Musculoskeletal System Changes Seen in Pregnancy

In order to prepare the best environment for the baby, many physiological and
endocrine changes occur in the mother’s body during pregnancy.
The forward protrusion of the belly is a condition that we often see in
pregnancy with too much increase in the waist curve and the scruffy gait. As
the baby grows in the womb, the change in the position of the uterus causes a
change in the mother’s center of gravity. This results in an increase in the waist
curve of the mother.
In addition, as a continuation of this mechanism, the mother’s neck also bends
forward. Again, the forward rolling seen on the shoulders may cause hand
Even if women do not have any complaints after birth, ensuring the postural
stabilization of the body and working the diaphragm correctly increases the

postpartum recovery rate of the mother and prevents the problems she may
experience in the future.
In addition, the increase in breast volume of the pregnant woman over time
causes the deterioration of the posture.
Due to these changes, the muscles and ligaments are overloaded to ensure the
stabilization of the musculoskeletal system. This is why low back pain is often
seen in pregnant women.
In the early stages of pregnancy, there is an increase in the laxity of the
ligaments due to the secretion of estrogen and/or relaxin hormone. The
increase in joint mobility and the decrease in the stabilization of the pelvis also
cause sparse gait in the pregnant woman.
In this period, diaphragmatic breathing and postural stabilization studies are
performed towards the mother. Relaxation exercises are necessarily added to
the program. Pelvic floor rehabilitation should be performed for both
pregnancy and the post-pregnancy period.