Postpartum Pelvic Floor Exercises to Try for New Moms

Postpartum Pelvic Floor Exercises to Try for New Moms

Bringing a new life into the world is a beautiful journey, but it often takes a toll on a mother’s body, particularly the pelvic floor. The pelvic floor, a group of muscles that supports the bladder, uterus, and rectum, is significantly impacted during pregnancy and childbirth. Weak pelvic floor muscles can lead to various postpartum issues, such as urinary incontinence, pelvic pain, and lower back discomfort. Engaging in postpartum pelvic floor exercises is vital to recovery, helping new moms regain strength, stability, and confidence.

Why is Pelvic Floor Recovery Important?

Pelvic-perineal dysfunctions are among the most common conditions women face after pregnancy. Research suggests that 35 percent of new mothers experience urinary incontinence following childbirth, while 20 percent of first-time moms suffer severe pelvic floor muscle injuries after a normal pregnancy and delivery. Postpartum PFEs appear to be effective in decreasing postpartum urinary incontinence. Left untreated, these issues can worsen over time, leading to chronic pain, prolapse, and difficulties with daily activities. Incorporating targeted pelvic floor postpartum exercises into your recovery routine can reduce these risks and enhance overall well-being.

When to Start Postpartum Pelvic Floor Exercises

Timing is crucial in postpartum recovery. Most healthcare providers recommend starting gentle pelvic floor exercises, such as Kegels, within the first few days after delivery, provided no complications exist. However, high-impact or strenuous exercises should be avoided until cleared by a doctor, typically six to eight weeks postpartum. For women recovering from a cesarean section, additional precautions may be necessary.

Key Considerations Before Starting Postpartum Pelvic Floor Exercises

Before diving into postpartum core and pelvic floor exercises, consider these important factors:

  1. Consultation: Always consult with a healthcare provider or physical therapist, like the experts at Continuous Motion PT, to ensure your body is ready for exercise. They can provide personalized guidance tailored to your postpartum recovery needs.
  2. Listen to Your Body: If you feel pain or discomfort during any exercise, stop immediately and seek professional guidance. Pushing through pain can hinder recovery and lead to further complications.
  3. Breathing Matters: Incorporating diaphragmatic breathing into your routine helps relax the pelvic floor and improves oxygen flow to healing tissues. This technique also reduces tension and promotes overall relaxation.
  4. Consistency is Key: Gradual, consistent effort yields better results than overexertion. Aim for steady progress to build strength and avoid setbacks in your recovery.

Top Postpartum Pelvic Floor Exercises New Moms Can Try

Top Postpartum Pelvic Floor Exercises New Moms Can Try

Recovering your pelvic floor strength after childbirth is essential for restoring stability, bladder control, and overall well-being. These postpartum pelvic floor exercises are gentle, effective, and designed to help new moms regain strength and confidence.

Kegels

Kegels are the cornerstone of postpartum pelvic floor exercises. These involve contracting and relaxing the pelvic floor muscles, like stopping the flow of urine midstream.

  • How to Perform:  Sit or lie comfortably, ensuring you feel relaxed and supported. Contract your pelvic floor muscles as if stopping the flow of urine for 5 seconds, then release for another 5 seconds, repeating the process 10-15 times.
  • Benefits: This exercise strengthens the pelvic floor muscles, helping restore their function after childbirth. It also improves bladder control and reduces the risk of urinary incontinence.

Clamshell

The clamshell exercise strengthens the hips, glutes, and pelvic floor, promoting pelvic and lower back stability. This simple yet effective movement also helps improve alignment and support for daily activities.

  • How to Perform: Lie on your side with your knees bent and feet together, ensuring your body remains aligned. While keeping your feet touching, lift your top knee as high as comfortable, maintaining stacked hips, then lower it back down. Perform two sets of 10 repetitions on each side.
  • Benefits: This exercise strengthens the pelvic floor, glutes, and hips, improving overall stability and support. It also helps to alleviate tension and enhances posture during postpartum recovery.

