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Blog/Pregnancy/How To Strengthen The Pelvic Floor After Giving Birth?

Strengthening the pelvic floor after childbirth is crucial for recovering from the physical demands of pregnancy and labor (No matter how you birthed). The pelvic floor muscles provide support to your bladder, uterus, and bowel, and they play a vital role in maintaining continence, core stability, and sexual health. After giving birth, these muscles can be damaged or weakened, leading to issues like incontinence, prolapse, or discomfort during sex.

While general exercise and Pilates are excellent for overall fitness, they don’t specifically target the pelvic floor muscles. That's why it's essential to do a targeted pelvic floor muscle training (PFMT) program to effectively rebuild strength and function in these muscles.

PFMT involves consciously contracting and relaxing the pelvic floor muscles to improve their strength, endurance, and coordination. It should be a progressive approach, meaning that as your muscles get stronger, the exercises should be adjusted to continue challenging them and promoting further gains. This progression might involve:

- Increasing the duration and intensity of muscle contractions
- Adding resistance through specific positions
- Incorporating functional activities, like lifting or bending, to train the pelvic floor in more dynamic ways

Importance of a Physiotherapy Assessment

Every woman’s postnatal journey is unique. The state of your pelvic floor will depend on factors like the type of delivery, the presence of any tearing, or if there were interventions like forceps or vacuum delivery. Some women may have strong pelvic floor muscles that need more coordination training, while others may need to start with basic activation exercises due to significant muscle weakness. This is why having an assessment with a women’s health physiotherapist is so important.

Why Pilates Isn't Enough

While Pilates and other forms of exercise focus on core, posture, and general strength, they often do not adequately target the pelvic floor. Strengthening your core and abdominal muscles is essential, but without addressing the pelvic floor directly, they are a key aspect of your postnatal recovery.

That’s why a pelvic floor-focused training program is vital. It ensures that you rebuild the strength of these muscles and integrate them properly into your overall movement patterns. Whether you’re dealing with urinary leakage, pelvic pain, or simply want to restore strength, PFMT guided by a physiotherapist can make a huge difference in your recovery.

​If you need help with your pelvic floor muscle training program or your postnatal recovery, don’t hesitate to reach out or book a consultation for a personalized assessment and a tailored exercise plan.

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This is general information only and should not replace medical advice. Please book in with your medical or allied health professional for tailored advice.

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Lisa Moffatt

Physiotherapist - Women's and Pelvic Health

I believe every Aussie mum deserves the knowledge and tools to feel strong, confident, and in control of their body. Too often, women are told that issues like incontinence and postnatal pain are just “part of being a mum”—but that’s simply not true.

​I’m on a mission to break the silence around pelvic health by sharing my expertise for free, so mums can get the support they deserve. Through education, community, and open conversations, I want to empower women to take charge of their health and well-being.

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