Pilates and Pregnancy
What changes each trimester, which positions to set aside, and how to keep practising safely.
Read → 11 min readUpdated September 2026 · 8 min read
*Some links on this page go to Amazon. We earn a small commission on qualifying purchases.
Firmness is the only specification that really matters here, and it is the one most listings are vaguest about. A bolster exists to hold a body part at a fixed height while the muscles around it release — so a soft one, which compresses within thirty seconds of load, has stopped being a bolster and become a cushion. These six cover the shapes and fills that actually hold, from everyday rectangular support to prenatal side-lying work.

Quick Picks — At a Glance
6 Bolsters · Ranked
The rectangular cotton-batting bolster is the one to buy if you buy only one, and firmness is the specification that decides everything. A bolster's entire job is to hold a body part at a fixed height while the muscles around it release — and a soft bolster compresses under load within thirty seconds, at which point it has stopped supporting anything and become a cushion. Densely packed cotton batting holds its loft for years, where cheap polyester fill flattens permanently within months. The flat top face is what makes the rectangular shape the most versatile: it sits stably under the knees in supine work, under the ribs for side-lying support, and lengthwise along the spine for supported extension without rolling away. Standard dimensions run around 25 by 12 by 6 inches. Check for a removable, washable cover with a full-length zip rather than a decorative envelope closure, because the cover is the part that needs cleaning and the fill is the part that must never get wet.
Shop on AmazonThe round bolster does one thing better than any other shape: placed lengthwise under the spine, its curved profile lets the ribcage fall open on either side, producing a chest and shoulder opening that a flat-topped rectangular bolster cannot match. For the desk-bound thoracic stiffness that most Pilates practitioners are working against, this is the more useful shape, and it doubles as a gentler alternative to a foam roller for anyone who finds a hard roller too intense along the spinous processes. The higher loft — typically 9 inches in diameter against a rectangular bolster's 6 — also makes it the better choice for supported backbends and for propping under the knees where more height is wanted. The trade-off is stability. A round bolster rolls, which makes it less reliable for side-lying support and for anything where you need the prop to stay exactly where you put it. Most well-equipped home practices end up owning one of each.
Shop on AmazonA pranayama bolster is narrow — typically 6 inches wide against a standard bolster's 12 — and that narrowness is the entire point. Placed lengthwise under the spine, it supports the vertebrae directly while leaving the ribcage completely unsupported on both sides, so the ribs can expand laterally without obstruction. That makes it the single best prop for learning Pilates lateral breathing, where the whole skill is feeling the lower ribs widen sideways rather than the belly rising. It is also the least intrusive option for supported supine work with anyone who finds a wide bolster lifts them too far off the mat. What it will not do is general propping: too narrow to sit on comfortably, too narrow under the knees, and unstable under a hip in side-lying. Buy it as a second bolster specifically for breathwork and spinal support, not as your first.
Shop on AmazonBuckwheat hull fill is the firmest option available and behaves differently from batting in a way that matters. The hulls shift and then lock into the shape of whatever presses into them, so the bolster conforms once and then holds — giving support that is both moulded and genuinely rigid, rather than the uniform give of cotton. For heavier practitioners, and for anyone who has found that every bolster they own bottoms out under a hip or a sacrum, this is the answer. It is also the only fill here that can be adjusted: most buckwheat bolsters have a zipped inner so hulls can be removed to lower the loft or reduce the weight. The drawbacks are weight and noise. A full buckwheat bolster is heavy enough to be awkward to reposition mid-sequence, and the hulls rustle audibly as you settle. Neither matters much at home; both make it a poor choice for carrying to a studio.
Shop on AmazonFrom the second trimester onward, supine Pilates positions are generally set aside, and side-lying becomes the default for a large share of the repertoire. A wedge bolster — tapered rather than uniform in height — is built for exactly that: placed under the bump in side-lying it takes the weight of the abdomen off the underside hip and lumbar spine, which is the difference between a side-lying series being sustainable and being abandoned after two exercises. The taper also makes it the best prop for an inclined supine position, which many practitioners can tolerate well into pregnancy where flat supine is uncomfortable. Look for a firm fill and a wipeable, removable cover. Worth noting that its usefulness does not end with pregnancy: the same wedge is excellent for postnatal recovery work and for anyone who needs an inclined position for reflux or breathing comfort.
Shop on AmazonBolsters are the prop people most often buy, use enthusiastically for a month of restorative work, and then leave in a cupboard — so a cheaper first purchase is a reasonable hedge. At this price you get the right dimensions and a serviceable cover, and for occasional supported work that is genuinely sufficient. What you are giving up is fill density and how long it lasts: budget bolsters are almost always polyester-filled, and polyester compresses permanently rather than recovering, so expect noticeably less loft within six to twelve months of regular use. The practical test on arrival is to press down hard with a flat palm — if you can compress it by more than about a third, it will not hold a body in position and you should send it back. If you find yourself reaching for it weekly after a few months, replace it with a cotton or buckwheat bolster and keep this one for propping under knees.
Shop on AmazonDo you need a bolster for Pilates?
Not for the classical repertoire, which uses no props at all. A bolster becomes genuinely useful in three situations: pregnancy and postnatal work, where side-lying support makes the difference between a sustainable session and an abandoned one; restorative and breath-led practice, where the body needs to be held in position long enough to release; and any presentation where a supported position is the only comfortable starting point, such as acute back pain. Outside those, a bolster is a comfort rather than a requirement.
What is the difference between a bolster and a foam roller?
They have opposite purposes despite the similar shape. A foam roller is hard and designed to apply concentrated pressure into tissue — you move on it, and some discomfort is part of the point. A bolster is soft-firm and designed to hold a body part still at a set height so the surrounding muscles can let go — you rest on it, and any discomfort means it is the wrong prop or the wrong position. Neither substitutes for the other: rolling on a bolster achieves nothing, and resting on a roller for several minutes is unpleasant.
What size bolster should I buy?
The standard rectangular size of roughly 25 by 12 by 6 inches suits most adults and most uses. Height is the dimension worth thinking about: 6 inches is the versatile default, while 9-inch round bolsters give more lift for supported backbends and under-knee support and can be too much for smaller frames. Anyone under about 5'2" often finds a standard bolster lifts them uncomfortably high in supine work and is better served by a lower-profile or pranayama bolster.
What fill is best in a bolster?
Densely packed cotton batting is the best general-purpose fill — firm, resilient, and it holds loft for years. Buckwheat hulls are firmer still and moulding, which suits heavier users and anyone who keeps bottoming out other bolsters, at the cost of considerable weight. Polyester or foam-chip fill is the budget option and the one to be wary of, because it compresses permanently rather than recovering, so a bolster that felt supportive on arrival can be noticeably flatter within a year.
Use our curated city guides to find the best Pilates studios worldwide.
Explore City Guides →