Pelvic floor problems

Pelvic floor problems after childbirth: A delicate topic worth discussing

The pelvic floor is a complex of muscles, ligaments, and tissues that forms a kind of "hammock" at the base of the pelvis. It supports the bladder, uterus, and intestines, and also controls urination and defecation. Pregnancy and childbirth are a huge challenge for these muscles, often leading to their weakening and various problems.

Impact of pregnancy and childbirth

During the nine months, the pelvic floor muscles endured the constantly increasing weight of the uterus and baby. During vaginal delivery they undergo maximal stretching to allow the baby to pass. All this can lead to weakening, stretching, or even injury.

Most common problems

• Urinary incontinence: Leakage of urine when coughing, sneezing, or physical exertion. This is the most common problem, caused by weakening of the urethral sphincter.
• Pelvic organ prolapse: A condition where the uterus, bladder, or rectum "sag" and descend below their normal position.
• Pain in the pelvis: May be related to muscle or nerve injury.
• Reduced sensitivity during sex.

Recovery and prevention

The best method for recovery and prevention of pelvic floor problems is Kegel exercises. These are isolated contractions of the pelvic floor muscles. It is important to perform them correctly and regularly, starting a few days after childbirth (after consulting a doctor).

If the problems are significant, it is advisable to consult a specialized physiotherapist who works on pelvic floor rehabilitation. Read about general physical recovery in our guide.