Why should I see a pelvic floor physical therapist during pregnancy? 

One of the most common statements we hear from moms is “I should have come earlier!”. In this article, we will discuss some of the common concerns surrounding pelvic floor physical therapy in addition to the benefits of seeing a pelvic floor physical therapist during pregnancy which we call the “4P’s.” 

Common Concerns and Questions:

 Is pelvic floor physical therapy safe during pregnancy?

 You do not need to suffer from pain for months as you await the birth of your baby. Pelvic Floor PTs address your whole body – not just the pelvic floor muscles! Pelvic floor physiotherapy is a completely safe therapy to partake in during pregnancy, though we typically wait until the second trimester to do any intravaginal work with the pelvic floor. If intravaginal assessment is recommended, there is no reason not have manual palpation of the pelvic floor muscles during pregnancy as long as you are still allowed to have intercourse. It can help you get in touch with this little known area of your body when you need it most!

 Is it safe to exercise during pregnancy?

Being active throughout your pregnancy is a great way to maintain strength and flexibility, while also preventing injury. A pelvic health physical therapist can instruct and educate you on safe exercises, movements, and activities that you can participate in throughout your pregnancy.

The American College of Obstetricians and Gynecologists (ACOG) recommends pregnant women with uncomplicated pregnancies should get at least 150 minutes of moderate-intensity aerobic activity every week. 

Regular exercise during pregnancy benefits you and your fetus in these key ways:

• Reduces back pain
• Eases constipation
• May decrease your risk of gestational diabetes, preeclampsia, and cesarean delivery
• Promotes healthy weight gain during pregnancy
• Improves your overall general fitness and strengthens your heart and blood vessels
• Helps you to lose the baby weight after your baby is born

 How can pelvic floor physical therapy help me during my pregnancy: The 4P’s

 Prevention:

• Strengthening and lengthening your pelvic floor muscles to optimally support your pelvis, prevent urinary incontinence or prolapse, and prepare for labor
• Proper postural education and techniques for activities of daily living in order to help prevent an injury or discomfort during pregnancy (think: getting out of bed, proper lifting technique, getting in and out of a car)
• Strategies for a better night’s sleep
• Activities and strategies to prevent diastasis recti (abnormal abdominal separation)

 Physical Exercise:

• Learn safe exercises to keep you and baby health and active
• Proper breathing mechanics during exercise
• Postural education, avoiding “Mom Posture”

 Pain:

• Treatment of lower back or hip pain during pregnancy
• Treatment of pelvic pain (during activity and rest)
• Treatment of postural pain

 Preparation for Labor:

• Education on the birthing position that is best for you
• Breathing and pelvic floor relaxation strategies
• Perineal stretching (manual tissue work) to prevent perineal tearing

We hope you will come visit us at SHEFitPT during your next pregnancy!

by Dr. Meghan Krill, DPT

You can schedule your visit Here!

See our next blog post explaining why you should see a pelvic floor physical therapist postpartum….