How Pelvic Floor Physiotherapy Helps During Pregnancy

Pregnancy places unique demands on the body—especially the pelvic floor, which supports the bladder, uterus, and bowel while adapting to hormonal changes, weight gain, and postural shifts.
Pelvic floor physiotherapy during pregnancy focuses on keeping these muscles strong, flexible, and well-coordinated so you can move comfortably, prepare for birth, and reduce pelvic symptoms.

1. Strengthening the Pelvic Floor for Support

As the baby grows, the pelvic floor carries more load. If these muscles become weak or stretched, you may experience:

  • urinary leakage

  • pelvic heaviness

  • back or pelvic pain

  • early signs of prolapse

Physiotherapists teach safe, tailored strengthening exercises—not just Kegels, but coordinated breathing and core strategies—to help maintain strong pelvic support throughout pregnancy.

2. Learning How to Relax and Lengthen the Pelvic Floor (Birth Preparation)

For birth, pelvic floor relaxation is just as important as strength.
Physiotherapists guide you through:

  • perineal relaxation techniques

  • pelvic floor down-training

  • diaphragmatic breathing

  • positions that open the pelvis for labour

This helps the pelvic floor stretch more comfortably during delivery and may reduce tearing, tension, and recovery time postpartum.

3. Managing Pelvic, Back, and Hip Pain

Pregnancy hormones increase joint mobility, which can lead to discomfort in the pelvis, hips, groin, or low back.
Physiotherapy can provide:

  • gentle manual therapy

  • pelvic alignment and stability exercises

  • support belts recommendations if appropriate

  • postural guidance for sitting, sleeping, and moving

These strategies reduce pain, improve mobility, and help you stay active safely.

4. Improving Bladder and Bowel Control

Many people experience bladder urgency, leakage, or constipation during pregnancy.
Pelvic floor physio helps by teaching:

  • bladder training and urge control techniques

  • proper pelvic floor activation timing

  • breathing and abdominal strategies that reduce pressure

  • bowel mechanics and toileting positions

This leads to better control and more comfortable digestion and elimination.

5. Preparing for Labour and Pushing

Physiotherapists teach techniques that make labour more efficient and reduce strain on the pelvic floor, such as:

  • how to coordinate your breath with pushing

  • how to avoid breath-holding or straining

  • optimal birthing positions tailored to your body

  • perineal massage guidance

This helps build confidence and prepares both your body and mind for childbirth.

6. Supporting Exercise and Daily Activities

As your body changes, your typical movement patterns may need adjusting.
Pelvic floor physiotherapists provide:

  • safe exercise progressions

  • modifications for running, lifting, or fitness classes

  • strategies for carrying, sleeping, and getting out of bed comfortably

This keeps you active and reduces injury risk.

7. Encouraging a Smoother Postpartum Recovery

By understanding your pelvic floor during pregnancy, you’re better prepared for postpartum healing. Physio helps you:

  • recognize early signs of pelvic floor issues

  • know when and how to return to exercise

  • prevent or reduce postpartum pain

  • support pelvic organs during recovery

A strong foundation during pregnancy makes the fourth trimester far easier.