Post-Natal Pelvic Health Physiotherapy: What’s Involved and the Benefits
/Bringing a new life into the world is an incredible journey, yet a journey that can certainly take a toll on a mother’s body, particularly the pelvic region. Most women have up to 10-16kg extra weight by the time they reach the end of their third trimester (the weight of the baby, placenta, amniotic fluid, extra blood volume). This weight largely increases the pressure on the pelvic floor. Then, during childbirth, your pelvic floor muscles can stretch up to 3 times their length. Childbirth may involve a lengthy labour, instrumental births, and perineal tearing. This can leave a lasting effect on your pelvic floor. Post-natal pelvic health physiotherapy is essential for ensuring a smooth recovery and maintaining overall well-being. Let’s discuss what’s involved in a Post-Natal Physiotherapy assessment and the benefits it offers.
A post-natal women's health physiotherapy assessment is conducted by a specialized physiotherapist to evaluate the condition of a woman’s pelvic floor and related structures after childbirth. These checks typically include:
Pelvic Floor Muscle Assessment: Evaluating the strength, tone, coordination and function of the pelvic floor muscles, which may have been weakened or injured during pregnancy or childbirth.
Posture and Movement Assessment: Ensuring proper posture and alignment to prevent back pain or other musculoskeletal issues.
Abdominal Wall Examination: Checking for diastasis recti (separation of the abdominal muscles) and the integrity of the abdominal wall.
Bladder and Bowel Function Assessment: Addressing any issues related to incontinence or bowel movements.
Scar Tissue Evaluation: For those who had a C-section or episiotomy, assessing the healing and mobility of scar tissue.
Education and Guidance: Providing information on safe exercises, posture, and lifestyle modifications to support recovery.
Benefits of a post-natal women’s health physiotherapy assessment.
Improved Pelvic Floor Function: Strengthening and addressing any coordination/ tone issues of the pelvic floor muscles can prevent or reduce issues like urinary incontinence, pelvic organ prolapses, and sexual dysfunction.
Enhanced Core Stability: Addressing diastasis recti and improving core strength can alleviate back pain and enhance overall stability.
Scar Tissue Management: Proper assessment and treatment of scar tissue can enhance mobility and reduce discomfort.
Personalized Recovery Plan: Personalized advice and an exercise program can help new mothers recover safely and effectively, promoting long-term health and well-being.
When to Seek Help
It’s recommended to schedule a post-natal pelvic health assessment around six weeks after childbirth, but it’s never too late to seek help. If you’re experiencing symptoms like incontinence, pelvic pain, or discomfort during sexual intercourse, don’t hesitate to reach out to a women's health physiotherapist.
Conclusion
Postnatal pelvic health physiotherapy is a vital part of postpartum care, offering numerous benefits that support a mother’s recovery and long-term health. By addressing pelvic floor function, core stability, and more, working with a women's health physio will help new mothers regain their strength and confidence.
By Kathryn Melvin, APA Physiotherapist and Women’s Health Physio at Total Physiotherapy