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Pregnancy, Performance & Chiropractic: A Trimester-by-Trimester Guide

Written by Team Performx | September 2025

Pregnancy is one of the most demanding physical events your body will ever go through — and it doesn’t come with a playbook. Each trimester brings unique changes, challenges, and opportunities to prepare your body for birth and recovery.

At Performx in Independence, Oregon, Dr. Emily Kreifels specializes in prenatal chiropractic care that helps moms-to-be in Monmouth, Salem, and across the Willamette Valley stay comfortable, active, and strong throughout pregnancy. Here’s a breakdown of what’s happening in your body during each trimester — and how chiropractic care can help.

First Trimester: Foundation & Adaptation

What’s happening:

  • Hormonal changes loosen ligaments and shift joint stability.

  • Fatigue and nausea often limit activity.

  • Early postural changes start as your body adapts.

How chiropractic helps:

  • Gentle adjustments restore alignment and minimize early aches.

  • Keeping the pelvis balanced reduces stress on the low back and hips.

  • Early care sets a foundation for smoother transitions in later trimesters.

Second Trimester: Growth & Posture Shifts

What’s happening:

  • Your belly begins to show, changing your center of gravity.

  • The curve in your low back increases, often leading to back pain.

  • Round ligament tension can cause sharp, pulling discomfort.

How chiropractic helps:

  • Relieves low back and hip pressure as posture shifts.

  • Reduces round ligament tension and pelvic discomfort.

  • Improves mobility, helping you stay active and continue exercising safely.

Third Trimester: Preparing for Birth

What’s happening:

  • Baby drops lower, increasing pelvic pressure.

  • Joints are looser, balance is challenged, and movement feels harder.

  • Discomfort in the back, hips, and pelvis peaks.

How chiropractic helps:

  • Keeps the pelvis balanced, which supports optimal baby positioning.

  • Reduces back, hip, and sciatic pain that can spike late in pregnancy.

  • Prepares the body for labor by improving alignment and movement capacity.

Right Before Birth: Setting Up for Success

What’s happening:

  • Your body is gearing up for the marathon of labor.

  • Positioning and pelvic alignment matter more than ever.

How chiropractic helps:

  • A balanced pelvis gives baby the best chance to be in an optimal position.

  • Reduces tension in muscles and ligaments that could make labor harder.

  • Helps moms go into birth with less pain, more mobility, and a stronger foundation for recovery.

Beyond Birth: The Fourth Trimester

Pregnancy doesn’t end at delivery — your body continues adapting as you heal, feed, and care for your baby. Chiropractic care supports postpartum recovery by addressing lingering pelvic changes, reducing pain from feeding/holding positions, and helping moms return to exercise safely.

Why Performx?

At Performx, we know pregnancy is an athletic event. Our outcome-focused approach means prenatal chiropractic isn’t just about short-term pain relief — it’s about keeping you active, preparing you for a smoother delivery, and setting up your recovery.

📍 Located in Independence, Oregon, we’re proud to serve families from Monmouth, Salem, and throughout the Willamette Valley.

👉 Ready to feel strong and supported through every stage of pregnancy? Book a Discovery Call today!