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Laboring Positions and Pelvic Floor Stretches for Childbirth
"Positions for Laboring Out of Bed" by joel telling is licensed under CC BY 2.0

All About the Importance of Pelvic Floor Stretches for Childbirth

**Talk to your physical therapist and healthcare team about specific guidelines for you**

Are you ready for the big day? Have you thought about how you will prep for your upcoming delivery? In this article, we’ll review four pelvic floor stretches for childbirth that may be appropriate, but recommend you consult with your childbirth healthcare professional to confirm if these are right for you.

Deep breathing/ PF lengthening

  • Purpose: To lengthen pelvic floor and intercostal muscles (muscles of the ribcage)
  • How to: Take a deep breath in, expanding the ribcage (side to side and front to back). Also, imagine the pelvis expanding (side to side and front to back) with the inhale. You should also notice a light belly rise as well. The exhale component should be passive... just let go.

position 1

Child’s pose or modified child’s pose

  • Purpose: To stretch the low and midback muscles and pelvic floor muscles
  • How to: Sit your hips back while reaching your arms out in front of you. Hold and take a deep breath. As your belly grows, you will need to spread your knees apart to create more space.
    • Modifications:
      • Pain or pinch sensation in hips: do not sit back as far;
      • Pain in the knees: place pillow/ rolled up mat between the back of your thighs and calves

Childbirth Stretches position 2

Childbirth Stretches position 3

Cat-cow pose

  • Purpose: Stretches muscles along the spine and pelvic floor
  • How to: Begin on your hands and knees. With your arms directly under your shoulders and knees directly under hips. Inhale and lengthen your pelvic floor muscles (imagine your sit bones spreading apart) let your tummy sag down to the floor while looking up. Exhale and draw your pelvic floor and abdomen up and in while slowly rounding your back up toward the ceiling and repeat.

Childbirth Stretches position 4

Childbirth Stretches position 5

Deep squat

  • Purpose: stretch calves, low back, inner thighs and pelvic floor
  • How to: Find a stable object to hold on to prior (ie. sturdy chair, table). Lower yourself into a deep squat. Make sure to breathe throughout the exercise to let yourself relax. Stop the exercise if it worsens your symptoms.
    • Tip: *** heels do not need to be on the ground.

Childbirth Stretches position 6

These are general stretches to help prepare your pelvic floor for childbirth.

If you are interested in an individual program, or you just want to make sure you are doing pelvic floor stretches for childbirth correctly, please contact us for an in office session or virtual consultation.

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Testimonial by A.M.

Months after giving birth, it was difficult for me to go from a sitting or lying position up to a full standing position without feeling that I had to remain hunched over until a bit of time had passed to get fully upright. However, after taking Heather’s course, I learned exercises to get my body back to normal. She also showed me correct ways to lift and carry my son as well as put him in/take him out of the carseat and stroller. This class was really beneficial and Heather is a wonderful teacher who made me feel very comfortable.

-- A.M.

Testimonial by Amanda W.

Heather's unique physical therapy program literally changed my life! After years of struggling with vaginismus, a condition that made it impossible for me to have intercourse and very difficult to use tampons without pain, a gynecologist referred me to Heather. I was nervous for my first appointment, but Heather's professional and friendly demeanor put me at ease. She did a great job explaining each technique she was using to help my muscles relax. Heather uses a combination of internal and external stretches and exercises to relax the pelvic floor and build muscle strength. Her specially developed home program helped me quickly recover from an issue that seemed insurmountable before meeting Heather. She was optimistic about my progress and incredibly encouraging. Less than 6 months after my first session, I was able to have pain-free sex for the first time in my life! If you are suffering from vaginismus or any other pelvic floor issues, I highly recommend making an appointment with Heather and reading her book!

-- Amanda W., 2/15/16 via Yelp!

Testimonial by S.S., age 54

Heather is the best! I saw her today for terrible hip/groin pain. I was so impressed with the safety measures in place and felt completely safe . Thanks for the healing hands.

S.S., age 54

Testimonial by R.M., Age 40

I can’t speak highly enough of the theapists at Femina Physical Therapy and how much they have helped me grow, discover, and love my body. I had had painful sex for my entire life, and didn’t know that there was anything that could be done about it. It was at the point where my husband and I were not having sex for MONTHs, because it was just too frustrating, and I hated feeling like I was the ONLY woman out there who had this problem, especially at my age. I finally brought it up to my doctor because I was turning 40 and my husband and I were barely having enough sex to conceive. And she brought up pelvic floor, PT. I didn’t even know this was a “thing”.

Read more: Testimonial by R.M., Age 40

Testimonial by J.B.

My husband and I were having problems with painful intercourse. My therapist recommended that I go and get a pelvic floor evaluation from a physical therapist. Having never been treated by a physical therapist, I wondered how this really was going to help me. My husband who is a physician was very supportive and agreed that a PT evaluation would be a great idea. So i made the appointment and was blown away by what I learned. I had no idea that pelvic floor muscles could get tight and have trigger points just like any other muscle in the body. I'm a massage therapist and very familiar with tight muscles, and this new thought really amazed me. Heather's program to help relax and strengthen these muscles made such a difference. I can say that I am 100% pain free during intercourse now. Yippee! Going to the PT appointments and doing the at-home exercises was definitely a discipline, but it's 100% worth it! The rewards are amazing.

-- J.B.

Testimonial by R.H.

No one could tell me why I was having pain during sex--sharp pain, not just uncomfortable, pain. I was referred to Heather Jeffcoat after researching several different options. I had seen a specialist who told me physical therapy would not help and my only option was surgery. I really didn't want to go that route, so when we got a referral, I decided to try it--it can't hurt, I thought. I am so glad I did. She diagnosed the problem right away, which was a relief in itself.

To know why I was having pain eased my mind immensely. And to hear that she could fix it without surgery was another relief. She said she could fix the problem in 6 weeks. I think it was actually 4 for me. She was very methodical, and treated me as an intelligent human being capable of participating in my own recovery. I would absolutely recommend her to anyone. She did not try to prolong my session numbers, she worked hard to accommodate my schedule (and the fact that I had to bring a baby to sessions), and she was completely honest the entire time. It is so hard to find someone with these characteristics, much less a professional who is so good at what she does. She has my highest respect.

-- R.H.

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