Schwangerschaft

Pelvic floor training made easy: Your way to more strength after childbirth

Eine Frau mit Babybauch sitzt in Sportkleidung auf einer Yogamatte. Es symbolisiert Beckenbodentraining.


Key Takeaways

  • Pelvic floor training is essential, especially after childbirth, to promote the health and stability of the body.
  • The pelvic floor, a network of muscles and connective tissue, supports the organs, improves posture and helps to prevent bladder weakness.
  • With simple exercises that can be easily integrated into everyday life – for example, while sitting, standing or driving – the muscles can be strengthened in a targeted manner.

The time after childbirth brings many new challenges, and one of the most important is to strengthen your pelvic floor. A healthy pelvic floor is fundamental to your health, especially after the birth of a child.

During pregnancy, your pelvic floor has carried an enormous load, and the same applies to you if you have given birth by cesarean section. The good news is that you can actively work on your recovery with targeted pelvic floor training.

The main benefits of a strong pelvic floor include:

    The optimal time to start pelvic floor training is about eight weeks after giving birth – always in consultation with your doctor, of course. You should be aware that recovery can take anywhere from a few weeks to a year. Every body is unique, and you shouldn't compare yourself to others.

        It's particularly encouraging to know that it's never too late to start pelvic floor exercises! Whether you gave birth a few months or years ago, you can start strengthening your pelvic floor at any time. And the best thing is that you can easily integrate the exercises into your daily routine and do them from the comfort of your own home.

        Consistency is the key to success. Even a few minutes a day can make a big difference. With continuous training, you not only ensure the health of your pelvic floor, but also your quality of life.

        Understanding the basics of pelvic floor training

        To make your training effective, it is important to first understand what the pelvic floor actually is. Think of your pelvic floor as a net of muscles and connective tissue that stretches between the pubic bone, tailbone and ischial tuberosities.

        It consists of three layers:

        1. The superficial layer (sphincter and sphincter muscles)

        2. The middle layer between the pubic bone and the ischial tuberosities

        3. The deepest layer, the so-called levator ani

        Your pelvic floor does not work in isolation, but is connected to the rest of your body. This becomes particularly clear during pregnancy, when your pelvic floor adjusts and softens to support your baby's development.

        Studies show that around 40% of women giving birth for the first time experience urinary incontinence. In 10-30% of births, the pelvic floor muscles even tear. These figures show how important targeted pelvic floor training is after giving birth.

        The good news is that with regular training, you can restore the strength and responsiveness of your pelvic floor. It is important not to just train the superficial muscles, as this can lead to problems such as vaginal cramps or difficulty urinating. Holistic training that involves all layers of the pelvic floor is the right approach.

        Effective exercises for everyday

        Now that you know the basics, it's time to put them into practice. You can easily integrate your pelvic floor training into your daily routine. Just a few minutes a day is enough to achieve effective results.

        1. find your pelvic floor

        Before you start training, it's important to locate your pelvic floor:

        • Imagine trying to stop the flow of urine or hold back gas – the muscles you tense in the process are your pelvic floor muscles.

        • Make sure you don't tense your abdominal, gluteal or thigh muscles at the same time.

        2. basic pelvic floor exercise

        1. Sit or lie down relaxed.

        2. Slowly tighten the pelvic floor muscles as if you were pulling something inward. Hold the tension for 3-5 seconds.

        3. Slowly relax the muscles for 5 seconds.

        4. Repeat the exercise 8-12 times per session.

        3. exercises in everyday life

        You can train your pelvic floor almost anywhere, for example:

        • While sitting or standing: Focus on tensing and relaxing your pelvic floor while you are waiting, sitting or standing.

        • While climbing stairs: Tense the muscles while climbing.

        • In the car or office: Perfect for discreet exercises while working or on longer journeys.

        • While watching TV or brushing your teeth: combine your training with daily routines.

        4. important tips

        An ideal training session includes 5-10 repetitions per exercise. As your strength increases, you can build up to 15 repetitions. Make sure to keep breathing evenly during the exercises and to tense only your pelvic floor – your abdominal and gluteal muscles should remain as relaxed as possible.

        For best results, combine your training with endurance sports such as jogging, walking or swimming. Yoga and Pilates are also excellent because they additionally activate the pelvic floor.

        If you have recently given birth, you should wait at least 8–12 weeks after giving birth to start training – depending on how you feel. Consistency is more important than intensity: you will feel the first positive changes after just a few weeks.

        5. exercises with aids

        • Pelvic floor trainer: There are special aids such as balls or app-supported devices that can make training more effective.

        • Biofeedback: Devices that give you feedback on your muscle contractions are helpful to ensure that you are training the right muscles.

        Track progress and stay motivated

        The path to a strong pelvic floor is a marathon, not a sprint. You can start to see results after about four weeks of regular training, such as improved awareness or the ability to spontaneously tighten your pelvic floor.

        To track your progress, you can do the following:

        • Keep a training diary

        • Set up daily reminders on your smartphone

        • Connect the exercises to everyday routines

        • Conduct regular self-assessments

        For optimal results, it's best to do the training at the same time of day, e.g. during your morning routine. Even 30 minutes a day can lead to long-term improvements.

        When should you be careful?

        • After giving birth, don't start exercising until you've consulted your doctor or midwife, especially if you had a cesarean section or suffered injuries.

        If you feel pain or uncertainty, consult a physiotherapist who specializes in the pelvic floor.

        Conclusion

        Your pelvic floor plays a central role in your health and well-being after giving birth. With regular exercises, you can actively work to strengthen it – at your own pace and tailored to your needs.

        The most important thing to remember is that regularity is more important than perfection. Even a few minutes a day can lead to noticeable improvement. No matter whether you start right after the recovery phase or years later, your body will benefit from the attention you give it.




        References & Literature

        1. Preyer, O., Fößleitner, P. Geburt und Beckenboden. J. Urol. Urogynäkol. AT 29, 67–73 (2022).
        2. Woodley SJ, Lawrenson P, Boyle R, Cody JD, Morkved S, Kernohan A, et al. Pelvic floor muscle training for preventing and treating urinary and faecal incontinence in antenatal and postnatal women. Cochrane Database Syst Rev. 2020;5:CD007471.
        3. Nygaard I, Barber MD, Burgio KL et al. Pelvic Floor Disorders Network (2008) Prevalence of symptomatic pelvic floor disorders in US women. JAMA 300(11):1311–1316.