Diaphragmatic Breathing

This deep breathing technique activates the diaphragm and pelvic floor, encouraging relaxation and reducing postpartum tension. It also supports core stability and improves circulation to aid in recovery.

  • How to Perform: Place one hand on your chest and the other on your abdomen, then inhale deeply through your nose, allowing your abdomen to expand as you breathe in and exhale slowly. Repeat this process for 5-10 minutes daily, focusing on steady, controlled breaths.
  • Benefits: Diaphragmatic breathing promotes relaxation, helping to release tension in the pelvic floor and surrounding muscles. It also enhances core stability, supporting postpartum recovery and overall well-being.

Isometric Lower Abdominal Contraction

This exercise targets the lower abdominal muscles, which are vital in supporting the pelvic floor. Strengthening these muscles helps improve core stability and enhances postpartum recovery.

  • How to Perform: Lie on your back with your knees bent and feet flat on the ground, ensuring a comfortable position. Slowly draw your belly button toward your spine, engaging your lower abdominal muscles without holding your breath, and hold the contraction for 5 seconds before relaxing. Repeat this movement 10 times for a full set.
  • Benefits: This exercise helps rebuild strength in the lower abdomen, which is crucial for postpartum core recovery. It also enhances pelvic stability, reducing strain on the lower back and promoting better posture.

Pec Stretch

This stretch helps release tension in the chest muscles, which often become tight from nursing or carrying your baby. It also improves posture and reduces upper body discomfort, common in postpartum mothers.

  • How to Perform: Stand in a doorway and place your forearms on the doorframe at shoulder height, keeping your elbows bent. Step forward with one foot until you feel a stretch across your chest, hold for 15-30 seconds, then return to the starting position. Repeat this stretch 3 times.
  • Benefits: This stretch helps improve posture by counteracting the forward shoulder position often caused by nursing or carrying a baby. It also alleviates upper body tension, promoting better mobility and comfort.

Pelvic Tilt

This exercise strengthens the lower back and abdominal muscles while activating the pelvic floor for added stability. It also helps relieve tension in the lower back, promoting better posture and comfort during postpartum recovery.

  • How to Perform: Lie on your back with your knees bent and feet flat on the floor, ensuring a neutral spine position. Slowly tilt your pelvis backward, pressing your lower back gently into the floor, and hold the position for 5 seconds before relaxing. Repeat this exercise 10-15 times.
  • Benefits: Pelvic tilts help relieve postpartum back pain by easing tension in the lower back muscles. They also enhance core stability, supporting better posture and overall recovery.

Tips for Safe and Effective Exercise

Tips for Safe and Effective Exercise

Ensuring safety and effectiveness in your postpartum exercise routine is crucial for optimal recovery. These tips will help you avoid injury, build strength gradually, and maximize the benefits of your efforts.

  • Begin with low-impact movements, gradually increasing intensity as your body heals.
  • Avoid exercises that put excessive pressure on the abdomen, such as crunches or sit-ups, especially in the early stages of recovery.
  • Stay hydrated and take breaks as needed.
  • Engage in exercises consistently, aiming for 3-4 sessions per week.

When to Seek Professional Help

If you experience persistent postpartum back pain, urinary incontinence, or a bulging sensation in your pelvic area, it’s essential to seek professional assistance. At Continuous Motion PT, our specialists are trained to address postpartum recovery challenges and offer personalized plans to help you regain strength and function.

Conclusion

Recovering from childbirth is a journey that requires patience, care, and dedication. Incorporating these postpartum pelvic floor exercises into your routine can strengthen your core, alleviate discomfort, and enhance your quality of life. Remember, every new mom’s recovery is unique, so listen to your body and seek professional guidance when needed. With time and effort, you’ll be on the path to a stronger, healthier postpartum self.

FAQs

When should you start pelvic floor exercises after birth?

If there are no complications, you can start gentle exercises like Kegels within days after delivery. Always consult your healthcare provider to confirm when it’s safe to begin.

