perineo-12

Pregnancy

Pregnancy is a magical period in women’s lives, but unfortunately, the biomechanical and metabolic changes that occur in their bodies can cause discomfort and some perineal dysfunctions, the most common is urinary incontinence (loss of pee).

The muscles of the PERINEUM will be overburdened by weight as they are responsible for supporting the uterus, baby, placenta, amniotic liquid… weighing between five and ten kilos during pregnancy.

It is very important that women begin to prepare these muscles when they are planning their pregnancy or already in the second semester of gestation (between 14 and 20 weeks), regardless if they wish to have a vaginal or cesarean birth.

I respect the pregnant woman, her rights, and her wishes, supporting her decisions. I offer specific and specialized care for monitoring during this period.

All treatment is done in individual sessions based on the Active Perineal Rehabilitation & Series concept, always with maximum comfort and safety.

We can start in the second trimester

Childbirth Preparation

Women who want vaginal delivery without an episiotomy or laceration need to work hard on perineal relaxation and stretching. The muscles of the PERINEUM are the last barrier that the baby encounters during birth and, unlike uterus, they do not go through the process of dilation, they are stretched as much as possible during the passage of the baby.

I also teach expulsion techniques for mothers who want vaginal delivery. Many women do not know what force to do during childbirth and sometimes they use the opposite force, making it difficult for the baby to come out.

The first stage of labor (the dilation period) can take hours and women may not be physically prepared for this. The teaching of breathing and relaxation techniques helps women to go through this phase more calmly, better supporting the pain, saving energy for the expulsion phase.

The partner’s presence is always welcome in this process. Each session lasts from 45 to 50 minutes, with an average of 10 to 15 sessions.

Preparing for childbirth is indicated for all pregnant women, regardless of whether they want a vaginal or cesarean delivery, aiming at the treatment and prevention of perineal disorders.

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perineo-gravida

I don’t usually use the term “tips”, it is not professional and I think that all patients should undergo an evaluation to know what is the best treatment in each case. However, there are simple things that pregnant women can do to enjoy this moment with more comfort and tranquility.

Squatting

For pregnant women who want a vaginal delivery, this is an excellent position for stretching the muscles of the PERINEUM. She should stay in this position for about 30 seconds, two to three times a day, taking care not to strain her lumbar spine and so that she has something to lean on. You can ask someone to help you at this time.

Piriformis syndrome

This stretching can be done by the pregnant woman at home, improving the pain caused by sciatic nerve compression. The pregnant woman standing in front of a table/bench at her hip height positions a flexed leg on the table and leans her torso on this leg, remaining in this position for about 15 to 30 seconds. Then repeat on the other leg.

I am here to support you at this moment.

Postpartum

The baby was born and there is all the joy and happiness for being a mother, but sometimes, some unforeseen events happen that hinder this moment to be lived in its fullness.

Urinary incontinence (loss of pee) in the postpartum period is very common, and prolapses (“fallen bladder”) and fecal incontinence (loss of gas or feces) can also occur.

Cutting the episiotomy or laceration can make this region very painful, making postpartum recovery difficult and, in many cases, leading to pain and discomfort during intercourse. Difficulty in relaxing these muscles, scarring from cesarean section, hormonal changes can also lead to discomfort during sex.

It is recommended that, in the postpartum period, an assessment of this musculature is carried out in all mothers, regardless of whether it was a normal or cesarean delivery.

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perineo-fisioterapia

Abdominal diastasis

Sometimes the distension that occurs in the abdominal muscles during pregnancy can lead to abdominal diastasis: when these muscles separate.

For the best correction and treatment of this diastasis, without overloading the PERINEUM muscles, I use hypopressive exercises, which are exercises that work the entire abdominal girdle, with great focus on the transverse abdominal muscles, aiming to correct this pathology without the need for surgery.

With the concept of Active Perineal Rehabilitation and & Series, I aim to rehabilitate the PERINEUM and its strengthening, preventing, and treating perineal dysfunctions, so that mothers can experience motherhood to its fullest.

I am here to help you get through this period in a healthy and happy way. I have flexible schedules so as not to make breastfeeding difficult and it is possible to bring the baby with you.