Pregnancy is a time of incredible change, not just emotionally and hormonally, but physically as well and your pelvic floor is one of the most affected areas. Yet, it’s often overlooked until problems arise. Pelvic floor physiotherapy is a powerful, evidence-based way to support your body during and after pregnancy, helping to prevent issues like incontinence, pelvic pain, and prolapse before they start. Whether you’re preparing for birth or in the recovery phase postpartum, working with a skilled pelvic physio can make a significant difference to your health, comfort, and confidence both now and in the long term.
What Is Pelvic Floor Physiotherapy?
Pelvic floor physiotherapy is a specialist area of physiotherapy that focuses on assessing, treating, and improving the function of the pelvic floor muscles, a group of muscles that sit like a hammock at the base of your pelvis. These muscles play a crucial role in supporting your bladder, bowel, and uterus, helping you maintain continence, stability, and core strength.
For many women, especially during and after pregnancy, the pelvic floor is one of the most impacted yet least discussed parts of the body. Hormonal changes, weight gain, increased abdominal pressure, and the physical strain of childbirth can all cause the pelvic floor to weaken or become dysfunctional.
That’s where pelvic floor physiotherapy steps in not just as a treatment, but as prevention, preparation, and empowerment. A qualified pelvic physio works with you to:
- Assess your pelvic floor strength, tone, and coordination
- Identify and treat dysfunction (e.g., incontinence, prolapse, pelvic pain)
- Guide you through safe and effective pelvic floor muscle training
- Prepare your body for childbirth
- Support your recovery and long-term pelvic health
Pelvic floor physio isn’t limited to those with symptoms. In fact, many women now seek it proactively during pregnancy to build resilience and reduce the risk of postnatal complications.
At Go Run Go Physio, we understand that every woman’s body is different. That’s why our pelvic physiotherapists take a personalised and respectful approach, helping you connect with your body in a safe and supported environment whether you’re planning a baby, currently pregnant, or navigating life after birth.
Why the Pelvic Floor Matters in Pregnancy
Pregnancy places increased pressure on the pelvic floor muscles. As the uterus expands and hormones soften tissues in preparation for birth, these muscles can weaken, leading to issues such as
- Urinary incontinence
- Pelvic organ prolapse
- Lower back pain
- Pain during intercourse
- Difficulty with core strength
Pelvic floor physiotherapy helps prevent and manage these concerns, supporting women throughout the physical changes of pregnancy.
Benefits of Pelvic Floor Physiotherapy During Pregnancy
Pelvic physio during pregnancy is not just about treating problems; it’s about preventing them before they start. Key benefits include
Preventative Benefits:
- Builds strength in preparation for labour
- Reduces risk of perineal tearing
- Improves posture and relieves pelvic girdle pain
- Helps manage constipation and bladder urgency
Support During Trimesters:
- First Trimester: Early education and safe exercises
- Second Trimester: Core stability training
- Third Trimester: Perineal massage and birth preparation
Go Run Go Physio works with expectant mothers to tailor treatments based on trimester, fitness level, and medical history.
Benefits of Pelvic Floor Physiotherapy After Birth
Postnatal recovery is often underestimated. Whether you’ve had a natural birth or a caesarean , pelvic floor physio can aid recovery by:
- Supporting abdominal and pelvic recovery
- Addressing urinary or faecal incontinence
- Managing pain from episiotomy or tearing
- Assisting return to exercise
- Restoring sexual function and comfort
Many women benefit from a postnatal pelvic health check within 6–8 weeks postpartum.
When Should You See a Pelvic Floor Physio?
While every woman is different, you should consider pelvic physio if you experience:
- Leakage when coughing, laughing or exercising
- Pelvic heaviness or dragging sensations
- Painful intercourse
- Trouble fully emptying your bladder or bowel
- Delayed recovery post-childbirth
Even if you don’t have symptoms, a pelvic health assessment is a proactive way to ensure long-term well-being.
What to Expect During a Pelvic Floor Physio Appointment
A typical appointment may include:
- A detailed assessment of your history and symptoms
- Discussion about your pregnancy, delivery, and postpartum healing
- An internal pelvic floor exam (if comfortable and appropriate)
- Ultrasound imaging for muscle activation
- A personalised treatment and exercise plan
At Go Run Go Physio, the approach is private, respectful, and entirely tailored to your comfort level.
Pelvic Floor Muscle Training Techniques
A strong pelvic floor doesn’t come from squeezing alone. It requires coordinated, progressive training. Your pelvic physio may guide you through:
- Isolated Contractions: Also known as Kegels, learning the correct technique is vital.
- Functional Exercises: Engaging the pelvic floor during movement (e.g., squats, breathing)
- Biofeedback or Ultrasound Guidance: Ensures correct engagement
- Relaxation Techniques: For women with overactive or tense pelvic floors
- Progressive Loading: Helps build endurance over time
Exercises should be individualised. Incorrect training can worsen symptoms or cause tension.
Choosing a Physiotherapist in Melbourne
Look for a physiotherapist who:
- Specialises in women’s pelvic health
- Has postgraduate training in pelvic floor rehabilitation
- Uses evidence-based, hands-on techniques
- Provides education and empowerment, not just exercises
Go Run Go Physio, based in Melbourne, offers expert care for women through all stages of motherhood. Whether you’re preparing for birth or recovering postpartum, their team provides supportive, professional guidance for optimal pelvic health.
FAQ
Q1. Is pelvic floor physiotherapy safe during pregnancy?
Answer: Yes. Pelvic floor physiotherapy is safe and beneficial throughout all stages of pregnancy. It can help reduce discomfort and prepare your body for birth.
Q2. How soon after giving birth should I see a pelvic physio?
Answer: It’s ideal to book an appointment around 6–8 weeks postpartum, but earlier support may be helpful if you’re experiencing pain or incontinence.
Q3. What if I had a caesarean delivery? Do I still need pelvic physio?
Answer: Yes. Even with a C-section, the pelvic floor undergoes strain during pregnancy. Physiotherapy can also aid abdominal recovery and core function.
Q4. Will pelvic floor exercises fix incontinence?
Answer: In many cases, yes, especially if guided by a trained physio. However, results depend on correct technique, consistency, and the underlying cause.
Q5. Do I need a referral to see a pelvic floor physiotherapist in Melbourne?
Answer: No. You can book directly with a clinic like Go Run Go Physio without a referral.
Q6. Can I do pelvic floor muscle training at home?
Answer: Yes, but it’s best to first see a physio to ensure you’re doing the exercises correctly. Overtraining or incorrect technique can lead to further issues.
Q7. What happens if pelvic floor problems go untreated?
Answer: Left untreated, pelvic floor dysfunction can worsen and may lead to prolapse, chronic pain, or sexual dysfunction. Early intervention is key.
Conclusion
Pelvic floor physiotherapy plays a vital role in supporting women through pregnancy and beyond. Whether you’re preparing for childbirth, recovering postpartum, or addressing ongoing pelvic health issues, expert care from a qualified physiotherapist can improve comfort, confidence, and quality of life.
If you’re in Melbourne and looking for trusted support, Go Run Go Physio offers comprehensive pelvic health services tailored to your unique journey. Don’t wait for symptoms to appear; proactive pelvic care is one of the best investments you can make for your long-term health.