Support From the Inside Out: How Pelvic Floor PT Can Change Your Pregnancy

Pregnancy is a time of profound physical, emotional, and hormonal changes. As the body adapts to support a growing baby, the demands on the musculoskeletal system—especially the core and pelvic floor—can lead to a wide range of symptoms. While many expectant parents focus on prenatal vitamins, birth classes, and baby gear, one essential aspect of prenatal care is often overlooked: pelvic floor physical therapy.

Pelvic floor physical therapy during pregnancy is not just for those experiencing discomfort—it’s a proactive, empowering approach to optimize function, reduce pain, and prepare the body for labor and delivery. Here’s why it’s so important:

So, What Exactly Is the Pelvic Floor?

The pelvic floor is a group of muscles at the base of your pelvis. These muscles support your bladder, uterus, and bowel. They also help with posture, going to the bathroom, sexual function, and—yes—giving birth.

During pregnancy, your pelvic floor is under more pressure than ever, thanks to:

• Your growing belly

• Hormonal changes that loosen your joints

• Postural shifts as your body changes

All of this can lead to discomfort, leaking, or just not feeling quite like yourself.

How Pelvic Floor PT Helps During Pregnancy

Pelvic floor physical therapy isn’t just for people with problems—it’s for anyone who wants to feel better and prepare their body for birth. Here’s how it can help:

1. It Relieves Aches and Pains

Back pain, hip pain, sciatica, or pressure around your pubic bone? You’re not alone. A pelvic floor therapist can use gentle, hands-on care and movement strategies to help you feel better and move more freely.

2. It Strengthens and Protects Your Core

Pregnancy stretches your abdominal muscles, and many people develop diastasis recti (ab separation). Therapy teaches you how to move and exercise in a way that supports your core and keeps your body strong.

3. It Teaches You to Relax (Yes, That’s Just as Important!)

Many people think pelvic floor therapy is all about tightening—but during pregnancy, learning how to relax your pelvic floor is key. A flexible, responsive pelvic floor helps make labor and pushing more effective and less stressful on your body.

4. It Gets You Ready for Birth

Your therapist can help you:

• Practice positions that feel good during labor

• Learn how to breathe and push more effectively

• Reduce your risk of tearing

• Prepare mentally and physically for delivery

5. It Sets You Up for an Easier Recovery

Taking care of your pelvic floor now makes postpartum recovery smoother. That means:

• Less leaking

• Less heaviness or pressure in the pelvic area

• Better core recovery

• More comfort returning to sex and physical activity

When Should You Start?

Anytime! Many people begin in the second trimester, but it’s safe and helpful at any stage. Even just a few sessions in your third trimester can make a big difference in how prepared you feel.

Final Thoughts

Your body is doing something amazing—growing a baby—and it deserves support from the inside out. Pelvic floor physical therapy helps you feel better during pregnancy and gives you the tools to go into birth feeling confident and connected to your body.

If you’re wondering if pelvic floor physical therapy could personally benefit you during your pregnancy - contact us for a free phone consultation!