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The Benefits of Pelvic Floor Therapy Postpartum



Welcoming a new baby into the world is a life-changing experience—physically, emotionally, and mentally. But what often gets less attention is the healing process a woman’s body must undergo after childbirth. Among the most overlooked yet vital areas is the pelvic floor.


Pelvic floor physical therapy (PFPT) is an evidence-based approach to help new mothers recover from pregnancy and delivery, and research supports its effectiveness in improving quality of life after birth. A meta-analysis by Bo et al. (2017) concluded that PFPT significantly reduces urinary incontinence and pelvic pain in postpartum women.


Why the Pelvic Floor Matters Postpartum

The pelvic floor is a hammock of muscles that supports the bladder, uterus, and rectum. During pregnancy and childbirth, this structure undergoes immense strain. Whether you delivered vaginally or via C-section, your pelvic floor is affected.

Common postpartum issues include:

  • Urinary incontinence

  • Pelvic organ prolapse

  • Perineal pain or scarring

  • Pain during intimacy

  • Core weakness or diastasis recti

  • Constipation or bowel dysfunction

These issues aren’t just "part of being a mom" — they are signs your body needs recovery and rehabilitation, not resignation. According to a 2019 cohort study in BMC Women’s Health, more than 65% of postpartum women reported moderate-to-severe pelvic floor dysfunction in the first year after childbirth.

In a 2021 clinical trial, PFPT was shown to improve continence, reduce pelvic pain, and enhance quality of life significantly more than self-guided rehabilitation methods alone.


The Healing Power of Pelvic Floor Therapy

Pelvic floor therapy can begin as early as 6 weeks postpartum (with clearance from your OB/GYN). Treatment is tailored to your body and may include:

  • Gentle internal and external manual therapy

  • Core stabilization and diaphragmatic breathing techniques

  • Scar tissue mobilization (especially after C-section or perineal tears)

  • Postural re-education and lifting mechanics

  • Functional movement retraining to support daily motherhood activities


Case Study: Healing After Vaginal Delivery

Sarah, a 34-year-old first-time mom, came to us with intense pelvic pressure, urinary leakage, and a sense of heaviness that worsened by the end of each day. After a prolonged vaginal delivery involving vacuum assistance, she felt disconnected from her body.

Within 8 sessions, Sarah reported:

  • 90% improvement in pelvic pressure

  • Complete resolution of urinary incontinence

  • Enhanced confidence in lifting and carrying her baby

  • Renewed intimacy with her partner without fear or discomfort

Her individualized care plan included myofascial release, pelvic floor relaxation and coordination training, breathwork, and core reintegration exercises. Her journey is one of many success stories showing that the right care can restore function and quality of life.


Emotional and Mental Health Benefits

Healing the pelvic floor often brings emotional relief, too. Many women feel more connected to their bodies, more confident, and more prepared for the demands of motherhood. A randomized controlled trial in Physiotherapy (2020) showed that women undergoing PFPT had lower scores in postpartum depression and anxiety.

Physical healing promotes mental clarity. When the body feels strong and pain-free, new parents can focus on bonding with their baby and rediscovering their own identity post-birth.


Additional Evidence: Scar Healing and Cesarean Recovery

A 2022 study in the Journal of Obstetric, Gynecologic, and Neonatal Nursing showed that postpartum PT, including scar mobilization and core retraining, significantly improves recovery from cesarean section surgeries. Participants reported improved abdominal strength, reduced scar adhesions, and a smoother return to functional movement.


Who Should Seek Postpartum Pelvic PT?

Any new parent experiencing discomfort, pain, or dysfunction can benefit. You don’t have to wait for symptoms to become severe. Early intervention can help prevent long-term issues. Even asymptomatic individuals can benefit from preventive care to promote healing and improve postpartum wellness.


At Pelvic Elements, premium pelvic floor physical therapy clinics in Warren and Millburn, NJ, we provide compassionate, individualized care grounded in the latest research. Our mission is to support your recovery so you can thrive in motherhood—not just survive it.



 
 
 

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About Dr. Bhavti Soni 

Founder & CEO, Pelvic Health Specialist

Dr. Soni is a pelvic health expert and has been practicing pelvic physical therapy since 12 years and has been a PT since 15 years. She has extensive education in pelvic health and has been  part of expert panels, global conferences and pelvic health courses where she teaches other Pelvic PTs.  She worked in New York City with leading pelvic pain specialists for 4 years before moving to NJ in 2018 to raise a family and started her own premier Pelvic PT practice. She lives with her husband and 3 year old son.

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