There are three muscles that take the brunt of the stress from pregnancy: the uterus (which is a group of muscles), the rectus abdominis (six pack), and the pelvic floor. It takes the uterus approximately 6-8 weeks to return to it’s normal pre-pregnancy size after the baby is born. We addressed the rectus abdominis in my last post regarding Diastasis Recti.
The pelvic floor muscles are like a sling or hammock that attaches to your pelvic bone and your tail bone. Having a week pelvic floor is not an uncommon thing even in those who have never been pregnant. In fact, men can have problems with their pelvic floor.
Your pelvic floor holds in your uterus, bladder and bowl. Only bladder and bowl in men obviously. Having a strong pelvic floor is important for both pregnant and non-pregnant people. The main symptom of a weak pelvic floor is incontinence or urine leaking, especially, when you cough, sneeze, laugh or during running. You can also have feces leak, but that’s less common. Because this is so common among women, many think it’s normal, but it’s not.
An even more serious issue than leakage is prolapse, which is when one of your organs falls down into your vagina. prolapse has to be corrected with surgery.
Having a strong pelvic floor during pregnancy is obviously important because it holds your uterus inside your pelvis. You should begin doing pelvic floor exercises as soon as you know you are pregnant. In fact, everyone should do them, especially, runners because we can stress our pelvic floor every time we run.
So what are some pelvic floor exercises? First you have to be able to isolate those muscles. The best way to figure out if you are flexing the pelvic floor is to stop the flow of urine. Kegel exercises are the most recommended pelvic floor exercise. A kegel is done by flexing the pelvic floor. Men identify the pelvic floor and do kegels in the same way as women. If you can’t feel your pelvic floor (not unusual after childbirth), use visualization.
You should be doing kegels three times a day, at least. You want to do ten repetitions of two types. First, pull your pelvic floor up and hold for ten seconds, then release for ten seconds. You can shorten the time between each as you get stronger. The second is to flex and release 2 seconds up and 2 seconds relaxed.
Other exercises that work your pelvic floor are:
- hover: sit on your heels with your knees apart rise up and pull your pelvic floor up.
- split squats
- wall sits
- elevator: pull your pelvic floor up halfway and hold it for 3-5 seconds and then pull it in as much as you can. Release in the same way.
Begin with ten repetitions and two sets. Do these three to four times a week.
When doing pelvic floor exercises it’s important to coordinate with your diaphragm and your rectus abdominus. You should be using your diaphragm to breathe. To make sure you are, lay on your back and place one hand right at the bottom of your ribs and the other hand on your chest. As you inhale it should begin in the bottom of your ribs not in your chest.
You should be relaxing your pelvic floor with each inhalation and contracting your pelvic floor with each exhalation.
You can begin doing kegels a few days after your child being born. If you have stitches you may have to wait a little longer if they cause any pain.
Pelvic floor exercises should be done in a variety of positions including laying down, sitting and standing.