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5 ways to protect your pelvic floor during pregnancy

Understandably, pregnancy places a lot of stress on your pelvic floor as it supports the extra weight of your growing uterus. The pelvic floor, regardless of mode of delivery, is known to weaken up to 25% due to pregnancy itself. During labour and birth, your pelvic floor needs to be able to stretch (up to three times its normal length) to birth your baby (WOW!).

This increase in load, and stretching lends itself to weakness in the muscles, ligaments and tissues of the pelvic floor. This weakness may, in turn, lead to prolapse or incontinence- something I want to help you to avoid if possible. Side note: I want to reassure you though, that your body is amazing and powerful to help sort this out on its own, but sometimes needs a little guidance.

Having an optimally functioning pelvic floor isn’t just important for pregnancy and birth. Being able to contract and fully relax your pelvic floor during pregnancy is one of the best ways you can begin to prepare for your postpartum recovery. So get on top of your pelvic floor during pregnancy and read 6 reasons to see a women’s health Physio during pregnancy.

To learn more about what is the women’s pelvic floor start here.

#1 CONSTIPATION

When you are constipated, you put additional strain through the pelvic floor to essentially get it out. I’m not talking about an isolated episode of constipation here, I’m talking about repeated episodes either pre-pregnancy or as a result of pregnancy. So drink plenty of water (even if you have to pee during the night!), consume a good amount of soluble fibre and learn how to poop like a pro (I can teach you that).

2# LEARN HOW TO ACTIVATE YOUR PELVIC FLOOR MUSCLES THE RIGHT WAY

Studies show that up to 40% of women incorrectly contract their pelvic floor muscles. And 25% actually bear down when they are trying to lift up! I highly recommend having your pelvic floor assessed by a Women’s Health Physio. The gold standard is via an internal vaginal exam and if that’s not appropriate for you then we can use the real time ultrasound to assist with assessment and training (check out my Instagram video of this).

#3 RELAX THOSE MUSCLES…


As with all muscles in our body, they are designed to contract and to RELAX. Make sure you allow for your muscles to relax completely before contracting again. Also to note, the muscles need to relax to do a poo or a wee (at a subconscious level) and allow the birth of your baby during a vaginal delivery (watch this awesome youtube video on how we poo).

#4 POSTURE

Repeat: chest over pubic bone. Learning to move well will help to protect your pelvic floor and core during pregnancy and also protect your lower back particularly if there is more than one child to manage.

#5 BREATHING

How you breathe directly affect how your pelvic floor functions. The diaphragm works much like a piston and that’s because the diaphragm is connected to the pelvic floor by a complex web of fascia and ligaments. Think about ‘blow before you go’ i.e. exhalation on exertion to minimise downward stresses on your pelvic floor.

If you are experiencing any leaking during your pregnancy, it is a sign that your pelvic floor isn’t functioning the way it should. I believe that pregnancy is the perfect time to connect to your pelvic floor and begin to get it functioning the way it should regardless of mode of delivery!

Please get in touch if you would like to take charge of your pelvic health during pregnancy by calling/whatsapp 9780 7274 or email.

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Was recommended by a friend to embrace physiotherapy, I was having bad recurring blocked ducts/mastitis and was desperate. I’m served by a very welcoming and friendly counter lady (forgot to get her name) and my therapists Preet and Brenda are very professional and helpful, they helped get my stubborn blocked ducts cleared in 3 sessions. Preet also referred me to someone who helped with the recurring mastitis. Will probably still experience the same problem if I haven’t visit them, super thankful for the help!

Kate Oxyz Avatar Kate Oxyz
September 2, 2022

My healing journey at Embrace started exactly 2 years ago, Jan 2021. I saw Preet for DR and other pelvic matters. Preet had excellent bedside manners and I was always comfortable with her. Shortly after, I was able to join the pilates group class taught by Brenda. As I was already a patient, Brenda had access to my condition and was able to check on me each class. Slowly but surely, I was given the go ahead to start running. I felt safe in all my exercise classes at Embrace because Brenda is attentive and had my progress in mind. Even my recent classes with Deborah are just as thoughtful and beneficial. When I had a bad fall late October 2022, Alex helped me through the months of recovery. She identified my "moving injuries" and explained clearly what I had to do to get better. She also has a great sense of humour! My 2 favourite ladies, Su and Alicia, are super cheerful and helpful in scheduling appointments and texting reminders. They are superstars! It's always comforting to step into Embrace. Thanks guys!

May Leung Avatar May Leung
January 14, 2023

I had a great experience with Embrace physiotherapy both throughout my pregnancy and post partum. I attended group exercise classes with Brenda until I gave birth and it helped me stretch, ease 3rd trimester pains and maintain energy flow. After I gave birth, the physiotherapy sessions with Alex and exercise classes with Brenda helped me get back to a more comfortable physical state. I appreciated being able to do both in parallel. Lovely receptionist and great team who always welcome you warmly - highly recommend!

Galathee Salze-Lozach Avatar Galathee Salze-Lozach
September 28, 2022

Embrace life. Embrace Physiotherapy.

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