Pelvic floor physiotherapy in the postpartum period: beyond the Kegels

Postpartum woman performing pelvic floor recovery exercises with professional accompaniment at Ginelux.

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The postpartum period is a time of great physical and emotional changes. After pregnancy and childbirth, many women notice new sensations in their bodies: abdominal weakness, discomfort in the pelvic area, changes in posture or insecurity when resuming certain activities. However, this is not always clearly discussed.

In this article we approach postpartum pelvic floor physiotherapy from a realistic and respectful approach, explaining why recovery goes far beyond Kegel exercises and how a professional accompaniment can help you recover your abdomen and pelvic floor after giving birth in Gran Canaria or in your city of residence.

What happens in the body after childbirth?

During pregnancy, a woman's body adapts to make room for the baby. The abdomen, pelvic floor, breathing and posture progressively change. After delivery, these changes do not disappear immediately.

Whether the delivery was vaginal or cesarean, the body needs time and support to reorganize. It is common to feel abdominal weakness, lack of control in certain movements, lumbar discomfort or changes in the pelvic area.

Understanding these changes is the first step to a conscious and respectful recovery.

The pelvic floor in the postpartum period: a key part of the postpartum period

The pelvic floor is a set of muscles and tissues that support organs such as the bladder, uterus and rectum. During pregnancy and childbirth, this area bears a heavy load, which can affect its functionality.

In the postpartum period, the pelvic floor may become weak, uncoordinated or, in some cases, excessively tense. These changes do not always manifest themselves with clear symptoms, but they can influence well-being in the medium and long term.

Therefore, pelvic floor physiotherapy in the postpartum period is not only focused on “strengthening”, but also on assessing how this area works and accompanying your recovery in an individualized way.

Beyond Kegels: why they are not always enough

Kegel exercises are popularly known as the solution to recover the pelvic floor after childbirth. However, not all women need the same thing at the same time.

Performing Kegels without a prior assessment by a midwife or gynecologist may not be appropriate in some cases. There are women who have a pelvic floor with excess tension, others who need to work on coordination with breathing or integrate the movement globally.

Pelvic floor physiotherapy goes beyond isolated exercises. It includes assessment, body education and progressive work that takes into account the whole body.

The abdomen after pregnancy: diastasis and functional recovery

During pregnancy, the abdominal muscles adapt to allow for the growing uterus. After delivery, there is often a separation between the rectus abdominis, known as diastasis.

Abdominal recovery is not only about “closing” that separation, but also about recovering proper abdominal function in relation to breathing, posture and pelvic floor.

Therefore, abdomen and pelvic floor should be worked together, respecting the body's time and avoiding exercises that may generate more pressure or discomfort.

What does pelvic floor physiotherapy provide in the postpartum period?

Pelvic floor physiotherapy in the postpartum period offers professional support based on individual assessment. Not all women start from the same point or have the same needs.

This approach may include:

  • Pelvic floor and abdominal musculature assessment
  • Breathing and postural work
  • Exercises adapted to each stage of the postpartum period
  • Body education for everyday life
  • Progressive and safe integration of movement

The goal of a midwife or other pelvic floor specialist is not to accelerate recovery, but to accompany it in a conscious and respectful way.

When to seek pelvic floor physiotherapy after childbirth?

It is not necessary to wait to have a specific symptom to consult. Many women come to pelvic floor physiotherapy in Las Palmas, Telde or in their city of residence simply to understand what is happening in their body and how to take care of it after childbirth.

It is advisable to consult at a midwifery appointment if:

  • You notice abdominal weakness or a feeling of instability.
  • You have discomfort in the pelvic or lumbar area.
  • You feel insecure about resuming exercise or daily activities.
  • You want to prevent problems in the medium or long term

The role of the midwife in the postpartum and recovery period

Postpartum recovery is not only physical. The midwife plays a fundamental role in the emotional and educational accompaniment of each woman during this stage.

Having a midwife in Telde, a midwife in Las Palmas or a midwife in your city of residence allows to solve doubts, normalize feelings and feel accompanied at a time of great adaptation.

At Ginelux, the midwife Marta Santana Robaina accompanies women during pregnancy and postpartum from a close, respectful and coordinated approach with other professionals such as physiotherapy.

Maternal-Child Unit and postpartum recovery

Recovery after childbirth benefits from an integrated approach, where different professionals work in a coordinated manner. Pelvic floor physiotherapy, midwifery and emotional support are all part of the same process.

In this Instagram post you can learn how we work from the Ginelux Maternal and Child Unit and the approach with which we accompany families:

Pelvic floor physiotherapy in Gran Canaria: close accompaniment

Access to pelvic floor physiotherapy in Gran Canaria allows many women to have a close accompaniment, adapted to their reality and without long journeys.

At Ginelux, the approach is based on respect for the body's time, active listening and education, offering a safe space to take care of the abdomen and pelvic floor after childbirth. For more information or questions regarding postpartum recovery, you can to contact the Ginelux team through the contact form.

Frequently asked questions about pelvic floor physiotherapy in the postpartum period

Do all women need pelvic floor physiotherapy after childbirth?

Not all, but many can benefit from an assessment to understand how their body is doing after pregnancy and childbirth.

Can pelvic floor physiotherapy be combined with midwifery follow-up?

Yes, the coordinated work between midwife and physiotherapist favors a more conscious and accompanied recovery.

Does pelvic floor physiotherapy work even if I have no symptoms?

Yes, many women seek preventive care for their long-term health.

Does pelvic floor physiotherapy hurt?

It should not hurt. The work is tailored to each woman and is performed in a respectful manner.

When can physical therapy be started after giving birth?

It depends on each case. In general, an individualized assessment is recommended to adapt the timing and type of work.
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