A Healthy Bladder During and After Pregnancy


by Dr. Ayelet Connell & Dr. Joyce Chung-Quiros

For most pregnant woman, bladder control is a common topic. Outside of this circle of women, it is less commonly talked about, but it continues to be a challenge for many women, sometimes years after pregnancy. According to the National Association for Incontinence, urinary incontinence is twice as common in women as in men. For many women, maintaining a healthy bladder during and after pregnancy requires some extra resources.

Typical interventions, such as bladder lift surgery with mesh implants, are invasive. Many people are also treated with prescription medications. Physical Therapy is sometimes used, including massage, biofeedback, internal techniques, and strengthening with techniques like Kegel exercises to help strengthen the pelvic floor muscles. While many of these interventions are widely used to combat bladder control issues, they often provide limited success on their own.

Two non-invasive therapies to support a healthy bladder are provided in Greater Hartford.

Integrative Manual Therapy (IMT) for a Healthy Bladder is a gentle hands-on treatment that is practiced by many holistic physical therapists, massage therapists and body workers. During an IMT session, as part of a holistic approach, the therapist follows an assessment protocol to search for underlying causes that could be contributing to the bladder control problem. These could include joint or soft tissue dysfunction that affects the pelvis and bladder. The possible contributors to urination challenges are numerous and can include alignment of the low back and pelvic bones, flexibility of the spine, muscle spasms in the pelvic diaphragm, fascia tension or scarring and nerve function. The IMT therapist uses gentle techniques on the outside of the body to improve mobility of the sacroiliac joints, the sacrum and the lumbar spine and to relieve muscle spasm and fascial tightness in the pelvis. When the joints are aligned and mobile, and the muscle tone is improved, there is more potential for the bladder to function normally. It is also possible to address bowel issues with a similar assessment process.

The Webster Technique for Prenatal Care and After Pregnancy is a specific chiropractic protocol of sacral adjustments that was developed as a safe way to restore pelvic health. It was developed to improve the comfort of the mother throughout the pregnancy in preparation for a safer and easier birth. Clinical studies have shown that results of these gentle adjustments appear to normalize alignment of the pelvis and support optimal baby positioning in the womb. By creating a healthier position for the baby, pressures on the pelvic organs (including the bladder) can become more normal. The Webster Technique requires special training and is practiced by chiropractors who are certified in the approach.

Ayelet Connell-Giammatteo, PhD, PT, IMT, C is the owner of Integrative Wellness & Physical Therapy (IW&PT), a wellness center in Bloomfield, specializing in using holistic and advanced Physical Therapy, Manual Therapy and comprehensive nutritional wellness. Joyce Chung-Quiros is a Doctor of Chiropractic and practices Acupuncture at IW&PT. She is an active member of the International Chiropractic Pediatric Association and is a certified practitioner in the Webster Technique. To learn more or book an appointment, call 860-519-1916 or visit


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