Pregnancy Pelvic Floor Physical Therapy

One-on-one, DPT-led care to ease pregnancy pain, prepare your pelvic floor for birth, and set up a smoother postpartum recovery.

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Pregnant woman lying on a bed, smiling, while another woman stands beside her, holding a sock and a baby hat, in a bright room with white curtains.

Benefits to Pelvic Floor Physical Therapy During Pregnancy

Pelvic floor physical therapy during pregnancy can help reduce symptoms now and support prevention—so you’re more prepared to avoid common postpartum issues like leaking, heaviness, diastasis-related core dysfunction, or pain.

  • reduce pelvic girdle + low back pain

  • improve core + pelvic floor coordination (breath + pressure management)

  • address leaking, urgency, and constipation

  • prepare the pelvic floor for birth (mobility + relaxation strategies)

  • prevention-focused support to help reduce risk of common postpartum issues (leaking/incontinence, heaviness, core dysfunction, pelvic pain)

  • guidance for safe strength training + lifting throughout pregnancy

  • postpartum recovery plan (what to do early, what to avoid)

Your Trimester Roadmap

First Trimester (weeks 1-12):

Second Trimester (weeks 13-27):

Third Trimester (weeks 28-birth):

Early Postpartum Plan:

Baseline screen, breathing assessment + core connection, early strategies for nausea/constipation and energy-safe movement. No internal pelvic floor exam performed until second trimester.

Hip/SIJ/back pain relief, posture + rib mobility, pelvic floor coordination skills (not just Kegels), education on diastasis recti, core strengthening and coordination.

Birth prep: perineal massage, pushing positions, pelvic floor relaxation, strategies to minimize tearing, hospital/birth-plan ergonomics.

What weeks 0–12 look like, red-flag checks, gentle core/pelvic floor reactivation, and a criteria-based return to impact.

Birth Preparation, Done by Pelvic Floor Specialists

Perineal protection: step-by-step perineal massage education and tissue tolerance training.

Pushing positions & breath: upright vs. side-lying, bar vs. bed, and breath strategies to coordinate the pelvic floor.

Pelvic floor relaxation skills: when “more Kegels” isn’t the answer.

Partner coaching: what to do, when to cue, and how to support you on game day.

Faster postpartum ramp: set expectations and milestones before baby arrives.

What to Expect at Your First Visit

  1. Private, 1:1 evaluation: movement, breath, pelvic floor options—external first; internal only if appropriate and with consent.

  2. Relief today! Hands-on care and 1–2 exercises you’ll use right away.

  3. Clear plan: visit frequency, home plan, birth-prep timeline.

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 FAQs

  • Yes. Care is tailored to your trimester and symptoms. We use gentle, evidence-based techniques and avoid contraindications.

  • Every state is different, but the short answer is no—you can start with us without a referral.

    Georgia: By state law, we can begin care without one. After 21 days or 8 visits from the start of your plan of care, we’ll obtain a provider referral if needed (this is a GA rule—not an insurance rule). We handle the coordination for you.


    Colorado: No referral is required to start or continue care under state law. If your insurance asks for one, we’ll help you get it.

  • Anytime. If you’re ready, we’re ready. Internal pelvic floor assessment is only considered from the second trimester onward and always with your consent.

  • Only if appropriate and with your consent. We start with external options; an internal exam can be very helpful to tailor your plan of care.

  • Yes—perineal preparation education, pushing positions and breathing strategies, pelvic floor relaxation skills, and partner coaching can all help.

  • We’re cash-based, provide superbills for out-of-network submission, and accept HSA/FSA for eligible services.