Pelvic floor lengthening, not necessarily strengthening! Yes, you read that correctly!

The uterus is what pushes the baby out, not the pelvic floor. In fact, the pelvic floor needs to be able to stretch and recoil as the baby descends through the vaginal canal. Ideally, the pelvic floor can do this without tearing! Some ways to do this are targeted stretches of the pelvic floor, working on hip mobility in all planes of movement, performing external pelvic floor releases, and internal perineal massage if the patient and provider are comfortable.