Neuromuscular Training After Giving Birth With PT

The Power of Obstetric Neuromuscular Training: A Guide for Physical Therapists

As a physical therapist, you have probably come across numerous pregnant women seeking help with their various pregnancy-related aches and pains. While pregnancy is a beautiful journey, it can also bring about some discomforts that may hinder an expectant mother’s daily activities. This is where obstetric neuromuscular training comes in.

In this article, we will delve deeper into the world of obstetric neuromuscular training and how it can benefit both you as a physical therapist and your pregnant clients.

What is Obstetric Neuromuscular Training?

Obstetric neuromuscular training is a specialized form of exercise program designed to address the unique musculoskeletal changes that occur during pregnancy. It focuses on strengthening the core muscles, improving posture and balance, as well as increasing overall body awareness.

The goal of this training is to help pregnant women prepare their bodies for childbirth and alleviate any discomfort they may be experiencing.

Why is it Important?

Pregnancy significantly affects a woman’s body, causing hormonal changes and weight gain which can put strain on the joints and muscles. This can lead to various conditions such as low back pain, pelvic girdle pain, diastasis recti (abdominal separation), and urinary incontinence.

Obstetric neuromuscular training helps to correct postural imbalances and strengthen the muscles that support the growing belly. By doing so, it can prevent or reduce the severity of these conditions and improve overall functional ability.

How is Obstetric Neuromuscular Training Different from Regular Exercise?

One may wonder why pregnant women cannot simply engage in regular exercises to stay fit during pregnancy. The answer lies in the unique changes that occur in the body during this time.

For instance, certain hormones released during pregnancy cause ligaments and joints to become more lax, making them more prone to injury. Therefore, exercises that involve high impact or heavy weights can do more harm than good.

Obstetric neuromuscular training incorporates low-impact and controlled movements that are specifically tailored to meet the needs of pregnant women. It takes into consideration their changing body posture and weight distribution.

The Benefits of Obstetric Neuromuscular Training

Aside from preventing and managing common pregnancy-related discomforts, obstetric neuromuscular training offers numerous benefits for both the mother and baby.

For the mother, it can improve overall strength, endurance, balance, and coordination. This not only helps during childbirth but also aids in postpartum recovery.

For the baby, studies have shown that regular maternal exercise during pregnancy can result in a lower birth weight and decreased risk of gestational diabetes. It can also lead to improved cardiovascular health for the baby later on in life.

How to Get Started with Obstetric Neuromuscular Training

It is essential to consult with a certified obstetric physical therapist before starting any exercise program during pregnancy. They can assess your individual needs and create a personalized plan that is safe and effective for you.

During the training, it is crucial to listen to your body and make modifications as necessary. It is also recommended to keep track of your progress and adjust your routine accordingly as pregnancy progresses.

Incorporating Obstetric Neuromuscular Training into Your Routine

Obstetric neuromuscular training can be incorporated into daily activities such as walking, swimming, or even household chores like vacuuming. It can also involve specific exercises using resistance bands, stability balls, or light weights.

In addition to physical benefits, obstetric neuromuscular training can also provide mental and emotional well-being during pregnancy. It gives expecting mothers a sense of control over their changing bodies and prepares them for the physical demands of childbirth.

Precautions to Take

Although obstetric neuromuscular training is generally safe and highly recommended during pregnancy, there are some precautions to keep in mind. It is crucial to avoid any high-impact activities or exercises that put excessive strain on the abdominal muscles. Additionally, it is essential to stay hydrated and not overexert yourself.

It is also essential to listen to your body and stop immediately if you experience any pain, dizziness, or shortness of breath. Always consult with your healthcare provider if you have any concerns or questions about incorporating obstetric neuromuscular training into your routine.


Obstetric neuromuscular training offers numerous benefits for both mother and baby during pregnancy. It can improve overall strength, stability, and balance while also providing emotional support and preparing the body for childbirth. Remember to always listen to your body and consult with your healthcare provider before starting any exercise routine during pregnancy. With proper precautions and modifications, obstetric neuromuscular training can be a safe and effective way to stay active and healthy throughout your pregnancy journey. So why not give it a try? Your body (and baby) will thank you! Happy training!