How long does it take to regain the pelvic floor after birth?

Recovery varies, but with consistent pelvic floor exercises postpartum, many women see significant improvement within 6-12 weeks. Complete recovery may take several months, depending on individual circumstances.

What happens if you don’t do pelvic floor exercises after birth?

Neglecting pelvic floor exercises can lead to long-term issues, including urinary incontinence, pelvic organ prolapse, and chronic pain. Engaging in a proper postpartum recovery program can prevent these complications and support overall well-being.

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Dr. Cameron Moore

PT, DPT, FAAOMPT, CSCS, Dip. Osteopractic

Helping active people STAY active

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Dr. Kelsey Houston
PT, DPT, CERT. CN

Dr. Kelsey Houston is a dedicated and skilled physical therapist with a passion for promoting health and wellness. Originally from Damascus, OR, she pursued her graduate education in Arizona, earning a Doctor of Physical Therapy degree from Franklin Pierce University. Throughout her academic career, she honed a strong foundation in evidence-based clinical practice, patient-centered care, and rehabilitation techniques.

Dr. Houston also brings a background in athletics, particularly competitive soccer, which has fueled her dedication to sports rehabilitation and orthopedics. She earned a degree in Clinical Health Sciences from Portland State University, further deepening her knowledge of the human body and its movement mechanics. Her clinical experience spans a wide variety of settings, including outpatient clinics, hospitals, and rehabilitation centers, where she has worked with patients of all ages and backgrounds.

With a particular focus on orthopedics and sports rehabilitation, Dr. Houston is committed to helping patients recover from injuries, manage chronic conditions, and return to active lifestyles. She takes a patient-centered approach, using her expertise to help individuals improve their quality of life.

Outside of her professional work, Dr. Houston values maintaining an active lifestyle and enjoys hiking, running, and spending time with friends and family.

Dr. Kelseys Credentials 

  • Physical Therapist (PT)
  • Doctor of Physical Therapy (DPT)
  • Certified Dry Needling (Cert. DN)

Dr. Khristian McGinley, PT, DPT Cert. DN

therapy in pregnancy

Dr. Khristian McGinley, physical therapist, grew up here in Phoenix, as a competitive softball player with a longtime passion for health and wellness. After sustaining an elbow injury in high school and attending PT herself, she knew that she wanted to pursue a career helping people recover from injuries and getting back to doing what they love. She eventually received her B.S in Nutritional Sciences from the University of Arizona in 2013, then earned her Doctorate in Physical Therapy from Franklin Pierce University in 2017.

Dr. McGinley began her career with a passion in pediatrics and orthopedics, undergoing coursework to treat diagnoses such as torticollis, developmental delay, and toe walking. She also became certified in Dry Needling in 2017, and since then has been additionally trained in Dry Needling for Pelvic Rehabilitation. After the challenging birth of her first child, she developed a passion for treating the pregnant and postpartum population. She became specialty training in Pelvic Floor Rehabilitation in 2021 and since then has focused her practice on helping moms achieve pain free pregnancy, peaceful childbirth, and complete postpartum recovery. She specializes in diagnoses such as urinary incontinence, diastases recti, pelvic organ prolapse, and pelvic pain.

Outside of the clinic, Dr. McGinley enjoys hiking, running, camping, weight lifting, and playing slow pitch softball. She loves spending as much time as she can outside with her husband and two children.

Dr. Khristian McGinley’s Credentials:

  • ​Physical Therapist (PT)
  • Doctor of Physical Therapy (DPT)
  • Certified Dry Needling (Cert. DN)
  • Specialty-trained in Pelvic Floor Therapy

Renée Ruchala - CSCS

Renée Ruchala, Strength and Conditioning Specialist grew up in Chicago, IL. Growing up as a dancer, she developed a deep passion for fitness, sports, and health. After hitting a plateau in her ballet, she realized the benefits of strength training for dancers and all athletes. She knew she wanted to pursue a career in coaching athletes. 


