Pregnancy & Postpartum Pelvic Therapy
The Motherhood Journey Comes with a Lot of Change
At Rome Physical Therapy, we support you through every stage of pregnancy and postpartum.
During the first trimester, we help you navigate early pregnancy changes and manage symptoms like low back pain, SI or pubic symphysis pain, tailbone pain, urinary frequency or leakage, constipation, and pressure.
In the second trimester, our focus is on maintaining strength and pelvic floor balance as your abdomen grows and load increases on the pelvic floor. This stage is all about preventing symptoms, supporting your core as it stretches, and keeping your body strong and stable. Maintaining strength throughout pregnancy is key for minimizing common aches and pains and setting you up for a smoother postpartum recovery.
We focus on:
Core strength to avoid coning and doming
Pelvic floor strength to prevent urinary leakage
Pelvic stability to decrease or prevent low back, tailbone, or hip pain
Building a healthy balance of your deep core
As you move into the third trimester, we shift to preparing your body for labor and delivery through pelvic mobility, pelvic floor relaxation, breathing strategies, and birth prep education, including:
Hip mobility and positions to help open the pelvis for labor and delivery
Labor positions
Birth positions
Perineal stretching to help reduce tearing
Mind–body connection for labor and birth breathing
Learning how to use and lengthen your pelvic floor during labor and delivery
In the postpartum stage, you can come in at any time—whether it’s 2–4 weeks, a few months, or even years after giving birth. At every stage, it’s important to regain control of your pelvic floor and core, reconnect your mind and body, and address the changes that occur during pregnancy and birth.
We provide a thorough assessment and work with:
Scar tissue from vaginal tears or C-section incisions
Urinary leakage or urgency
Bowel issues such as constipation, hemorrhoids, or excessive wiping
Pain with insertion (painful sex, tampon discomfort, or difficulty using tampons)
Aches and pains including low back, hip, or tailbone pain
Core and pelvic floor reconnection
Prolapse prevention and management
Rome PT proudly serves surrounding Charleston communities including Mt. Pleasant, Summerville, and West Ashley (coming soon)—helping you stay strong, balanced, and supported through pregnancy, birth, and beyond.
Here Are Some Common Symptoms We Work With:
Pregnancy
Urinary Leakage
Bowel issues
Pain with intercourse
Sciatica pain
Low back/ Pubic bone Pain
Core issues
Childbirth
Prevent Vaginal Tears
Reduce Cesarean Delivery
Prevent Maternal Exhaustion
Limit Tailbone Fractures
Improve Delivery Positions
Learn how to PUSH
Postpartum
Urinary issues/ Leaks
Vaginal Heaviness/ Prolapse
Diastasis Recti
Pain with Sex
Mastitis/ Clogged Milk Duct
Rectal Pressure/ Constipation
Recovery from C-section scars
In addition to providing a supportive environment for pregnant women and those in the postpartum period, our team specializes in just women! Rome PT is also a welcoming place for women of all ages. Ask us about our menopause therapy services in Charleston, SC.
How Our Therapy Helps During & After Pregnancy
Your pregnancy is one of the most important times in your life, and it’s one where you will go through so many changes. It starts with the prenatal period when your baby is growing inside you. It’s crucial to take good care of your health during the prenatal period, and physical stability is part of that. I know the pre and postnatal apps and programs are tempting but if you are not using the correct muscles, what’s the point? Getting appropriate exercise under the supervision of a obstetrics physical therapist can help you manage the symptoms of a range of prenatal health conditions and can prevent you from having women’s health problems in the future.
You can also use the prenatal period as a time to prepare for labor and delivery. At Rome Physical Therapy, we can help you prepare for childbirth with classes that help you find length in your pelvic muscles. The better connection of mind and body, the easier your labor and delivery will go, and the easier your recovery will be.
Once you give birth, it is just as important to take care of you and recover from not only childbirth but also from the many months of pregnancy. Many new mothers experience a lot of pain, disconnect, and lack of physical support in the postpartum recovery period and may have issues like incontinence, constipation, sexual issues, and more. You can alleviate pain and lessen the symptoms of many postnatal health problems by working on the strength of your core and pelvis muscles.