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Pregnancy physiotherapy

During pregnancy, a woman’s body undergoes enormous changes in the musculoskeletal and fascial systems. This is a result of the developing foetus, the growing uterus, the gradual adaptation of the body system to maintain an upright position and the preparation of tissues for childbirth. The posture and the breathing pathway change, the curvature of the spine deepens and the body’s centre of gravity shifts. Musculoskeletal and fascial overloads that occur during this period can contribute to pain, increased tension, and muscular weakness.

In many cases, already altered postural patterns prior to pregnancy overlap with further postural patterns, often resulting in painful, overloaded musculoskeletal and fascial structures.

Physiotherapy during pregnancy is helpful for many ailments that can manifest themselves during pregnancy, i.e:

  • pain in the lumbar and thoracic spine
  • pain in the area of the pubic symphysis/ distatis of the pubic symphysis
  • urinary incontinence
  • urinary urgency
  • increased tension in the pelvic floor muscles
  • increased tension in the ligaments of the pelvic area
  • a feeling of heaviness, tension in the lower abdominal area
  • pains in the hip joints
  • pains in the sacroiliac joints
  • sciatica
  • rectus abdominis muscle distatis

Pregnancy physiotherapy is based on:

  • application of manual techniques
  • application of osteopathic techniques
  • use of tapping
  • breathing training
  • selection of individual mobility exercises to further relieve discomfort
  • preparation of perineal tissues and pelvic ligaments for natural childbirth
  • preparing the patient for C-section delivery (education, prevention, exercises) and natural childbirth.

Physiotherapy in pregnancy also includes preparing the patient for the early postnatal period (irrespective of the type of delivery) from the first hours and days after delivery. The support is based on educating the patient and teaching how to work with the body after childbirth to help tissue regeneration rather than harming it. The consultation includes:

  • the application of adequate exercises and treatments to support the postpartum process, i.e. perineal protection, scar care and protection, breathing exercises, anti-coagulation exercises, presentation of ergonomic principles.
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