Why You Should See a Physiotherapist in Pregnancy

During pregnancy, a woman's body undergoes profound changes, including hormonal shifts, weight gain, and the physical expansion of the uterus. These changes can significantly impact the pelvic floor muscles, which play a crucial role in supporting pelvic organs, bladder control, and overall core stability. Seeing a pelvic floor physical therapist during pregnancy is highly beneficial for several reasons.
They can provide personalized exercises and techniques to strengthen pelvic floor muscles, which can help prevent or manage common issues such as urinary incontinence and pelvic pain during pregnancy. Research published in the Journal of Midwifery & Women's Health highlights that pelvic floor muscle training (PFMT) can reduce the incidence of urinary incontinence during pregnancy and postpartum period significantly.

Secondly, pelvic floor physical therapy can address pelvic girdle pain (PGP), a common musculoskeletal condition affecting pregnant women. According to studies in the European Spine Journal, PGP affects up to 76% of pregnant women and can lead to significant discomfort and disability. Therapists use manual techniques, exercises, and education to alleviate pain and improve understanding of possible triggers (hint-they may not always be physician) and enhancing overall quality of life during pregnancy.
Furthermore, preparation for childbirth is another vital aspect of pelvic floor physical therapy. Therapists educate expectant parents on optimal birthing positions, breathing techniques, and pelvic floor relaxation exercises, which can facilitate labor and reduce the risk of perineal trauma. Evidence from Cochrane systematic reviews indicates that pelvic floor muscle training may reduce the risk of perineal trauma, such as tears or episiotomies, during vaginal delivery.

In conclusion, seeking care from a pelvic floor physical therapist during pregnancy is crucial for optimizing pelvic health, managing discomfort, and preparing for childbirth. Their specialized knowledge and evidence-based interventions can significantly improve outcomes for pregnant women, promoting both physical well-being and confidence throughout the prenatal and postpartum periods.