
***Full disclosure: I am not a doctor and please consult a health care professional, this is just my experience and suggestion.***
When I got pregnant with Valeria, I knew that I had some pondering to do with my birth. I have a lower back injury and I didn’t want intervention if we could help it, but that made me consider whether an epidural was viable for me or not. With the risk factors being higher then I would have liked, I opted for no epidural. Now, of course I discussed this with my Midwife and Doula in depth and let them know that if the circumstances arise where the baby or I were at risk, then off to the hospital for necessary treatment/an epidural.
Luckily, I didn’t have to do that and my birth was difficult but naturally done at the Midwife clinic.
Needless to say, I wanted to be well prepared before pushing a child out naturally. My sister-in-law suggested Pelvic Floor Physiotherapy. When she said that, initially I had this confused look on my face like “What the heck is that?”. Then she proceeded to explain what it was and how much it helped her with her births. She highly recommended it and I said “I will definitely look into it!” And I did.
For those who don’t know what this does for a pregnant woman; let me explain it and please if you are interested do further research. But here is what Pelvic Floor Physiotherapy is: A physiotherapist who can help address areas of pelvic and low back pain/pressure, incontinence, and helps to teach you exercises and techniques to help prepare your body for birth. Pregnant women are recommended to begin pelvic floor physiotherapy during the second or third trimester (28-32 weeks).
There are so many benefits to pelvic floor physiotherapy, and for me, I didn’t know just how much pressure and strain that was being put onto my pelvic floor until I started treatment. Between the pressure from the ever growing baby, unconsciously tightening my abdominal/butt muscles for compensation and straining my muscles with daily activity in general (I was a go go go kind of pregnant woman). I didn’t realize I was exhausting everything down below, which in turn caused me some incontinence.
My physiotherapist was wonderful and extremely knowledgeable. On the first visit she explained what she does, she explained with a diorama of the pelvis what is going on when your pregnant, and then did an assessment. Now I opted out of the internal assessment, which is recommended for a better understanding of what’s happening internally, but I really didn’t like being touched much during my pregnancy so….no. She did some assessments, asked numerous questions and then proceeded with a treatment plan. Now, I started my physiotherapy a little later then suggested, but still super beneficial. It helped with my incontinence quite a bit, how to put less strain when getting up out of bed or the couch, and techniques to help prepare my body for birth, helping to loosen my muscles.
The benefits were incredible and I’m so thankful this was suggested to me. Honestly, I wish more women knew about this and I’m hoping it gains more popularity in the future. It’s not just a benefit during pregnancy but postpartum as well. When I was recovering, I remembered certain tips and tricks my physiotherapist taught me for postpartum and to help with my pain, etc.
I heard in certain parts of Europe, specifically France, that this is seen as part of your postpartum recovery. The government has funded rehabilitation for women who give birth; they get to “re-train” their pelvic floors with 10 free physical therapy sessions. How wonderful and brilliant! Ours is part of private health care here in Canada.
If you are from Europe or other parts of the world, is this funded by the government or part of private health care?
Now you are probably wondering the point here huh?
Well today I had my postpartum follow-up. Generally you see your physiotherapist six weeks after birth, but I wasn’t able to. One, she had no availability and two, we were sick in December. So today was my big day and it was great. She assessed my abdomen, flexibility, etc.; I got the green light to get back in the gym (YES!), some new stretches and exercises to help with my core strengthening and for relaxation, and a nice chat on things to lookout for which may be cause for concern. Otherwise, she says my recovery has been amazing from what she could tell. She also wished more women would take the time to actually recover after birth, I wholeheartedly agreed. Even though it’s extremely difficult to do so.
My recommendation: If you are able, please take care of your pelvic floor before and after birth, it is so important for you to get back to normal. And let’s be honest, no mama wants to pee herself when she laughs, especially after birth! Also, pelvic floor physiotherapy isn’t just for pregnancy or just for women, men can go too! So, if you feel something is going on down below, please check it out because it may just help.
Ciao!


















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