Postpartum Physiotherapy Newcastle | Complete Pelvic Floor Recovery

For many women, the period after childbirth is a time of recovery and adjustment as the body heals and adapts to new physical demands. However, some women may continue to experience bladder and bowel difficulties, pelvic discomfort, or muscle weakness following delivery.

Pelvic floor conditions can occur in various forms after childbirth:

  • Leaking urine when coughing, sneezing, lifting, laughing or exercising
  • Difficulty controlling wind or sudden bowel urgency
  • Accidental loss of stool or soiling after using the toilet
  • Difficulty passing a bowel motion without adjusting position or using a finger for assistance
  • A feeling of heaviness or bulging in the vagina, which may indicate pelvic organ prolapse
  • Ongoing pain in the pelvic region or perineum

Myth: Problems after childbirth resolve on their own.
Fact: Many postpartum pelvic floor symptoms benefit greatly from early physiotherapy intervention and guided rehabilitation.

According to Van Delft et al. (2013), pelvic floor muscle strength remains significantly reduced for months following vaginal birth, emphasising the need for structured exercises and professional guidance. Up to 25% of women experience persistent urinary incontinence one year postpartum (Thom and Rortveit, 2010).

Management of pelvic floor conditions following childbirth includes:

  • Comprehensive review of your symptoms, medical history, and postpartum recovery
  • Physical assessment of pelvic floor muscle strength, endurance and healing of any tears or scars
  • Individualised pelvic floor muscle rehabilitation (Kegel exercises) and guidance on safe progression
  • Education on bladder and bowel habits, toileting positions and fluid management
  • Gentle reconditioning and graded return to general exercise and core strengthening
  • Treatment of related musculoskeletal conditions such as back or pelvic pain

Outcomes from treatment may include:

  • Improved strength, tone and function of pelvic floor muscles
  • Better bladder and bowel control
  • Reduced pelvic pain and improved comfort
  • Increased confidence returning to daily activities and exercise
  • Ongoing support and advice for continued recovery and wellbeing