, and pregnant women should be encouraged to continue or to initiate safe physical activities.

NDAA 2020, Public Law 116-92, Sec 572External Link DEPLOYMENT DEFERMENT AFTER CHILDBIRTH

The law standardizes new mother deployment deferral policy across the services for 12 months after childbirth.  A member of the armed forces who gives birth while on active duty may be deployed during the period of 12 months beginning on the date of such birth only with the approval of a health care provider employed at a military medical treatment facility and (1) at the election of such member; or (2) in the interest of national security, as determined by the Secretary of Defense.


Approved waiver to TB MED 530 relates to field food operations. The waiver allows for storage and management of breastmilk in field food establishment refrigerators similar to existing guidance for medications as specified in TB MED 530, provisions 7-207 .11 and 7-207 .12. The approved waiver supports Army Directive (AD) 2015-43, paragraph 6. This waiver will be submitted for consideration and adoption by all services in the next revision of this publication.


We are gathering information across the Army from ALL active duty Soldiers who are currently pregnant or have been pregnant since NOV 2016.   Army senior leadership is committed to determining the key factors that aid pregnant and postpartum Soldiers in maintaining health and fitness throughout pregnancy and returning to full military duty postpartum.  To do this, the Army Public Health Center (APHC) is conducting an Army-wide evaluation of pregnant and postpartum Soldiers to identify and report on important factors that impact the health and readiness of female Soldiers.   

The confidential questionnaires measure levels of physical activity, supplement use, substance use, dietary habits, sleep patterns, injuries and other medical concerns among pregnant and postpartum Soldiers.

If you are a Soldier who is at least 35 weeks pregnant,  please participate in this evaluation Participation in the FSRPP Evaluation is voluntary, but highly encouraged. The questionnaire takes about twenty minutes to complete. Mission success fully depends on the number of completed questionnaires. Every response counts. Follow-up questionnaires about your postpartum experiences will be sent to your military or preferred email at 6 months and 12 months postpartum.

Please submit answers to ALL the questions. The link below allows you to input responses from any computer with internet access and is optimized for data collection via mobile devices (e.g., smartphones, tablet computers).  Thank you in advance for completing the survey. 


For those implementing P3T, there is additional information and resources on the P3T AKO websiteExternal Link (CAC verification required).  Once you open the page, save it to your favorites so it is easy to access again.  Some of the items available to you on AKO are:

  • Guidance for Soldiers at remote, RC and ARNG locations
  • Technical Guide 255 A-F series
  • P3T participant orientation packet
  • Education class core curriculum presentations
  • Templates for P3T Policy Memorandum, SOP, and OPORD
  • P3T Program Overview Brief, Video, Fact Sheet, Information Paper
  • Sample exercise sessions
  • Exercise Leader Training materials
  • National Stock Number information page for the FUDD: Link

Pregnancy Postpartum Physical Training (P3T) Program Leader Course for 2020

The P3T Program Leader Course requires completion of a distance learning component and a face-to-face onsite course.  This course provides guidance to P3T Program Managers/OICs, Installation Instructor Trainers/NCOICs, Trimester Instructor Trainers (IT) and Medical Experts (ME) on establishing and operating local P3T consolidated programs. Training is based on the Army Pregnancy/Postpartum Physical Training Technical Guide 255A-F Series.

P3T DL Course #081SDL18-APHC-P3T-0001 self-enrollment is through ATRRS at External Link

The DL course modules are for any personnel interested in learning more about P3T background and execution.  The P3T DL course is a set of self-paced on-line modules that includes didactic sessions, video lessons, and reading assignments. Once the online modules have been completed the enrollee must complete the required final exam. Upon DL Course completion, the enrollee will be eligible for the P3T Onsite instructor course.  The DL course completion certificate requires passing all module tests, practice and final exams, and assignments with an 80%.   The P3T DL course instruction sheet is located at  (APHC)

Participants receive access to the P3T DL Course in Blackboard after enrollment in ATRRS is completed.

