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Parsons Green
3rd Floor Brigade House
8 Parsons Green
London
SW6 4TN
Queens Park
2nd Floor
105-109 Salusbury Road
London
NW6 6RG
LETO Pregnancy Care
We want you to have a healthy and strong pregnancy so that you can take care of your baby, return to your favourite activities safely and confidently, and feel great!
Your body goes through many changes during pregnancy, which can lead to discomfort in the pelvic area and other pelvic health problems such as urinary incontinence and pelvic organ prolapse.
- During pregnancy, postural changes, muscle imbalances, and altered alignment may lead to pelvic girdle pain, hip pain, swelling in the legs and pelvic area, lower or mid back pain, tingling and numbness in your hands and fingers, and leaking of urine. The great news is that a specialist pelvic health physiotherapist can help alleviate and even treat these symptoms.
- We utilise a combination of flexibility and strength training, pelvic floor muscle training, biofeedback, relaxation techniques, manual therapy, education, lifestyle changes, specialised interventions, and tailored exercises to help you prepare for labor and recover during the postpartum period.
- It is also essential to address any issues experienced during pregnancy to prevent back pain, pelvic pain, heaviness or dragging in the pelvic region, prolapse, incontinence and abdominal separation later in life.
During your consultations, we will always take the time to make sure you understand your prenatal presentation. We will help you feel reassured about the future and prepare you for your recovery from pregnancy and childbirth.
We have designed an optimum pregnancy care pathway, which includes three milestone pelvic health assessments.
The Initial Check (from 12-weeks)
What to expect:
- screening to identify pelvic floor symptoms and risk factors
- discussion about your concerns
- medical history review
- review of your short & medium-term goals
- an internal/ external vaginal examination (as appropriate) to review how your pelvic floor muscles are functioning, their strength, and your overall pelvic health
- evidence-based assessments and functional tests to assess your posture, pelvic alignment, and biomechanics and abdominal muscle recruitment to serve as a base reading as you progress through pregnancy and post-delivery
What you will receive:
- education and advice on how to exercise safely during pregnancy
- discussion on the symptoms of pelvic health problems, risk factors, prevention, and potential self-management options
- pelvic floor exercises including guidance on how to correctly contract and relax them to include functional training advice for optimal pelvic health and movement as you progress through pregnancy
- treatment and advice to help manage and reduce the risk of strain and discomfort on your lower back and pelvic joints
- a tailored exercise program and advice
The Mid-Term Check (approximately 24-weeks)
What to expect:
- discussion about your concerns
- review of your medium- & long-term goals
- an internal/ external vaginal examination (as appropriate) to review how your pelvic floor muscles are functioning, their strength, and your overall pelvic health
- evidence-based assessments and functional tests to assess your posture, pelvic alignment, biomechanics, and abdominal muscle recruitment as your body continues to change throughout pregnancy
What you will receive:
- tailored pelvic floor exercise training and functional exercise advice for optimal and effective recruitment of the pelvic floor muscles
- targeted specialist preventative support and interventions if identified as being at greater risk of pelvic health problems
- ongoing education regarding safely exercising, best posture, and movement strategies as you progress through pregnancy
- progression of your exercise program to accommodate your body as it changes
The Pre-Birth Check (34-35 weeks)
What to expect:
- discussion about any concerns
- review of your and short- & long-term goals
- birth preparation advice
- an external and/or internal pelvic floor assessment (as appropriate)
- evidence-based assessments and functional tests to assess your posture, pelvic alignment, biomechanics, and abdominal muscle recruitment
What you will receive:
- specialist pelvic physiotherapy treatment for prolapse, back, and pelvic pain
- advice and a discussion on birthing pathways including best positions based on your prior screening and preferences
- education on birth preparation of your pelvic floor, vagina, and body for both vaginal and c-section births, this may include perineal massage and devices.
- formulation of a post-natal recovery plan – advice on post-birth recovery (including timeframes and what is considered ‘common’), wound care, perineal tears, bladder care, constipation, when to resume pelvic floor training and how to embed as a lifelong habit, returning to physical activity, and mental health
- provision of resources to help with recovery from pregnancy and childbirth
Client Success Stories
Hannah Skiba
I’ve had two sessions now at LETO with Katy and honestly my expectations were beyond met. Being 26 weeks pregnant I’d read and heard a lot of the importance of pelvic floor health and stumbled across LETO offering pelvic floor assessments, in particular internal assessments which is the best way to gauge your pelvic floor health. Katy is so incredibly knowledgeable and confident in her expertise in this area. Seeing a pelvic floor Physio is definitely an investment in your long term health and the advice/information I’ve received so far has been well worth the money. I strongly believe every expectant mother should see a pelvic floor Physio at some point on their pregnancy journey and I couldn’t recommend making a consult at LETO more.
Emma
I really appreciate the advice I have received from the team at LETO. Katy has been incredibly supportive in helping me understand more about my pelvic health, and has provided invaluable pregnancy-specific guidance on how to work towards my health goals. She is professional and approachable and makes me feel at ease during appointments. I would thoroughly recommend Katy for anyone wanting advice on pelvic health during pregnancy.
Enquiry
Please see contact information below or complete the form and we will get in touch with you.