Should I see a pelvic physiotherapist during pregnancy or postpartum?
This is one of the big questions we get as pelvic floor physiotherapists. When is the best time to go and does it matter if it’s during pregnancy or postpartum? If you don’t have any issues during pregnancy is it worth going or is it better to use your physiotherapy insurance afterwards in case you have issues?
First, a bit on the pelvic floor.
The pelvic floor is a group of muscles that support the bladder, uterus, bowel, hips and back (read more here). Common signs and symptoms of pelvic floor issues can include bladder leakage, urinary urgency, frequency, heaviness, pressure, prolapse, bowel issues and pain. Research indicates that 30-50% of women may develop pelvic issues during pregnancy and these issues can linger into postpartum OR develop postpartum.
Now, there is evidence to suggest that doing pelvic floor strengthening can help prevent issues during pregnancy. Prevention is one of the big tools that we should be harnessing because it can not only help prevent discomfort and pain, but you can continue doing all the activities you love during pregnancy. Furthermore, you may require less appointments postpartum, return to fitness sooner and feel better overall. Less appointments is less money spent and it is difficult for mothers to come in postpartum because they are so busy with taking care of themselves, baby and their families, or returning to work and juggling everything at once.
However, there is the old adage: better late than never. Even if you do not feel there are issues postpartum, it is good to learn the appropriate exercises to prevent issues down the line. Research indicates that urinary leakage and prolapse can occur months to years down the line after child birth.
So, when should you start physiotherapy during pregnancy and postpartum? Appointments can begin at any time and it can be as soon as you know you are pregnant. I have had clients book in pre-conception as well, to learn the appropriate exercises because there is more pressure on the pelvic floor and abdominal muscles during pregnancy. However, an internal examination will not be performed for those who are pregnant until after the first trimester.
Usually we can see clients late into pregnancy as long as they feel comfortable with the appointment. Postpartum we can start as soon as you would like but again, no internal examination until 6 weeks postpartum. Having said this, depending on the client and their wishes, the birthing experience and any pelvic trauma, internal examinations have been performed earlier than 6 weeks postpartum.
Questions? Comment below, e-mail us or book a free phone consult.