She earned her Bachelor’s degree in Exercise Science from Grand Canyon University in 2023. Renée was a sports performance intern at the University of Utah, Arizona State University, and Grand Canyon University. She worked alongside collegiate strength and conditioning coaches with both men’s and women’s Olympic sports teams in the weight room. 


In addition to sports performance, Renée is also a professional dancer with the Arizona Rattlers Indoor Football Team and a Coach at F45 Training GSQ.


Renée’s Certifications:

  • Certified Strengthen and Condition Specialist (CSCS) 

Dr. Cameron Moore, PT, DPT, FAAOMPT, CSCS, Dip. Osteopractic

skilled thrapist

Dr. Cameron Moore, physical therapist and co-owner, has always been very active with sports and activities starting with competitive motocross racing up to a semi-professional level and being a scholarship athlete in track and field competing at the division 1 level in college at Eastern Washington University in the triple jump. Cameron became interested in the profession of physical therapy after having knee surgery in high school and seeing the inter-workings of the profession. He pursued his bachelors degree in Exercise Science before moving to Phoenix to earn his Doctor of Physical Therapy (DPT) from Franklin Pierce University.

He then began specialization courses for spinal manipulation (Spinal Manipulation Institute) and dry needling (Dry Needling Institute). This lead Cameron in to becoming a Fellow of the American Academy of Manual Physical Therapist (FAAOMPT) through the American Academy of Manipulative Therapy (AAMT) and earned a Diploma of Osteopractic®, a distinction and training that only a small percentage of physical therapist have completed.

Dr. Moore continues to be very involved with motocross riding, Crossfit®, Olympic weight lifting, running and an overall active lifestyle with his Wife (Michelle) and their Vizsla (Parker).

Dr. Cameron Moore’s Credentials

  • Doctor of Physical Therapy (DPT)
  • Certified in Dry Needling (Cert DN)
  • Certified in Spinal Manipulation (Cert SMT)
  • Certified Strength and Conditioning Specialist (CSCS)
  • Diploma in Osteopractic® (Dip Osteopractic)
  • Fellow Of The American Academy Of Manual Physical Therapist (FAAOMPT)
  • American Academy of Manipulative Therapy Fellow (AAMT)
  • Crossfit® Level 1 Certified (CF-L1)
  • Crossfit® Mobility Certified
  • USA Track and Field Level 1 Coach

Dr. Michelle Moore, PT, DPT FAAOMPT, Dip. Osteopractic

weightlifting in physical therapy

Dr. Michelle Moore, physical therapist and co-owner, grew up as a competitive gymnast and developed a passion for healthy living from a young age. Her collegiate studies in Health Education at the University of Wisconsin-La Crosse and athletic background influenced her to combine her passions and pursue a career in physical therapy. She earned a Doctorate in Physical Therapy from Franklin Pierce University in 2013.

Dr. Moore continued her educational pathway through the American Academy of Manipulative Therapy where she earned her Diploma Osteopractic® (Dip. Osteopractic) and became Certified in Dry Needling (Cert. DN), and Spinal Manipulative Therapy (Cert. SMT). From 2016-2017 Dr. Moore completed the rigorous coursework to become a Fellow of the American Academy of Orthopedic Manual Physical Therapy (FAAOMPT), a distinction held by only a fraction of the profession.

Dr. Moore’s special interests include treating active individuals and returning them to the activities that they love. In her spare time she enjoys Crossfit®, Olympic Weightlifting, mountain biking, hiking, and traveling with her husband, Cameron, and dog, Parker.

Dr. Michelle Moore’s Credentials:

  • ​Physical Therapist (PT)
  • Doctor of Physical Therapy (DPT)
  • Fellow of American Academy of Orthopedic Manual Physical Therapists (FAAOMPT)
  • Diploma in Osteopractic® (Dip. Osteopractic)
  • Certified Dry Needling (Cert. DN)
  • Certified Spinal Manipulative Therapy (Cert. SMT)
  • Crossfit® Mobility Certified