Pelvic Floor Therapy After Delivery: An Indian Physiotherapist's Backed Guide

By Dr. Shreya Karan|7 - 8 mins read| October 08, 2025

Bringing a baby into the world is beautiful, life-changing, and honestly? Pretty intense on the body. While everyone talks about getting back in shape after delivery, there's one crucial area that often gets overlooked. That is your pelvic floor. And here's something that might surprise you: studies show that 45-56.5% of Indian women experience pelvic floor dysfunction after childbirth. That's nearly half of all new mothers dealing with issues like leaking when they laugh, sneeze, or lift their baby.

The good news? Pelvic floor exercises postnatal can make a world of difference, and with growing awareness of pelvic physiotherapy in India, professional help is now more accessible than ever. 

Research from Indian hospitals shows an impressive 80% cure rate when women follow supervised exercise programs. Whether you had a vaginal delivery or cesarean, whether you're dealing with symptoms or just want to prevent them. This guide will walk you through everything you need to know about strengthening your pelvic floor after delivery.

Understanding Your Pelvic Floor

Pelvic physiotherapy in India has evolved significantly in recent years, with trained specialists now available in major cities to guide new mothers through proper recovery techniques.

Imagine your pelvic floor as a supportive hammock of muscles, gently holding up your bladder, uterus, and other organs. It's a vital part of your body's architecture, working quietly behind the scenes to keep everything in place.. These muscles work hard during pregnancy, stretching under the weight of your growing baby, and then go through even more stress during delivery. It is regardless of whether you delivered vaginally or via C-section.

When these muscles weaken, they can't do their job properly. This leads to common postpartum issues like urinary incontinence (that frustrating leaking), difficulty controlling bowel movements, a heavy feeling in the vaginal area, or even reduced sensation during intimacy. Unfortunately, many Indian women don't seek help due to cultural taboos or simply not knowing that effective solutions exist.

Common Pelvic Floor Problems After Delivery

In a recent study carried out in Chennai, researchers discovered that 58% of women with pelvic floor dysfunction reported urinary distress as their main concern. The most common issues include:

  • Stress urinary incontinence: You might notice leaking urine when you cough, sneeze, laugh, or lift something heavy.
  • Pelvic organ prolapse often feels like a heaviness or bulge in the pelvis, caused by organs moving downward from their normal position.
  • Reduced sexual satisfaction: Decreased sensation or discomfort during intercourse, which can affect your relationship and confidence

Several factors increase your risk, including vaginal delivery, having a larger baby, prolonged labor, and the use of forceps or a vacuum during delivery. But here's the empowering part: pelvic floor exercises postnatal can help prevent these issues or significantly improve them if they've already started.

When to Start Pelvic Floor Exercises Postnatal

One of the most common questions new mothers ask is: "When can I start?" Indian physiotherapists recommend a gradual approach:

  • Within 24-48 hours: You can begin gentle pelvic floor contractions if you feel comfortable and there's no excessive pain
  • First week: Start light exercises, focusing on awareness and gentle engagement
  • 4-6 weeks: After your postpartum checkup and doctor's clearance, you can begin more intensive exercises
  • 12-16 weeks: With proper assessment, you can progress to higher-impact activities

If you had a cesarean section, perineal tears, or an episiotomy, wait until your doctor confirms you've healed sufficiently before starting intensive exercises. The key is listening to your body. If something causes pain or heavy bleeding, stop and consult your healthcare provider.

Step-by-Step Guide to Pelvic Floor Exercises Postnatal

Finding Your Pelvic Floor Muscles

Before you start exercising, identify the right muscles to target. The simplest method is to imagine stopping the flow of urine midstream; the muscles you use are your pelvic floor muscles. However, only do this once as a test to locate the muscles, not as a regular exercise.

The Basic Exercise Routine

Indian physiotherapists recommend this evidence-based protocol that's helped thousands of women:

Long Squeezes (Building Endurance):

  1. Get comfortable—you can lie down, sit, or stand
  2. Squeeze and lift your pelvic floor muscles upward
  3. Hold for 5-10 seconds
  4. Relax for 5 seconds
  5. Repeat 3-4 times initially, building up to 10 repetitions
  6. Over 3-6 months, work toward holding for the full 10 seconds

Quick Flicks (For Sudden Pressure):

  1. Contract your pelvic floor muscles quickly and strongly
  2. Release immediately
  3. Perform 10 quick squeezes in a row
  4. These help prevent leaking when you cough, sneeze, or suddenly lift something

Daily Routine for Success

The secret to seeing results? Consistency. Try linking your exercises to daily activities—do one complete set every time you feed your baby. This simple trick helps you remember and ensures you're getting enough practice throughout the day.

