Pelvic Floor Support for a More Confident, Connected Birth

When most women think about “preparing for birth,” they think about birth plans, baby registries, and maybe a few prenatal workouts.

But there’s one incredibly important piece that’s often overlooked…the pelvic floor.

And not just how strong it is, but how well it can relax, coordinate, and respond during pregnancy, birth, and labor.

Birth is not something you should push through with force. It’s something your body transitions through with rhythm, flow, and neurological coordination.

Your Pelvic Floor Is More Than Just Muscles

Your pelvic floor is a dynamic, responsive system that includes:

• Muscles

• Fascia

• Ligaments

• Nerves

• And your brain!

It supports your bladder, uterus, and bowels…but during birth, it becomes the passage way for baby to move through, entering into the world.

A pelvic floor that is:

• Too tight

• Poorly coordinated

• Too weak

• Disconnected from the nervous system

Can contribute to:

• Longer pushing phases

• More tearing

• Pelvic pain

• Tailbone pain

• Birth interventions

• Longer postpartum recovery

This isn’t about “weak vs strong.”
It’s about whether your pelvic floor can lengthen, soften, support, and open when it needs to.

Why Kegels Aren’t Enough (and sometimes make things worse)

Many women are told to “do your Kegels” during pregnancy.

But here’s the truth most don’t hear:

• A pelvic floor that is already tight or stressed does not need more strength or tightening.

• It needs release, blood flow, nerve communication, and coordination.

If your pelvic floor doesn’t know how to relax, it won’t open easily during birth — no matter how strong it is.

That’s why pelvic floor prep should include:

• Nervous system regulation

• Breath work

• Pelvic mobility

• Core-pelvic coordination

• And gentle tissue release

Birth Is Neurological, Not Just Mechanical

Your body does not push a baby out because you tell it to.

It does it because:

• Your brain

• Your nerves

• And your pelvic floor

are in communication.

When your nervous system is stuck in stress mode, the pelvic floor naturally tightens.

When you feel safe, supported, and regulated, the pelvic floor softens.

This is why nervous system-focused chiropractic care and pelvic prep go hand in hand.

What Pelvic Floor Prep for Birth Actually Looks Like

True pelvic prep supports:

• The way your pelvis moves

• The way your baby descends

• And the way your tissues stretch

This includes:

• Pelvic mobility and alignment

• Core-pelvic floor coordination

• Breathing patterns that support pushing

• Nervous system regulation

• Hands-on techniques to improve tissue glide

• And education so you understand what your body is doing

This is exactly what we teach inside our most popular workshop: Prepare Your Pelvis for Birth. We host quarterly workshops to support those preparing for birth. Our next workshop is Saturday, March 7 at 1:00pm.

This workshop is designed for:

• All moms (whether it is your first baby or if you’ve had previous pregnancies

• VBAC moms

• Moms wanting a smoother, more connected birth

• Anyone who wants to reduce tearing, trauma, and recovery time

You’ll learn:

• How your pelvis and pelvic floor actually work in labor

• How to use breath to help your baby descend

• Positions that help your pelvic floor open

• What tightness and tension really mean

• How to prepare your body instead of just hoping for the best

• Holistic tips to prepare body and mind for birth

Birth should be about feeling confident and supported: it’s about understanding your body and giving it the tools it needs to do what it was designed to do!

You deserve a birth that feels: supported, informed, and connected. When you prepare your pelvic floor, you aren’t just preparing for delivery…

You’re setting the foundation for:

• Easier recovery

• Better bladder control and function

• Less pelvic pain

• A stronger postpartum body

Your body was made to function and give birth…let’s help it work the way it was designed to!

Join us for our next quarterly Prepare Your Pelvis for Birth workshop, Saturday, March 7 at 1:00pm. This is a complimentary workshop; you do not need to be a patient to attend. Space is limited; reserve your spot today! https://clechiropractic.janeapp.com/#/discipline/12/treatment/46

For more information about how we can support you and your pelvic floor, visit https://www.clechiropractic.com/pelvic-floor-therapy-for-the-perinatal-period

In Health and Blessings,

Dr. Abbey

clechiropractic.com

@clechiropractic

216-952-3830

Postpartum Healing

Mama, your body has done one of the most remarkable things it could ever do - grow another human being! After waiting for 9 months, you are excited to be home with your baby and focus on them for the next few months. But don’t forget that you also need care.  

