The term \u201cpelvic health\u201d refers to a growing practice within physiotherapy. For physiotherapist Erica Gambarotto, it\u2019s a specialty that was born out of personal experience. Originally trained as an orthopedic physio, Erica became alarmed by the drastic changes in her body while pregnant with twins. \u201cI was running to the washroom all the time, amongst other embarrassing bodily malfunctions,\u201d she recalls. \u201cI started taking professional courses in pelvic physiotherapy, initially with the goal of treating myself. Turns out, it is a fascinating area of study, and I haven\u2019t looked back.\u201d<\/p>\n
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The twins are now 6 years old, and Erica practices pelvic health physiotherapy at Lifemark Physiotherapy<\/a>. She estimates that at least half her clients are pregnant women or new moms seeking treatment post-delivery. Here, she answers some common questions about pregnancy\u2019s effect on the area known as your \u201cpelvic floor.\u201d<\/p>\n It\u2019s a group of muscles in three layers, spanning the area between your sitting bones, pubic bone and tailbone. These muscles play an important role in:<\/p>\n Similar to a sling, the pelvic floor helps to support the developing baby within the pelvis. As fetal size and weight increases, this area gets challenged like never before. When the pelvic floor (and surrounding) muscles are not functioning to the best of their ability, an expectant mother may experience symptoms such as pubic bone pain, sacroiliac joint pain, hip pain, painful sex, perineal heaviness and incontinence.<\/p>\n Pelvic physiotherapy treatment can occur during pregnancy as long as there are no concerns with the placenta, the pregnancy is not deemed high-risk, and the attending midwife or obstetrician is in favour of it. Research shows that pelvic physiotherapy during pregnancy can help shorten the second stage of labor (the pushing stage), ease pregnancy-related pain and reduce the chances of urinary incontinence postpartum.<\/p>\n A common misconception about pelvic floor physiotherapy is that it simply involves teaching women how to do a Kegel exercise properly. Kegels are useful, but they are not necessarily the answer to every problem. If your pelvic floor is tight and over-active, doing extra muscle contractions may actually make things worse. The goal is to achieve proper recruitment and balance of the pelvic muscles.<\/p>\n Several factors will influence a mother\u2019s recovery time, such as the number of babies delivered, duration of pushing, degree of tearing and medical interventions used (such as forceps, vacuum, episiotomy, or C-section). Each mother\u2019s recovery and journey will be unique to her circumstances. A physiotherapist specializing in pelvic health will do an individualized assessment and create a customized program of exercises and\/or stretches.<\/p>\n Dysfunction of the pelvic floor muscles can cause a number of symptoms, including:<\/p>\n Peeing your pants, though common after childbirth, is not something you have to live with. The same principle applies to ongoing pelvic pain, chronic back pain, or discomfort during sex several months postpartum. These issues can be treated, so please do not suffer in silence. When in doubt about your recovery and symptoms, always bring it up with your family doctor or gynecologist. As in other areas of motherhood, always trust your instincts.<\/p>\n Want to learn more? Check out\u00a0this video\u00a0on pelvic floor health after a Cesarean Birth<\/a>\u00a0with Pelvic Health Physiotherapist, Dr. Sinead Dufour:<\/p>\nWhat is the pelvic floor?<\/strong><\/h6>\n
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What is going to happen to my pelvic floor muscles when I\u2019m pregnant?<\/strong><\/h6>\n
Is there anything I can proactively do to prevent pelvic floor issues later?<\/strong><\/h6>\n
What about Kegel exercises?<\/strong><\/h6>\n
How long will it take for my pelvic floor to recover post-delivery?<\/strong><\/h6>\n
What are some signs that I should seek help for my pelvic floor?<\/strong><\/h6>\n
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Do I really need treatment, or is this just \u201cthe new normal\u201d after having a baby?<\/strong><\/h6>\n