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Physiotherapy Maternity - Postnatal


Postnatal Care - Our Pelvic Floor Pathway

During pregnancy and childbirth, your pelvic floor muscles which support the pelvic organs and help to maintain continence, are stretched and may become damaged. This can leave the muscles very weak and cause some women to leak urine when they sneeze, cough, lift, or when exercising. Some women may also experience other bladder or bowel symptoms. It is very important that you strengthen weakened pelvic floor muscles after having your baby, as they provide support to the pelvic organs and help to prevent any leakage.
Pelvic floor exercises are aimed at improving the strength of your pelvic floor muscles and therefore help to reduce the risk of potential problems arising.
As part of our support services, women who have either had:
  • a third degree tear
  • a fourth degree tear
  • a baby weighing more than 4.5kg (10 lbs) after a vaginal delivery
  • problems with their bladder or bowels
are routinely referred to the women’s health physiotherapy service.
If you are unsure if you have been referred to physiotherapy please speak to your midwife.
If following discharge from hospital you feel that you are symptomatic of any bladder or bowel issues please do not hesitate to speak to your midwife, health visitor or GP and get yourself referred to physiotherapy.
If you have had an obstetric related injury the MASIC charity has some useful information

If you have a perineal scar whether this is from a tear or an episiotomy and have found this uncomfortable you may benefit from doing perineal scar massage. Information regarding this can be found on these information slides here


Here is some information that you may find helpful after the birth of your baby: