Why is Pelvic Floor Physiotherapy Important During Pregnancy?
Each pregnancy experience is unique, and pelvic floor physiotherapy can play an important role in optimizing physical health and comfort during this time. Some of the key benefits include:
- Education:
A pelvic floor physiotherapist will provide clear, evidence-informed information to help you better understand:
- How the pelvic floor muscles function
- How pregnancy and delivery may affect your pelvic health
- What you can do to support your body before and after birth
- Address or Prevent Pelvic Floor Dysfunction:
This may include:
- Urinary incontinence
- Pelvic organ prolapse
- Constipation
- Core Stability and Exercise Guidance
As your body changes, your core and postural muscles adapt. Physiotherapists can assess your current stability, provide safe exercise modifications, and guide you on staying active in ways that support both your pelvic floor and overall well-being. - Labour and Delivery Preparation
You should go into labour and delivery with confidence and understanding. Going over a detailed list of ways you can prepare yourself and surroundings can be very beneficial. We want to be prepared for all possibilities! - Postpartum Preparation
Understanding what to expect in the postpartum recovery period is key. Your physiotherapist may discuss:
- Guidance for gradual return to activity and exercise
- Postpartum pelvic care
- Tips and recommendations for recovery
- Manage Pain
Pregnancy-related discomfort is common and can include:
- Pelvic girdle pain
- Low back pain
- Hip pain
- Pubic symphysis pain
What Will My Pelvic Floor Physiotherapy Appointment Include?
Every physiotherapy appointment is individualized based on your stage of pregnancy, your symptoms, your goals, and your comfort level. The following is a general outline of what an appointment may include:
- Detailed History
Your physiotherapist will take time to understand your:
- General medical and pregnancy history
- Bladder, bowel, and sexual health
- Pain or discomfort concerns
- Physical activity levels and goals
- Education
Education is a central part of each session. This may include:
- Information about pelvic floor function
- Safe movement strategies
- Tips for labour, delivery, and early postpartum care
- External Assessment
An external physical assessment may include observation and movement testing of:
- Posture and alignment
- Lumbar spine
- Pelvic girdle
- Hips and surrounding muscles
- Breathing patterns
- Deep core
- Internal Assessment (only if indicated and consented)
An internal vaginal exam may be offered to assess:
- Muscle tone (too tight or too weak)
- Strength and coordination
- Presence of pain or trigger points
- Ability to contract and relax appropriately
Internal exams are only performed with informed consent, and are based on:
- Clinical indication
- Patient comfort and preference
- Stage of pregnancy
- Any medical or obstetric restrictions
You are always in control and can decline or stop the exam at any time.
- Treatment Plan and Home Exercise Program
Based on your goals and assessment findings, your physiotherapist will create a customized treatment plan. This may include:
- Targeted exercises (strengthening or relaxation)
- Manual therapy techniques
- Breathing or postural strategies
- A home exercise program tailored to your needs
Final Thoughts
Pelvic floor physiotherapy is a proactive, evidence-based way to support your body through the physical demands of pregnancy and beyond. A pelvic floor physiotherapist can provide individualized care grounded in education, consent, and best practice.
If you're interested in booking an appointment or have questions about whether pelvic floor physiotherapy is right for you, speak with a registered physiotherapist trained in pelvic health.
This post is intended for informational purposes only and does not replace individualized assessment or treatment by a licensed physiotherapist. Always consult a qualified healthcare provider for advice specific to your health and pregnancy.
