My Services

Women who desire convenient, in-home pelvic floor physical therapy services. Care without the stress of ever having to leave the home.

Women who desire a comforting in office experience that is a safe space to bring your kiddo(s) and surrounded by like-minded holistic care providers.

Virtual visits may be a suitable option depending on your circumstance and will be discussed further with Dr. Kirstein first.

• We begin with a comprehensive evaluation to find any factors that may being contributing to body imbalance, aches/pains or dysfunction. This will include assessment of bowel, bladder and sexual concerns.

• Together, we develop a treatment plan to address body imbalance, aches and pains, and any bowel, bladder and sexual health concerns to help you thrive in pregnancy and have a smoother birth and postpartum recovery.

• During pregnancy, this may also include learning proper breathing mechanics, proper push mechanics, perineal tear reduction and push positioning.

• During postpartum, this may also include body mechanics during feeding and bending/lifting, baby wearing, vaginal and cesarean tissue healing, core coordination, return to pain-free intercourse, return to and thriving with exercise, and any other goals you may have.

From a physical therapy standpoint, birth prep is assisting your body in finding balance and giving you physical tools and information to improve labor, birth and postpartum outcomes. Goals include but are not limited to: reducing aches/pains for physical preparation, assisting baby to get into proper positioning, shortening length of labor, protecting your perineum, and reducing postpartum comorbidities such as leaking, prolapse, diastasis recti, tearing, etc.

Care beginning in pregnancy allows for easier access to early postpartum care to facilitate recovery.

Pre-conception, you don’t have to be already pregnant to be seen for care! SO MUCH can be done to prepare your body ahead of time.

During pregnancy, it is typically easiest to get started during the second trimester, but as soon as you as possible is ideal to decrease overwhelm. Care during pregnancy, often leads improved labor and postpartum outcomes. You can expect approximately 2-6 sessions depending on your needs and goals.

Postpartum, I suggest an appointment within the first 3 weeks (ideally in the first couple of days) with ongoing follow-ups at a pace that works best for you. It is never too late to get started. Typical recommendation for follow-ups is every 2-4 weeks and number of sessions depends on your needs and goals.

My birth essentials class is all things actionable and hands-on. You may want to choose this class if you already have the knowledge base surrounding childbirth, but instead want to know what to DO before and during labor with confidence. This class is great for dads to feel like they are able to contribute to the process in a meaningful way.

My goal is to make sure you AND your support person feel actively prepared for birth and confident in the process! This class will have heavy emphasis on how to move through the process TOGETHER. This course will have special considerations for protecting the pelvic floor throughout. It will not include any information on interventions, decision making, or extensive postpartum considerations (outside of pelvic floor recovery). If you desire to learn this information, please consider taking the comprehensive childbirth education course which includes all of the information found in this functional course. 

• Understand how your pelvis and baby’s position influence labor

• Recognize the signs and stages of labor 

• Recognize contractions and know what to do as labor progresses

• Use movement and positioning to support labor progress

• Breathe effectively during contractions and pushing 

• Work as a team with your support person using hands on comfort-measures

• Push with strategies that support the pelvic floor and perineum

• Prepare mentally and physically for birth with a clear plan to practice at home

• Know the impacts on the pelvic floor, postpartum expectations, and when physical therapy is indicated.

• A schedule to follow including all tools learned in class to assist in preparation.

• Handouts will be given to reference all materials learned in class

Ideally in the second trimester to have adequate time to prepare, but can be any time.

My comprehensive class is well… comprehensive! It includes everything from the functional class plus how things work, interventions, decision making, what to expect, postpartum considerations, etc. This course is for you and one support person to learn how to navigate this season together. Emphasis will be on fear reduction, informed consent, partner support and realistic expectations. You may want to choose this class if you are first-time parent(s) or you are second plus parent(s) and you felt uninformed and unsupported with your prior experiences. I will to tailor these classes to your specific needs to reduce overwhelm and prioritize nervous system regulation.

This course is composed of 4 classes

• Classes 1, 2 and 4 are virtual and 1.5-2 hours in length.

• Class 3 is in home and 2-3 hours in length. This is similar to the functional class. Shorter in duration as some of the components are spread to the other classes.

• Class 1: Understanding Labor - signs of labor, timing contractions, stages and phases - what to expect/do, when to move to birth space, proper breathing, push prep, perineal tear reduction, mental prep, etc.

• Class 2: Interventions and Making Decisions - routine interventions, pain management options, induction and cesarean considerations, how to advocate, what to ask, etc.

• Class 3: Positions, Movements, and Comfort Measures - optimal position of baby, how baby navigates the pelvis, movement during labor, push positions, regular exercise routine, restful position practice, hands on partner support, etc.

• Class 4: Postpartum - interventions and making decisions for mom and baby, healing, mental health, basics of nutrition and exercise, newborn expectations, infant sleep, breastfeeding basics, relationship expectations, etc.

• You will be given a virtual booklet to follow along with and handouts after each class with information learned.

Ideally in the second trimester to have adequate time to prepare, but can be any time!