Preparing for childbirth

Kegel exercises are designed to strengthen the pelvic floor muscles. These exercises prepare you for childbirth, promote healing after childbirth, improve bladder control, improve your sex life and correct certain vulvar or vaginal pain problems.

 Kegel exercises (PDF)

Perineal massage is a technique for increasing the elasticity and tone of perineal tissue in preparation for childbirth. Massaging the perineum daily for the last six weeks of pregnancy may help to avoid an episiotomy, and prevent or minimize tearing.

 Perineal massage (PDF)

• en Español (PDF)

As you near the end of your pregnancy, you are likely to experience some normal discomforts that signal your baby is growing and your delivery time is near. These discomforts (backache, fatigue, constipation, leg cramps) usually can be managed at home.

Some types of discomfort may not be normal, however, and need medical attention. Be alert to these signs and call your doctor, nurse practitioner or certified nurse-midwife if you experience them.

• Vaginal bleeding
• Rapid weight gain of a pound or more in one day
• Severe swelling in your hands or face
• Blurred vision or spots before your eyes
• Constant, severe headache that does not go away with medication that is safe to use during pregnancy, such as acetaminophen (Tylenol®)
• Persistent vomiting or diarrhea
• Frequent, urgent urination with little urine output
• Burning sensation with urination
• Fever
• Cloudy urine
• Sudden flow of fluid from your vagina
• Noticeable change in fetal activity
• Any signs of preterm labor