The Pelvic Floor and Its Essential Function in Pregnancy, Birth and Postpartum

When it comes to pregnancy, birth, and postpartum, the pelvic floor is a powerhouse of support and function. As midwives, we often emphasize the importance of prenatal care, nutrition, and emotional well-being. However, the health of the pelvic floor is equally crucial, yet sometimes overlooked.

In our society, it’s become popular to consider doing exercises, like Kegels, with the mindset of needing to tighten or maintain the integrity of the pelvic floor and pubic muscles.

But in reality, it’s a combination of muscle integrity and strength with the ability to relax that allows a woman to experience the full functionality and benefit of a healthy pelvic floor.

Here's why a robust pelvic floor is essential during these transformative phases of a woman's life.

1. Supporting the Growing Uterus

During pregnancy, the uterus expands significantly to accommodate the growing baby, or babies. The pelvic floor muscles act as a supportive sling, holding the uterus and preventing it from descending into the vaginal canal. A strong pelvic floor that can still relax ensures that the baby remains in an optimal position, reducing the risk of complications.

2. Facilitating Childbirth

The elasticity and strength of the pelvic floor muscles play a pivotal role during childbirth. These muscles stretch and expand, release and soften, allowing the baby to pass through the birth canal. A well-toned pelvic floor can aid in smoother and potentially quicker deliveries, reducing the risk of prolonged labor or interventions. Interestingly, a pelvic floor that can adequately relax also facilitates childbirth. It’s in the contracting in strength and the release in relaxation that is responsible for the natural progression of birth.

3. Aiding in Postpartum Recovery

After childbirth, the pelvic floor muscles may be stretched and a bit weakened. A healthy pelvic floor can recover more quickly, reducing the risk of complications such as pelvic organ prolapse, where the pelvic organs drop due to weak supporting tissues. 

Achieving the harmony of strong pelvic floor muscles that can also adequately relax takes an awareness of the body that any woman can practice before and during pregnancy.

Here are Some Ways to Work on the Functionality of Your Pelvic Floor:

Diaphragmatic Breathing: Diaphragmatic breathing, also known as abdominal or belly breathing, is a breathing technique that emphasizes full oxygen exchange by engaging the diaphragm, a large muscle located horizontally between the thoracic and abdominal cavities. Proper use of the diaphragm during breathing promotes more efficient and effective oxygenation of the body and can have various health benefits.

Prenatal Yoga: Specific yoga poses can help strengthen and relax the pelvic floor, preparing it for childbirth and aiding in postpartum recovery.

Professional Guidance: Consider consulting a pelvic floor therapist or a midwife knowledgeable in this area. They can provide tailored advice and exercises.

Remember that the pelvic floor is a remarkable structure that plays a vital role during pregnancy, birth, and postpartum. By understanding its importance and taking steps to ensure its health, women can pave the way for a smoother pregnancy journey and a robust postpartum recovery.

If you're ready to consult with a pelvic floor physical therapist, reach out to us today for an appointment, and we'd be happy to make a recommendation and a referral!