Pelvic Physiotherapy Prevents Urinary Incontinence During Pregnancy

Pregnancy is a period marked by intense physiological and hormonal changes in a woman’s body. Among the most affected structures is the pelvic floor, responsible for supporting the abdominal organs and controlling urinary, intestinal, and sexual functions. Although many women only seek help after the onset of symptoms such as urinary incontinence, pelvic physiotherapy has proven to be an essential tool for prevention as well — especially for pregnant women who have not yet experienced urine leakage, the so-called continent women.

Studies show that pregnancy itself is already a significant risk factor for weakening of the pelvic floor muscles due to increased intra-abdominal pressure, weight gain, and hormonal changes that promote greater ligament laxity. These factors, combined, can compromise pelvic muscle function before and regardless of the mode of delivery. Therefore, starting physiotherapy follow-up during pregnancy — even without symptoms — can significantly reduce the risk of developing urinary incontinence either during pregnancy or within the first six months postpartum.

By including pelvic physiotherapy as part of prenatal care, women’s health is approached in a more comprehensive way, valuing not only the treatment of symptoms but also health promotion and the prevention of future complications.

Thus, even in the absence of symptoms, pregnant women can — and should — consider pelvic physiotherapy as an essential preventive measure for their urogenital health. Prevention is always more effective, less invasive, and more cost-efficient than treating dysfunctions once they are established.

Written by: Physiotherapist Marilia Monteiro – CREFITO 129693-F