Birth and beyond

Pregnancy and birth are times of significant change and adaptation. In many ways, we are learning what we can do to support a healthier pregnancy and recovery. Recently, research is being focused on reducing birthing trauma and improving recovery. We want to ensure you have the best support, information and recovery plan.

Physiotherapists are an essential part of your pregnancy team. It is recommended to see a physiotherapist as part of your scheduled care:

• early in your second trimester (week 12 to 20)

• at around 34 weeks as part of birth preparation, and

• at six weeks post-delivery.

Common pregnancy-related conditions and advice that a physiotherapist can help you with include:

• Lower back and pelvic pain

• Thoracic and rib pain

• Wrist and hand pain, and carpal tunnel syndrome

• Muscle cramps and lower limb swelling

• Abdominal wall muscle separation (diastasis rectus abdominal muscle or DRAM)

• Issues with sleeping

• Modified and sustainable exercise programs

• Positioning for breastfeeding and support with mastitis

• Bladder frequency, urgency and difficulty emptying

• Pelvic Floor and perineal pain or heaviness

• Managing and preventing bowel disorders like constipation

Some of the benefits of seeing a physiotherapist during your pregnancy are:

• Comprehensive assessment of Pelvic Floor Muscle function and core integration

• An individualised exercise plan to reduce the development of pregnancy-related low back pain and pelvic girdle pain and lowered risk of gestational diabetes and pre-eclampsia

• Review of your pelvic floor related risk factors for birth

• Advice on healthy bladder and bowel habits

• Post-birth review and guided return to function including pelvic floor and abdominal wall assessment

• Returning to intimacy after birth