LWPT Women's Health: Can PT Help Prevent Injury During Birth?

Karen Treloar is a pelvic floor physical therapist at Lake Washington Physical Therapy in Kenmore.
Can physical therapy before I deliver help prevent tearing?
While physical therapy cannot guarantee the prevention of tearing during childbirth, it can play a role in preparing the pelvic floor muscles and surrounding tissues for labor, potentially reducing the risk of trauma. Pelvic floor physical therapy before delivery focuses on strengthening and optimizing the function of the pelvic floor muscles, as well as providing education on proper body mechanics and relaxation techniques. Here are some ways in which physical therapy may contribute to minimizing the risk of tearing:
- Pelvic Floor Strengthening: Pelvic floor exercises, commonly known as Kegel exercises, can help improve the strength and flexibility of the pelvic floor muscles. Strong and supple muscles may be more resilient during the stretching that occurs in the second stage of labor.
- Perineal Massage Education: Physical therapists may teach perineal massage techniques, which involve gently massaging and stretching the tissues around the vaginal opening. Some studies suggest that perineal massage in the weeks leading up to delivery may reduce the risk of perineal trauma.
- Education on Birthing Positions: Physical therapists can provide guidance on optimal birthing positions that may reduce pressure on the perineum and decrease the likelihood of tearing. Certain positions, such as hands-and-knees or squatting, can potentially facilitate a smoother passage for the baby.
-Relaxation Techniques: Learning relaxation techniques, such as controlled breathing and mindfulness, can help manage anxiety and tension during labor. Reduced tension in the pelvic floor muscles may contribute to a more controlled and gradual stretching, potentially minimizing the risk of tearing.
- Scar Tissue Management: If you have a history of previous tearing or episiotomy, physical therapists can provide strategies for managing scar tissue and improving tissue elasticity.
It's important to note that individual factors, such as the size of the baby, the speed of delivery, and genetics, also play a role in the likelihood of tearing during childbirth.
While physical therapy can be a valuable part of prenatal care, it's not a guarantee against tearing, and outcomes can vary.
If you're interested in exploring physical therapy as part of your prenatal care, discuss your concerns and preferences with your healthcare provider. They can assess your specific situation, provide recommendations, and, if necessary, refer you to a physical therapist with expertise in women's health for personalized guidance.
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