You're Pregnant! When to come see a Physio?

You're Pregnant! When to come see a Physio?


So, you find out your pregnant, you have a million things on your mind and a million questions in your head!

Let us help 😊

You don’t need to come straight away and it is extremely common that women won’t quite feel themselves during the first trimester. Hormones are running wild, you’re probably feeling a little ill and your energy levels may be no where near your normal levels. Not to mention, spending the first few weeks attempting to hide the fact you are single-handedly growing a human (or more!) inside of you.

But when you are ready, we are going to be right here to help.

Depending on where you are in your pregnancy journey, there will be different things that we will focus on during your appointment. Below is a little bit of a guide for each trimester and how we as Women’s Health Physios can help.


The First Trimester Appointment:

This appointment is often very educational and more of an open discussion between you and the physio. As long as there is nothing that is concerning you physically with your lower back, hips, pelvic floor or anywhere else in your body, we tend to focus the appointment on educating and empowering you to know what to expect as your body undergoes the wonderful changes throughout pregnancy.

Expect lots of discussion on the impact of your growing baby on your posture, abdominals and pelvic floor. What you can do to avoid risking long term changes and how to manage little flare ups that will undoubtedly pop up throughout the next 6-9 months.

If you have questions or concerns, we are here to answer and address them.

If you are a keen exercising individual, we want to keep you moving as comfortably as possible. Going through an exercise plan, alternatives for later down the track and most importantly, providing you with the confidence to continue moving your body safely!


The Second Trimester Appointment:

This appointment you are showing off a little more of a bump! Therefore we use this to ensure you are controlling your abdominal separation with functional movements, adjusting your posture to avoid back injuries and importantly assessing your pelvic floor function.

Aside from a few conditions, it is completely safe to perform internal vaginal assessments during pregnancy and there is evidence to support the assessment during the pregnancy to use as baseline measurements for just prior to birth as well as just after birth. We can see how your pelvic floor is coping under the increased load, as well as take measurement to then compare to in the third trimester to provide an indication of how your perineal body will go through birth.

Additionally, as your bump grows, you might be seeking some external assistance in the form of belly bands, tubi grip or maternity shorts. These options help keep extra stability around your pelvis, supporting you throughout the day as you move around.


The Third Trimester / Birth Preparation Appointment:

The home stretch! Like the first trimester there is a little bit more talking and discussion around your birth plan and the initial days post birth. We help guide you on any questions you may have about your birth. If your plan is to deliver vaginally, then we talk to you about positions to take during labour & pushing, pain relief options and educate you about the possible interventions your obstetrician and midwife may suggest during your labour. Ultimately, it’s about empowering you to know your options, and how great it is that we have options!

In your third trimester, we do another pelvic floor assessment. Using the measurements we took in the second trimester to compare to and having at look at your “ability to push” if your plan is to deliver vaginally. This is important, as research has shown up to 1/3 of the pregnant population will do a pelvic floor squeeze rather than soften when prompted.

Additionally, we offer to teach you (and your partner) and perform perineal massage. Perineal massage is an incredible technique to perform from weeks 34 onwards as a way of reducing risk of severe perineal trauma/tears, reducing second stage labour, decreasing perineal pain postnatal, reducing risk of developing incontinence postnatal.

We also touch on information about the early days postnatal. Guiding you on what to expect, how to help in your recovery and when and how you can start to exercise and rehabilitate your abdominal and pelvic floor muscles. Handouts so you can come back to it later (no need to remember!) and more tubi grip for abdominal support are also provided in this appointment.

Finally, letting you know when a good time to come back and see us so that you have confidence that we haven’t forgotten you and we are still here to help 😊 Plus, we want you to come back and show off your new little addition!


Looking forward to seeing you soon!


February 5th 2020 - Cat McArthur

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