Navigating Postpartum Exercise and the Importance of Pelvic Floor Physiotherapy

The journey of pregnancy and childbirth is a transformative experience for any woman. While the focus during this time is primarily on the health of the baby, it’s crucial not to overlook the well-being of the mother, especially in the postpartum period. Returning to exercise after giving birth requires careful consideration and a gradual approach to ensure the body’s recovery, particularly when it comes to the pelvic floor. This blog post delves into the significance of pelvic floor health, the role of pelvic floor physiotherapy, and how to safely reintegrate exercise into your postpartum routine.

Understanding the Pelvic Floor
The pelvic floor is a group of muscles that form a supportive sling at the base of the pelvis. During pregnancy and childbirth, these muscles undergo substantial stress and stretching, leading to potential weakening. The pelvic floor plays a crucial role in maintaining core stability, controlling urinary and bowel functions, and supporting the uterus, bladder, and rectum. Neglecting its recovery can result in complications such as urinary incontinence, pelvic organ prolapse, and lower back pain.

 The Role of Pelvic Floor Physiotherapy
Pelvic floor physiotherapy is a specialised branch of physiotherapy that focuses on rehabilitating the pelvic floor muscles. This therapy is especially vital for postpartum women to aid in the recovery of muscle tone, strength, and flexibility. A trained pelvic floor physiotherapist can assess the condition of your pelvic floor muscles, develop a personalised treatment plan, and guide you through exercises that target these muscles effectively. These exercises often involve both relaxation and strengthening techniques, helping you regain control and confidence in your body.

 Safe Return to Exercise
After receiving medical clearance from your healthcare provider, reintroducing exercise into your routine can be incredibly beneficial for both physical and mental well-being. However, it’s essential to approach this process with caution and prioritise the recovery of your pelvic floor muscles: 

  1. Start Slowly: Begin with gentle exercises such as walking, deep breathing, and gentle stretches. Gradually progress to low-impact activities like swimming or stationary cycling.
  1. Focus on Core and Pelvic Floor Activation: Incorporate exercises that engage your core and pelvic floor muscles, such as Kegels and pelvic tilts. These exercises help reestablish muscle strength and control.
  1. Avoid High-Impact Activities: Steer clear of high-impact exercises like running, jumping, or heavy lifting in the initial stages. These activities can place additional strain on weakened pelvic floor muscles.
  1. Listen to Your Body: Pay close attention to any discomfort, pain, or signs of pelvic heaviness. If you experience these symptoms, it’s crucial to modify or stop the exercise and consult a pelvic floor physiotherapist.
  1. Stay Hydrated: Adequate hydration supports overall tissue recovery, including your pelvic floor muscles.
  1. Include Rest Days: Give your body ample time to recover between workouts to prevent overexertion.


Returning to exercise postpartum is a journey that requires patience, awareness, and a focus on holistic recovery. Prioritising pelvic floor health through pelvic floor physiotherapy and gradually reintroducing exercise can significantly contribute to your overall well-being. By taking the time to understand and care for your body during this transformative phase, you can set the foundation for long-term health and vitality. Always remember that seeking guidance from healthcare professionals, including pelvic floor physiotherapists, is an essential step in your postpartum fitness journey. If you have just had a baby and are looking to return to exercise, consider booking a consultation with our pelvic floor physiotherapist to help guide you along the way.  PH 07 38622322

Written By Karen Jamieson

Physiotherapist – Special interest Pelvic / Women’s Health

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