Your labor and delivery might have been smooth and easy, or long and hard. You experience a vaginal birth or had to undergo a cesarean. You labor for only hours or a few days. No matter what your birth experience looked like, your body has gone through some trauma and it needs to heal and recover. 

The fourth trimester is a very crucial period for a mothers' recovery. During the postpartum period your body will experience numerous changes starting from healing after giving birth to experience constant hormonal swings. Healing can take weeks to months, and that's okay. 

Remember, recovery can look different for each mama. It can be longer than expected, but that’s ok. It is your journey and only yours!

Essentials

Here is a list of a few essential things you’ll want to start buying during your pregnancy to make your postpartum recovery as easy and smooth as possible. 

• Maxi pads. 

• Ice packs. 

• Witch hazel pads. 

• Peri or squirt bottle. 

• Nursing bras. 

• Cotton underwear. 

• Nursing pads. 

• Stool softener. 

• Heating pad. 

• Sitz bath. 

Treatment/Care

In most cases, it takes up to a year to fully recover from childbirth. Acupuncture, chiropractic care and pelvic floor physical therapy can help speed the healing process and increase a healthy postnatal recovery. 

• It is ok to ask for help when needed. If you have the support, don’t be afraid to use it. 

• Make an appointment with a pelvic floor PT if you are experiencing pelvic pain, leakage, abdominal pain. 

• Go to birth circles in your area. Talking to other moms can be therapeutic. 

• Talk to your chiropractor about your physical discomfort. We can help and guide you to start your postpartum recovery. 

• If having breastfeeding issues, talk to a lactation consultant. 

• Get a massage when possible. You deserve it!

• Talk to a therapist specialized in postpartum. 

Quality time with your newborn is an important part of the journey, but don’t forget that your body needs healing as well. If you are experiencing discomfort after birth, let us know, we can help!

Mamas, do not hesitate to reach out! 

In health, 

Dr. Shirley

When to See a Chiropractor Postpartum

A common question our pregnant patients ask is “when can I or when should I come in after baby is born for my postpartum check-up.” The simple answer is: when you are ready. While getting checked soon after giving birth is recommended, that may be a different time for each woman. Some may want to get checked on their way home from the hospital. Others may need to rest and heal for a few days or weeks. Some choose to do a lying-in period at home for several days or weeks. Typically, our patients know when they are ready to be checked (whether sooner or later); this is also something your chiropractor can discuss with you. You can also contact your chiropractor after baby is born to go over any concerns and determine when would be best for your postpartum check.

So why would mom need to be checked after giving birth? Don’t all the issues from pregnancy go away after baby is born? Short answer: no! Here are some common reasons to be checked postpartum:

1.      Sacrum/pelvis may shift during labor: giving birth is not easy! It is a whole-body effort. Whether a woman has a vaginal birth or a cesarean, her pelvis and sacrum experience stress and can shift. Especially during vaginal births, position and stress can strain muscles and ligaments of the low back and pelvis region. Joint restriction and discomfort postpartum is common and adjustments may help improve position and movement and reduce pain and tension. Long or difficult labor can even rotate or dislocate the coccyx/sacrum (tailbone).

2.      Neck/back pain: Some women may have experienced neck and back pain during pregnancy; often this persists postpartum. Some women who may not have had pain or tension during pregnancy may develop issued postpartum from labor/birth or from the changes of caring for their new little one. Nursing and feedings may strain neck and back muscles. Sleep is disturbed and may cause aches and pains.

3.      Pelvic floor check: Every woman postpartum should have their pelvic floor assessed. Your chiropractor can help identify issues or imbalances and recommend/referral pelvic floor physical therapy at the appropriate time (and it may be sooner than 6 weeks postpartum!)

