Pregnancy and postnatal care

Pelvic floor physiotherapy during Pregnancy

Prenatal physiotherapy may help with:

  • Pelvic floor muscle training to support childbirth, sexual function, bladder and bowel control

  • Prevention or management of urinary or faecal incontinence during pregnancy

  • Preparation of the pelvic floor for childbirth

  • Management of pelvic girdle pain, pubic symphysis pain and lower back pain

  • Education on healthy bladder and bowel habits

  • Guidance on safe exercise and movement during pregnancy

  • Strategies to reduce strain on the pelvic floor

  • Assessment and strategies to improve “pushing” (without straining)

Postnatal Recovery and Pelvic Floor Rehabilitation

Postnatal physiotherapy can help address:

  • Urinary or faecal incontinence

  • Pelvic organ prolapse symptoms (pelvic heaviness or pressure)

  • Pelvic floor weakness or poor coordination

  • Safe return to intercourse

  • Sexual pain

  • Abdominal muscle separation or weakness (diastasis recti)

  • Perineal or scar discomfort following birth or surgery

  • Safe return to exercise, running, or sport

  • Early rehabilitation helps restore muscle strength, coordination, and support for the pelvic organs.

  • Education on healthy bladder and bowel habits

What to Expect During a Prenatal or Postnatal Assessment

A pelvic floor physiotherapy consultation typically includes a comprehensive assessment to understand your symptoms, goals, and recovery needs.

This may include:

  • Discussion of pregnancy, birth history, and current symptoms

  • Assessment of pelvic floor muscle strength and coordination

  • Evaluation of abdominal muscle function and diastasis recti

  • Assessment of breathing patterns and pressure management

  • Assessment and training for second stage/ pushing with pelvic floor relaxation

  • Birth preparation: assessment, risk factors and Birth plan discussion (trauma informed and pro choice)

  • Guidance on safe movement and exercise progression

  • Based on the findings, your physiotherapist will create an individualised rehabilitation plan.

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