Why Every Pregnant Person Should See a Pelvic Floor Physical Therapist (Before Baby Arrives)

June 11, 2025

When you’re pregnant, you get a lot of advice. Don’t eat deli meat. Sleep on your left side. Don’t lift over 20 pounds (which is hilarious if you’ve got a toddler at home). But you know what nobody talks about enough? Pelvic floor physical therapy during pregnancy.

And honestly? It’s one of the smartest, most empowering things you can do for yourself before, during, and after birth. There is absolutely no reason to wait until baby comes to start.

If you’ve been searching for pregnancy-safe exercises, ways to manage pregnancy back pain, or how to prep your body for labor, this is your sign to book a pelvic PT appointment.

What Is Pelvic Floor Physical Therapy During Pregnancy?

Pelvic floor physical therapy is specialized care focused on your breath, muscles, fascia, and nerves of your pelvis -which play a huge role in supporting your baby, stabilizing your core, and preparing for delivery.

During pregnancy, a pelvic PT helps you:

  • Manage aches, pains, and pressure
  • Keep your core and pelvic floor coordinated as your body changes
  • Prep your pelvic floor for labor and delivery
  • Learn how to push effectively without injury
  • And lay the groundwork for easier postpartum recovery

It’s not just about Kegels. In fact, for many people, kegels might not even be what you need.

Benefits of Seeing a Pelvic PT During Pregnancy

Let’s break it down. Here’s why you need this in your prenatal plan:

Reduce Pregnancy-Related Back, Hip, and Pelvic Pain

Low back pain, SI joint pain, hip tightness, and pelvic girdle pain are super common in pregnancy -but that doesn’t mean you just have to suck it up or just deal with it. A pelvic PT can help:

  • Relieve muscle tension and joint restrictions
  • Improve alignment and posture
  • Strengthen supportive muscles
  • Teach body mechanics for daily tasks and lifting

 Improve Core and Pelvic Floor Connection

Your deep core muscles — diaphragm, transverse abdominis, pelvic floor, and multifidus — all work together to stabilize your spine and pelvis. Pregnancy changes the pressure in this system, and if those muscles aren’t coordinating well, you can end up with:

  • Diastasis recti (abdominal separation)
  • Leaking urine (stress incontinence)
  • Pelvic heaviness or prolapse symptoms
  • Back pain or hip instability

Pelvic floor PT during pregnancy helps you manage intra-abdominal pressure, optimize breathing patterns, and strengthen where you need it (without overdoing it).

Prepare for Labor and Delivery

Spoiler alert: your pelvic floor isn’t supposed to stay tight during birth – it needs to stretch, relax, and open. A pelvic PT can help you:

  • Learn perineal massage techniques
  • Practice labor positions that protect your pelvis
  • Train for effective, injury-free pushing
  • Address fears and tension patterns that could make delivery harder

And bonus – studies show perineal massage and pelvic floor prep can reduce tearing during vaginal delivery.

We also help teach you what questions to ask to help you feel empowered.

Set Yourself Up for a Smoother Postpartum Recovery

Pregnancy PT isn’t just about managing discomfort -it’s about setting up your body to bounce back smarter. By working with a pelvic PT during pregnancy, you’ll:

  • Prevent or minimize issues like prolapse, incontinence, or diastasis recti
  • Learn early, safe core and pelvic floor exercises for postpartum
  • Know how to manage C-section scar tissue if needed
  • Have a pro you trust lined up for after baby arrives

Who Should See a Pelvic PT During Pregnancy?

Short answer: anyone growing a baby.

Especially if:

  • You have back, hip, or pelvic pain
  • You’re dealing with leaking, heaviness, or discomfort
  • You’re anxious about delivery or tearing
  • You want to stay active safely
  • You’ve had pelvic floor issues before
  • You’ve had a previous birth injury or difficult recovery

Or honestly? If you just want to feel strong, informed, and supported as your body changes.

The Bottom Line

Pregnancy changes your body in incredible, demanding, and sometimes frustrating ways. But you don’t have to just “deal with it” until the baby arrives.

Pelvic floor physical therapy during pregnancy can help you move better, feel better, prep for birth, and set yourself up for a smoother postpartum recovery. It’s one of the most valuable things you can do for yourself and your future self.

Don’t wait for pain, problems, or pee leaks to start before you get help. Be proactive — your body will thank you for it later.

Ready to Feel Stronger During Pregnancy?

If you’re in Cape May County or nearby, I’d love to help you navigate pregnancy feeling confident, strong, and supported.

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get to know Betsy

I'm a pelvic floor physical therapy specialist, orthopedic and functional movement expert and lactation counselor. I specialize in helping women take ownership of their health, strength, and confidence through pelvic health physical therapy, postpartum recovery, and orthopedic rehab services. Whether you’re navigating pelvic floor dysfunction, postpartum issues, orthopedic injuries, or movement limitations, I’m here to deliver personalized, one-on-one care that meets you where you are — literally and figuratively.


I'M BETSY CLARK,
 Doctor of Physical Therapy


your personal hype woman when it comes to moving better, feeling stronger, and getting back to doing what you love.

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