Edmonds, WA · Pelvic Floor Physical Therapy

Call to schedule · (425) 582-0727

The journal Pregnancy

Just Found Out You’re Pregnant? Here’s How to Prepare Your Body for Birth

By Dr. Allison Feldt, PT, DPT 4 min read

So, you just found out you’re pregnant. First of all, congratulations! And if your first feeling isn’t pure joy but instead a mix of excitement and fear, that’s completely normal too. Take a deep breath. In fact, go ahead and place your hands on your belly, inhale deeply into your diaphragm, then exhale slowly.

That simple breath? It’s going to be one of your greatest tools for labor and delivery. And the earlier you begin practicing it, the more powerful it will be.

Pregnancy is a journey not only for your baby but also for your body. The choices you make now will impact not just how you deliver but also how you recover—and even how you feel 10, 20, or 30 years from now.

Step 1: Decide Where You Want to Give Birth

One of the very first questions to ask yourself is: Where do I want to have this baby?

  • A hospital birth
  • A birth center
  • A home birth

There’s no “right” answer. The important thing is finding what feels safe for you and your partner. Some people love the security of a hospital. Others want the more natural, home-like feel of a birth center or home birth. Spend time learning about all your options so you can choose what aligns best with your values, comfort, and intuition.

Step 2: Understand How Your Body Will Change

Pregnancy isn’t just about “staying active.” Yes, exercise matters—but what’s even more important is understanding the changes happening in your body and learning how to support them.

One common issue is diastasis recti, where the abdominal muscles begin to separate. Left unaddressed, this can cause weakness and long-term core instability. The good news? You can prevent or minimize diastasis by:

  • Training your transverse abdominis (your deep core muscle).
  • Modifying movement patterns and body mechanics.
  • Using breath to manage intra-abdominal pressure.

Our Birth Prep Workshop goes deeper into these changes and teaches you exactly how to adapt safely throughout pregnancy.

Step 3: Learn How to “Breathe Baby Out”

When it comes to delivery, the uterus is the powerhouse that pushes your baby out—not your conscious pushing muscles. The problem? Many birthing people end up holding their breath and straining for hours, which can increase tearing, trauma, and the need for interventions like forceps or vacuum assistance.

By practicing diaphragmatic breathing during pregnancy, you train your pelvic floor to relax and open. This makes it easier for your uterus to do its job and helps you avoid unnecessary strain.

If pushing is needed, open-glottis pushing (exhaling gently while bearing down, rather than breath-holding) can protect your tissues and reduce tearing.

Step 4: Prepare for All Possibilities

Even if your plan is for a vaginal birth, sometimes a C-section becomes necessary. The good news is that all the prep you do—breathing, pelvic floor training, core awareness—will also make your C-section recovery easier. A body that’s strong, mobile, and well-prepped heals faster and more completely.

Step 5: Find Support

The best investment you can make in your pregnancy is working with a pelvic floor physical therapist who can guide you through these changes. If that’s not accessible, don’t worry—we’ve created tools you can use from home:

Both will walk you through how to prevent injury, minimize tearing, and recover faster.

Preparing for birth is about so much more than choosing a hospital bag or a baby name. It’s about intentionally training your body—your breath, core, and pelvic floor—so you can bring your baby into the world with as little trauma as possible.

Every bit of preparation you do now will not only make your delivery smoother, but also help prevent long-term issues like prolapse, incontinence, or chronic back pain.

I’ve worked with hundreds of women through pregnancy, birth, and postpartum, and one truth remains constant: your future self will thank you for preparing your body today.

Dr. Allison Feldt, PT, DPT, founder of Body Motion Physical Therapy

About the author

Dr. Allison Feldt, PT, DPT

Allison is a pelvic floor physical therapist and the founder of Body Motion PT in Edmonds. A mom who knows the aftermath of pregnancy and birth firsthand, she's on a mission to help women restore their core and pelvic floor at every stage of life.

Keep reading

More from the journal

View all articles

Ready when you are

Questions about your own body?

Let's talk it through.

Book a free discovery visit and get real answers from our pelvic health team. Every conversation stays private, respectful, and centered on you.