4.      Diastasis assessment: EVERY woman (yes, every) will develop diastasis recti (separation of the front abdominal muscles (aka rectus abdominis)). This slowly heals in the weeks following giving birth. Various factors including breastfeeding, previous injury or weaknesses (especially in the core), pelvic floor dysfunction, back pain, and scoliosis can affect the severity and timeline of healing. Your chiropractor can assess the degree of the separation, begin care for the back, pelvis, and supporting soft tissue, and recommend safe, healing movements/exercises at the appropriate time. Pelvic floor physical therapy is also essential to help heal diastasis recti. Your chiropractor can refer you to a pelvic floor PT as part of your postpartum care.

5.      Nursing support: While breastfeeding is normal and natural, it is not easy! Many women and their babies struggle at first (and some have issues that develop months later). Chiropractic care helps with alignment and optimal function of the nervous system which may help with posture/comfort while nursing and appropriate hormone regulation for milk production. Your chiropractor can also help identify tongue and lip ties and make appropriate referrals/recommendations for treatment and support which can help baby and you reach your breastfeeding goals.

6.      Nutritional support: Postpartum nutrition is very important, especially for nursing moms. During pregnancy, essential nutrients may have been depleted to support baby’s growth. Postpartum is a time for healing. Your chiropractor can provide information about optimal nutrition and help identify nutritional deficiencies. Certain foods, herbs, or supplements may be beneficial to help with specific needs for healing as well. Your chiropractor can make recommendations and support your healing.

7.      Soft tissue care and support: During pregnancy soft tissue changes and stretches. It undergoes even more stress and change during labor. Following up with a chiropractor postpartum may help reduce soft tissue tension and help with the healing process. Your chiropractor can also identify weaknesses and imbalances in your neck, back, core and other parts of your body and provide recommendations for healing (and when to safely start certain movements or exercise).

Being a mom can be amazing yet challenging. Your body goes through so many changes and has different needs, especially postpartum. Be sure to take time for yourself and take care of yourself. At Cleveland Chiropractic, we are here to support you throughout your motherhood journey. We understand that every mom is postpartum, albeit at different stages or phases of healing and progress. Remember: healing takes time. Be patient and give yourself grace. You are doing a great job, mama! Remember, we are here for you when you need us.

In health,

Dr. Abbey

(216) 952-3830

http://clechiropractic.com

Laugh without Leaking

Having a great time with friends laughing about the latest crazy adventures of motherhood? Have you ever laughed so hard that you “peed your pants’? While that is a common expression and experience for many women, it is not “normal.” Many women think that just because they have been pregnant or that they are getting older that urinary incontinence is a normal fact of life that they just have to live with. After all, it happens to everyone, right?

Urinary Incontinence (which is the leaking of urine that you cannot control) is not a normal part of aging or a normal lasting side effect of pregnancy or childbirth. Two of the most common types of urinary incontinence include Stress Urinary Incontinence and Urge Urinary Incontinence. Stress Incontinence is leaking when you are walking, bending, lifting, sneezing, coughing, or laughing. Urge Urinary Incontinence which is the sudden “urge” to urinate even if your bladder is not completely full. Having both of these types of symptoms? That is called Mixed Urinary Incontinence -yes, the “best” of both worlds- leaking with activity and /or feeling of a strong urge to urinate frequently.

Despite these symptoms being common, (nearly 1 out of 3 women have some type of incontinence symptoms during their lifetime) there are many things that can be done to decrease or eliminate incontinence, especially if treated early.

*Lifestyle changes can be extremely effective- looking at behavioral factor and nutrition can decrease symptoms.

*Bladder Retraining strategies- no “just in case” going to the bathroom, keeping a bladder diary for a few days.

*Looking at exercise, movements and lifting patterns- increased intraabdominal pressure can put pressure on pelvic floor muscle causing increased leakage

*Pelvic Health Physical Therapy to address any muscle weakness or tightness in Pelvic floor causing urinary leakage.

If you have these symptoms and are ready to address them, come see our physical therapist, Chrissy, for a physical therapy evaluation. Chrissy partners with each client to develop an individualized holistic approach to help you mange and eliminate your incontinence issues so you have the freedom to laugh as hard as you want- without fear!

Appointments with Chrissy can be scheduled online via our website or by calling 216-952-3830.