Overview
The only evidence-based guide to preparing your body for birth from a leading pelvic floor expert.
One in three women leave the delivery room with a pelvic floor injury, and up to 85% of those injuries go undiagnosed. Most pregnancy books focus almost entirely on the baby, leaving mothers with little guidance on protecting their own bodies. The Down There Doc's Guide to Preparing for Birth changes that. Dr. Marcy Crouch, PT, DPT, WCS, is a pelvic floor physical therapist with more than 17 years of experience working with pregnant and postpartum women. She delivers the honest, science-backed preparation that most providers simply don't have time to cover.
At the center of The Down There Doc's Guide to Preparing for Birth is Dr. Crouch's 3P System: Perineal Massage, Push Prep, and Practice Like You Play. Each pillar is evidence-based and clinically tested, designed to help you protect your body before labor, push more effectively when it matters, and recover more fully afterward.
Inside, you'll find:
- Step-by-step instructions for perineal massage, push breathing, and labor rehearsal so your body knows what to do when it counts
- Clear, science-backed explanations of what happens during labor and delivery, including tearing, prolapse, and pelvic floor trauma
- Trimester-by-trimester guidance on mobility, posture, and motor control, grounded in physical therapy principles
- Questions to ask your care team, red flags to watch for, and scripts to help you advocate for yourself in the delivery room
- Checklists, product recommendations, and a downloadable companion guide covering birth bag essentials, postpartum recovery, and provider conversations
The Down There Doc's Guide to Preparing for Birth is written for expectant mothers who want to understand their bodies, prevent injury, and walk into labor prepared. It's equally valuable for birth partners ready to show up with purpose, and for birth professionals, including doulas, midwives, OB/GYNs, and pelvic floor physical therapists, seeking a credible, prevention-first resource to recommend.
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