Research indicates that you need at least eight weeks of consistent training to see significant improvements. By 6 months, you can reduce the daily maintenance set to one.

Common Mistakes to Avoid

  • Breathe normally throughout the exercise
  • Don't tighten your buttocks or thighs. Isolate just the pelvic floor muscles
  • Make sure not to skip the relaxation phase.
  • Don't push yourself too hard—quality matters more than quantity, especially when starting out

Advanced Options: Pelvic Physiotherapy in India

If you're not seeing improvement after 12 weeks or if your symptoms are severe, consider seeking pelvic physiotherapy in India. Specialized pelvic physiotherapists offer advanced treatments that have shown excellent results in clinical studies.

Major hospital chains, such as Rainbow Hospitals and Cloudnine, now offer women's health physiotherapy services in cities across India. Many centers offer online consultations, making expert guidance more accessible and convenient for all.

The difference between supervised and home exercises is significant. Studies show that women in supervised programs achieve an 80% cure rate compared to lower success rates with unsupervised exercise.

Integrating Exercises into Daily Life

Once you've mastered the basic technique, incorporate pelvic floor engagement into your everyday activities. Contract your pelvic floor muscles before lifting your baby, before coughing or sneezing, and during activities that put pressure on your abdomen.

Pay attention to your posture while feeding; sitting with proper alignment helps your pelvic floor function better. Do not engage in high-impact exercises, such as running or jumping. Until at least 12-16 weeks postpartum, and only after consulting with a physiotherapist.

The Evidence Behind the Exercises

You might be asking yourself if these exercises work. The evidence is persuasive: women who did pelvic floor exercises postnatal for 12 weeks had improved symptoms and quality of life. Additionally, studies show that these exercises enhance sexual function and effectively reduce the risk of urinary incontinence

International guidelines recommend performing contractions at close to maximum strength for at least 8 weeks to see optimal results. The key is gradual progression—start gently and build strength over time.

Final Thoughts

Recovery from giving birth is a process that requires time, yet Pelvic floor exercises postnatal after childbirth are among the best methods to restore your confidence and strength. The science supports it: regular practice of these exercises for a mere 8-12 weeks can markedly decrease urinary incontinence and pelvic organ prolapse, improve core strength, and sexual function.

Almost half of Indian mothers have pelvic floor dysfunction, but most of them suffer in silence. Don't forget, you don't need to do this by yourself. If symptoms last longer than three months or you prefer expert advice, pelvic physiotherapy in India provides expert treatment with guaranteed 80% success rates within supervised programs. Your body carried your baby and gave birth; now let's give your body the TLC it needs to heal appropriately.

Begin Your Complete Postpartum Recovery Here

Healing after childbirth goes beyond pelvic floor exercises; it's about tracking your entire wellness journey while caring for your newborn. TheParentZ makes it effortless.

With TheParentZ, you can:

  • Set personalized reminders for your daily pelvic floor exercises
  • Track your postpartum recovery symptoms and progress
  • Monitor your baby's feeding, sleep, and health milestones
  • Access 1000+ expert-backed articles on maternal and child health
  • Connect with a community of 2 million+ Indian parents

Whether you prefer our comprehensive website or the convenience of our mobile app, all your parenting and health tracking tools are just a click away.

FAQs

1. Can I do these exercises after a C-section?

Absolutely! All women benefit from pelvic floor exercises regardless of delivery method, as pregnancy itself affects these muscles.

2. How long before I see results?

Most women notice improvements within 8 to 12 weeks of consistent practice. Remember, it took nine months to stretch these muscles—give them time to recover.

3. Do these exercises help with intimacy?

Yes! Research shows that pelvic floor exercises improve sexual function and satisfaction in postpartum women.

References

  1. https://www.jneonatalsurg.com/index.php/jns/article/view/4479
  2. https://pmc.ncbi.nlm.nih.gov/articles/PMC11663252/
  3. https://pmc.ncbi.nlm.nih.gov/articles/PMC8336225

TheParentZ offers expert parenting tips & advice, along with tools for for tracking baby and child growth and development. Know more about Baby Growth and Development Tracker App.It serves as an online community for parents, providing valuable information on baby names, health, nutrition, activities, product reviews, childcare, child development and more

Dr. Shreya Karan is a dedicated oral and maxillofacial surgeon who brings over ten years of experience to her practice, combining surgical expertise with genuine care for her patients.

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The views, thoughts, and opinions expressed in this article/blog are solely those of the author and do not necessarily reflect the views of The ParentZ. Any omissions, errors, or inaccuracies are the responsibility of the author. The ParentZ assumes no liability or responsibility for any content presented. Always consult a qualified professional for specific advice related to parenting, health, or child development.

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