Osteopathy during pregnancy: Care tailored to each trimester

Pregnancy is a transformative journey, bringing about incredible changes in a woman’s body. While a beautiful experience, research indicates that approximately 70% of pregnant women experience lower back, pelvic girdle, or abdominal pain.¹ Expectant mothers may also encounter other discomforts, including rib pain, sciatica, headaches, and carpal tunnel syndrome. At Northside Therapies in Brisbane, our osteopaths are here to support you through each trimester, helping you navigate these changes with greater comfort and ease.

The body undergoes significant adaptations throughout pregnancy, even in the early stages before your baby bump becomes visible.² Shifting hormone levels and the growing uterus alter your centre of gravity, often leading to changes in spinal curvature. Each woman’s body adapts uniquely, and pre-existing injuries or restrictions may influence how well the body accommodates these changes, potentially contributing to pain and discomfort.

Pregnancy hormones, particularly progesterone, impact various bodily systems. In the gastrointestinal tract, they can cause smooth muscle relaxation, leading to decreased bowel motility and an increased risk of constipation.³ Elevated hormone levels can also contribute to nausea and vomiting (morning sickness), which can occur at any time of day for over 70% of pregnant women.

Respiratory changes are also common. The diaphragm’s resting position shifts upwards by 4-5cm, compensated by a widening of the rib cage,_⁵ which can sometimes lead to rib pain. Up to 70% of women experience shortness of breath (dyspnoea) in the third trimester.⁵ While common, it’s crucial to rule out other potential causes like pre-eclampsia or pulmonary embolisms.

Osteopathy offers a gentle, holistic approach to supporting women throughout pregnancy. At Northside Therapies, our experienced Brisbane osteopaths provide personalised care to address the unique needs of expectant mothers.

• Alleviating back pain: An osteopath will assess your entire body to determine the root cause of your back pain. It could be related to a previous ankle injury affecting your gait, or perhaps hypermobility is placing extra strain on your joints. They utilise a variety of techniques, including soft tissue massage and joint mobilisation, tailored to your specific needs. We also provide guidance on stretches, strengthening exercises and support garments when appropriate.
• Reducing pelvic pain: The pelvic region undergoes significant changes to accommodate the growing uterus and prepare for childbirth. Osteopathy helps balance pelvic ligaments and muscles, reducing pain and promoting a positive birthing experience. Dr Alana Merkel (Osteopath) and Dr Simone Keddy (Osteopath) at Northside Therapies are trained in internal pelvic floor assessments to identify any imbalances that may contribute to pain, discomfort, urinary leakage, or constipation. To find an osteopath in your area, use the handy Find an osteo search.
• Improving circulation: Osteopathic techniques enhance circulation and lymphatic drainage, helping to reduce swelling and fluid retention. This can be particularly beneficial for conditions like carpal tunnel syndrome, which is often related to increased pressure on nerves due to fluid congestion. Osteopaths are also trained to recognise when oedema might indicate underlying medical issues requiring further attention.
• Enhancing digestive function: Osteopaths can work in conjunction with your primary healthcare providers to address digestive issues. Techniques to relax the pelvic floor and ease tension in the abdomen, combined with education on lifestyle and dietary modifications, can help improve bowel function. We also provide advice on exercise, stretching, hydration, and healthy toileting habits.
• Preparing for labour: Osteopathic treatment can help prepare your body for labour and delivery by optimising the function of your pelvis, hips, and spine. Osteopaths may educate our patients on various aspects of childbirth, including birthing positions, effective pushing techniques, perineal massage, minimising the risk of perineal tearing, breech birth protocols, Spinning Babies® techniques, pregnancy yoga, and labour breathing techniques. We also provide guidance on postnatal care.

Osteopaths are trained to assess and manage musculoskeletal conditions that may arise during pregnancy. At Northside Therapies in Brisbane and – across the country – osteopaths aim to support patients through the physical changes that occur during pregnancy using a whole-body approach. Find an osteo near you.

This blog has been reproduced with the permission of Simone Keddy at Northside Therapies.