The P3T Onsite Instructor Course #26A-F61/300-F61 enrollment applications are through APHC CREG training web page at (APHC)  for Fy20 

P3T Onsite course dates and locations for FY2020 are posted in ATRRS at Link

The P3T Onsite course focuses on practical application of the P3T DL course content. The P3T Onsite course includes training on exercise performance, exercise session oversight, training exercise leaders, use of program implementation tools, and a practical exam.  Participation is physically active and consists of land and water exercise skills training with practical application of the principles of pregnancy and postpartum physical training. 

All P3T Onsite course applicants must email their P3T DL course completion certificate AND DA3838 or SF182 forms to the P3T Course Director at <


P3T Onsite Course Prerequisites

Must be senior enlisted (E-6 and above) Soldiers or DoD civilian.  Must have been designated to serve in a P3T leader position.  Medical or fitness training or experience, i.e., previous P3T exercise leader experience or having completed the new MFT course, is optimal.  Not pregnant, no administrative action nor pending a board. Passed last APFT and body composition.  Target audience is unit NCOs and health care staff involved in P3T implementation. 

Army Public Health Center, Health Promotion and Wellness Directorate, Aberdeen Proving Ground, MD  21010-5403.  If you have any questions regarding the P3T Train-the-Trainer Leader Course contact the P3T Course Director at commercial (410) 436-2303, DSN 584-2303.


There are no fees for this course, however, APHC funds are NOT available for attendee TDY expenses for the P3T Onsite course.  It is the responsibility of the attendee installation/unit to provide funds for all TDY expenses. Transportation and lodging arrangements are the responsibility of the attendee. Lodging on post is recommended. No meals provided. Accessibility to a DFAC and local shuttle for transportation varies according to the course location. Contact the P3T Course Director at commercial (410) 436-2303, DSN 584-2303 to obtain local POC contact information for specific answers related to these topics. Uniform is OCPs on Monday, IPFU Tues- Fri.  Swimwear is recommended but not required.  Attendees will receive a graduated course in ATRRS, upon completion of both the P3T DL and Onsite courses. 

Credit hours (Category II) for nurses, health educators, physical therapists are available. Attendees must turn in their paperwork to their own credentialing entity.

Click here to request a P3T Onsite Course at your installation. (APHC)

Current Literature and Resources

Improving Maternal Health Outcomes with a Focus on Physical ActivityExternal LinkThe Department of Health and Human Services (HHS) is working across its agencies to decrease pregnancy complication risks and improve the health of women during pregnancy and the postpartum period.

Count the KicksExternal Link is a project of Healthy Birth Day, Inc., a 501(c)(3) organization dedicated to the prevent of stillbirth and infant death.

Exercising Through Your Pregnancy,External Link2nd edition (2012) James F. Clapp III, Catherine Cram. Research showing that exercise during and after pregnancy can provide far-ranging benefits to mother and baby.

FDA on PregnancyExternal Link. Having a baby can be a joyous time. The FDA has lots of resources to help you make good choices about medicines, foods, and other products for you and your baby.

Pregnancy A to ZExternal Link This Air Force Medicine web site provides information about what you can expect throughout your pregnancy and after the birth of your child. 3-D animations help you understand the changes going on inside your body, and how your baby is growing. There is a special section for new dads. Real parents offer advice and insight.

Moms-To-Be: Keep the "active" in Active DutyExternal LinkHuman Performance Resource Center provides excellent advice on exercising during pregnancy and postpartum. (April 18, 2013)

American Congress of Obstetricians and Gynecologists, Exercising During PregnancyExternal Link. Answers to frequently asked questions regarding exercise during pregnancy.  

Armed Forces Operational OBGYN Instructions and OrdersExternal Link. Guidance from all the military services on Obstetrics and Gynecology Instructions

Exercising For TwoExternal LinkA study was presented at the Experimental Biology 2011 meeting in Washington by researchers from the Kansas City University of Medicine and Biosciences.  Findings indicate that babies born to mothers who exercised while pregnant were found to have healthier hearts than other infants a full month after delivery.  Amazing research for those involved in promoting the benefits of exercise late into pregnancy!