04/22/2026
****THE MOST OVERLOOKED PELVIC FLOOR SKILL to practice before giving birth***
When a new pregnant mom comes to my clinic and I ask them what their goal is, they often say: "I'd like my pelvic floor to be strong for birth"
The thing is: your pelvic floor doesn't need to be strong to give birth...!
Your pelvic floor strength actually has nothing to do with pushing your baby - it is your uterine muscles that will do all the hard work of pushing your baby (in parallely with your breathing technique).
Ok then... what is the most important skill my pelvic floor needs to learn before pushing? you ask me.
It needs to OPEN, RELEASE and LET GO! Basically just get out of the way...!
And learning to release your pelvic floor is something I highly recommend practicing during pregnancy, because you don't want to start learning about this during labour when there's so much going on! We want to practice this skill in the easiest conditions first, before we move on to "pro level pelvic floor release" (i.e. labour and pushing!)
How to practice releasing your pelvic floor in pregnancy, concretely?
Connect: in a sitting position, pretend to pick up a raspberry with your va**na and lift it up, and then release it and bring it back down. Can you connect with that "release" part of the exercise? If not, you can try the same while sitting on a rolled up towel for increased feedback, that often does the trick as people can feel the difference in pressure when lifting the pelvic floor versus letting it go.
Try the same exercise in different positions - deep squat, all fours, standing, standing with one leg up, etc... These are all great pushing positions and it's important to be able to connect with the pelvic floor release in the positions you may be using during your birth. Likely, you won't be sitting up straight while pushing your baby!
Try during the perineal stretch: the perineal stretch is something I recommend to start around 34 weeks of pregnancy, and it can be super empowering and helpful for people to practice releasing their pelvic floor during the stretch, so they learn how to release their muscles even when they are under pressure (which re-creates similar conditions as birthing a baby). I have the step-by-step instructions on my channel - if you can't find it just hit reply and I'll send it over.
If you're a visual learner and these written instructions didn't make sense for you, you can watch the video below that I just recorded last week. It runs you through the whole sequence so you can follow along :)