Nurturing Your Pregnancy Journey: The Benefits of Prenatal Pelvic Floor Physical Therapy

Pregnancy is a time of incredible change — joyful, yes, but also sometimes uncomfortable. Back pain, pelvic heaviness, and urinary leakage are all common, but they don’t have to be something you just endure. Pelvic floor physical therapy can help you feel more comfortable during pregnancy while also preparing your body for birth and postpartum recovery.

Why Consider Prenatal Pelvic Floor Physical Therapy?

Just like you’d see a PT to support your knee or shoulder during a sports season, it makes sense to give your pelvic floor extra attention during pregnancy. Pelvic floor therapy can help with:

• Preparation for Childbirth – Connecting with these muscles during pregnancy can help you use them effectively during birth. Being able to contract and relax them is key for labor.

  Reduced Discomfort – Many individuals experience pelvic or back pain during pregnancy, and pelvic floor therapy can help relieve these symptoms.

• Postpartum Recovery – Strengthening your pelvic floor muscles during pregnancy supports safer, smoother recovery after childbirth.

• Improved Quality of Life – Pelvic floor therapy may help reduce urinary incontinence, hemorrhoids, heaviness or prolapse, pain during intercourse, and more.
  

Meagen Satinsky, Pelvic Floor PT, notes: “There are many simple things that can be started early on, from addressing positions of the pelvic bones and organs to beginning movement and reconnection with the body. That work helps people prepare both physically and mentally for birth and for life after.”

Why Pelvic Floor Care Matters During Pregnancy

For many parents, pregnancy is the first time they hear about their pelvic floor. “The pelvic floor can feel very mysterious,” says Kaleigh Mulpeter, Pelvic Floor PT. “My role is to shed light on it — to educate people about the changes happening in their bodies and give them insights to help avoid issues.”

That education is just as important as the physical preparation. Building awareness of these muscles before delivery helps parents feel more confident and connected when it comes time for labor and recovery.

What to Expect During a Session

Every provider’s approach is unique, but most sessions include:

• Assessment – Your therapist will evaluate your posture, breathing, and pelvic floor function. With your consent, this may include an internal or external exam to check strength, tension, and coordination.

• Treatment – Exercises and stretches tailored to your pregnancy, plus hands-on techniques if needed.

  Education – Practical strategies for posture, lifting, rest, and comfort during pregnancy. You’ll also learn about pelvic floor connection and relaxation in preparation for birth.

• Follow-up – Ongoing sessions help you track progress and adapt as your pregnancy evolves.

And no — it’s not just about Kegels! Meagen explains, “Treatment may include mindfulness techniques, breathing practices, posture and movement re-education, or progressive strength and balance training. Kegels might eventually be part of a plan, but they’re rarely the sole answer.”

Tips to Reduce Pregnancy Discomfort

Strengthening the back-body can go a long way in easing pregnancy aches. “There isn’t one golden exercise that works for everyone,” Kaleigh says, “but generally keeping your glutes, hamstrings, and upper back strong during pregnancy helps minimize a lot of discomfort as your body adapts.”

How Prenatal PT Supports Postpartum Recovery

Doing this work during pregnancy is also a gift to your future self. Kaleigh explains that prenatal pelvic PT sets you up for an easier recovery: the stronger and more prepared you are beforehand, the better your recovery foundation. But just as importantly, education about your body and how to support it makes the transition into postpartum less overwhelming.

Judith Meer, PT, DPT agrees, noting that prenatal PT takes away the mystery: “You already know where these muscles are, what their job is, and how they work. You aren’t afraid of this uncharted territory, and you know you have a trusted PT to guide you through the next chapter.”

How to Find a Prenatal Pelvic Floor Physical Therapy Provider in Vermont

Pregnancy can be full of unknowns — but caring for your pelvic floor doesn’t have to be one of them. Vermont has a community of skilled pelvic floor PTs ready to support your comfort, confidence, and preparation for birth.

Judith offers this reminder: “Don’t let your doctor dismiss your concerns, and don’t assume the internet always has the correct solution. Going to a pelvic PT early in pregnancy means you get tailored guidance for your body, which builds confidence to navigate this unique time.”

And as Kaleigh adds: “You deserve this care! Pelvic PT can make pregnancy more comfortable, and give you tools for labor, delivery, and recovery.”

Frequently Asked Questions About Pelvic Floor PT During Pregnancy

• Is pelvic floor PT safe during pregnancy?

   Yes. Sessions are always tailored to your stage of pregnancy and comfort level. With your consent, internal exams may be included, but they are not required. External assessments, breathwork, posture support, and gentle exercise are commonly used.

• What’s the difference between pelvic floor PT and other pelvic floor care?

   Pelvic floor PTs are licensed medical providers with advanced training to assess and treat pelvic muscles, nerves, and tissues. Other professionals — like pelvic floor educators, chiropractors, or trainers — may not perform medical assessments but can support recovery with body awareness, movement, or complementary therapies.

• What if I don’t have symptoms — should I still go?

  Yes! Many pregnant parents benefit from at least one visit. PT can help prevent issues, teach body awareness, and prepare your pelvic floor for birth and recovery.

• Will pelvic floor PT help with labor and delivery?

  Absolutely. PT can help you learn how to connect with and relax your pelvic floor, practice pushing techniques, and reduce pelvic tension — all of which may make labor more efficient and comfortable.

• Is pelvic floor therapy covered by insurance?

  Coverage varies depending on your insurance plan. Many plans do cover pelvic floor PT, or other types of care (like chiropractors or trainers). Always check directly with your provider and insurance company.

• Do I need a referral to see a pelvic floor physical therapist in Vermont?

  It’s always best to check with your provider and insurance company to see if your provider requires a referral or not.

• What if I’m nervous about the first appointment?

  You’re always in control. Your therapist will explain every option, answer your questions, and only proceed with what feels right for you.

• Is pelvic floor PT just about Kegels?

  No. While Kegels may be part of treatment for some, pelvic floor PT usually includes breathwork, relaxation, posture strategies, strength training, and preparation for daily movement and birth.