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Pregnancy can feel like a nonstop stream of “Is this normal?” and too many people get brushed off when they bring up pain, pressure, leaking, or pelvic heaviness. We sit down with pelvic floor physical therapist Kasha Unes to break down what pelvic floor physical therapy actually looks like during pregnancy and why it can help even before any symptoms show up. Think prevention through posture, body mechanics, breathing, relaxation, and strength, not just a quick fix when things get unbearable.

We get specific about the problems we hear most often: sciatica, SI joint pain, pubic symphysis pain, back pain, and that creeping feeling that your body is shifting faster than you can keep up. Kasha explains how pelvic PT evaluates the whole pelvic girdle and the full movement chain, why lifestyle factors matter, and when an internal pelvic floor exam is useful. We also talk through supportive tools like SI belts, belly bands, and perineal or groin support garments, including who they can help most and how to avoid wasting money on random trial and error.

Then we move into labor prep, because birth is not just “get the baby out.” Kasha shares how she helps clients practice positions and pelvic mobility, plan for movement with or without an epidural, and build confidence with pushing mechanics. We also cover tight or hypertonic pelvic floors, how stress and fear can cause clenching, what calming the autonomic nervous system can change, and what research says about perineal massage and tearing risk. If you want a clearer plan for pregnancy comfort and long-term pelvic health, this conversation is a strong place to start.

Subscribe for more practical birth education, share this with a pregnant friend, and leave a rating or review if it helps you feel more prepared. What pregnancy symptom do you wish someone took more seriously?

Learn more about Dr. Unes, here: https://rebornphw.com/our-staff/dr-kasia-unes/

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Show Credits

Host: Angie Rosier 
Music: Michael Hicks 
Photographer: Toni Walker
Episode Artwork: Nick Greenwood 
Producer: Gillian Rosier Frampton
Voiceover: Ryan Parker