During pregnancy, the uterus becomes increasingly larger and heavier. To adapt to these changes, the body significantly alters its posture. At the same time, hormonal processes ensure that ligaments throughout the body become softer and more elastic – an important preparation for labor and birth.

Already pre-existing back or postural problems can make this adaptation more difficult and promote discomfort in various areas of the body. From about the 20th week of pregnancy, postural issues often increase as the uterus continues to gain weight and takes up more space in the abdomen.

Possible consequences can be:

- Neck and back pain

- tension headaches

- pain in the pelvic area

- chronic fatigue

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One can imagine the uterus as a structure anchored deep in the pelvis via ligaments. Everyday movements – such as bending or twisting – can additionally strain these ligament structures and thereby cause abdominal, groin, or back pain.

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At the front of the pelvis, the two pubic bones meet at the so-called pubic symphysis (symphysis). This joint is stabilized by strong ligaments. Due to hormonal loosening during pregnancy, painful overstretching can occur here. Typical are pains in the front pelvic area, which intensify with strain or toward the end of the day.

Osteopathic treatment aims to release tension and restrictions in the lower spine, sacrum, and pelvis in order to support the natural pelvic mechanics and relieve the pubic area.

Complaints such as nausea or heartburn can also be related to the growing uterus, as it increasingly takes up space in the abdominal cavity and exerts pressure on surrounding organs.

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Changes in the chest and abdominal cavity

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As the baby increasingly fills the abdomen, the internal organs are gradually displaced upward. The lower ribs expand to create additional space. This changes tension relationships and balance in the area of the diaphragm.

Neighboring organs such as the stomach, liver, and lungs also adapt to their changed position. A central osteopathic principle states that structure and function are interconnected. If structural relationships change, this can also affect the function of the affected organs.

Shortness of breath or increased susceptibility to respiratory infections can, among other things, be related to the fact that lung volume is reduced due to restricted breathing movement.

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Stress during pregnancy

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Studies indicate that persistent stress during pregnancy can affect the well-being of both mother and child. A permanently increased stress load can affect the organism of both.

Even if not all stressors can be avoided, it is helpful to consciously ensure periods of rest. Osteopathic treatments can help reduce physical tension and regulate the autonomic nervous system.

By releasing tension and supporting necessary postural adaptations, many women experience their pregnancy as more comfortable. Gentle osteopathic techniques can be used throughout all stages of pregnancy, provided there are no medical contraindications.

 

The position of the baby

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For a physiological birth, a position is favorable in which the baby lies head down and can optimally align itself in the birth canal. Other positions can, under certain circumstances, prolong or complicate the birth process.

Good mobility in the pelvis and surrounding tissue can help give the baby sufficient space for its individual birth position.

 

After birth

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After birth, the body must recover from the changes of pregnancy as well as from the stresses of delivery. Many mothers experience pain, exhaustion, or feel physically and emotionally heavily strained.

During birth, considerable pressure acts on the pelvis. Especially after a long or intense delivery, tension or functional imbalances can occur. The birth position – such as lying with elevated legs – can also additionally strain the pelvis, especially in a phase in which the ligaments are still hormonally loosened.

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Untreated tension in the pelvic area can manifest as:

- back pain

- neck pain

- headaches

- general fatigue.

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In addition, there is the physical strain of everyday life with a newborn. Frequent carrying, breastfeeding in unfavorable posture, or one-sided movement patterns can additionally strain the back and shoulders.

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Osteopathic treatments can help mothers release tension and regain their physical balance. The goal is to support regeneration after birth – so that they feel stable, mobile, and well supported and can consciously enjoy the first time with their baby.