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Purpose: The aim of this study was to translate the Pregnancy Physical Activity Questionnaire into regional languages of India i.e., Hindi and Marathi and test its reliability and validity among Indian pregnant women. Subjects and Methods: The subjects were 60 healthy, single pregnant women of all three trimester between the age group of 18 and 40 who volunteered to participate in this study. The physical activity practices of all the consenting mothers from all the three trimesters were assessed using the Hindi and the Marathi version of PPAQ for three consecutive days. Reliability was evaluated by measuring the three day test-retest reliability with the intraclass correlation coefficient and Spearman’s correlation analysis. Concurrent validity was examined by comparing the Pregnancy Physical Activity Questionnaire into Indian regional language i.e. Hindi and Marathi. Later Hindi and Marathi translated questionnaire were back translated into English. It was compared with the original PPAQ. Results: The test-retest reliability, r values were respectively 0.987,0.956, 0.953 and 0.993 for self-reported sedentary, light, moderate, and vigorous activity, respectively. Intraclass correlation coefficient scores ranged from 0.965 to 0.999. For validity, the PPAQ were compared with the translated PPAQ. Conclusion: The Indian version of the Pregnancy Physical Activity Questionnaire is a valid and reliable tool for measurement of the physical activity level of pregnant women.