Why is a strong pelvic floor so important during and after pregnancy?

Written in association with: Miss Victoria Asfour
Published:
Edited by: Conor Dunworth

The pelvic floor is an important sheet of muscle in the pelvis. It is especially important during pregnancy and following childbirth, as it supports the wall of the vagina. In her latest online article, consultant urogynaecologist and obstetrician Miss Victoria Asfour tells us how to strengthen the pelvic floor muscles, which can provide a wide range of benefits during and after pregnancy.

 

What exactly is the pelvic floor?

The pelvic floor is a sheet of muscle supporting the walls of the vagina. The vaginal walls support the correct position of the bladder and the bowel. The muscles controlling the bladder and bowel are located in the pelvic floor.

 

Why is a strong pelvic floor important in pregnancy?

A moderately strong pelvic floor and knowledge of pelvic floor exercises prior to childbirth can help with recovery after birth.

 

What causes a weak pelvic floor?

The strain on the pelvic floor from constipationchronic coughing, pregnancy and birth can cause it to weaken, and thus lead to symptoms such as urinary incontinence and prolapse.

 

How can you keep your pelvic floor strong during pregnancy?

Getting introduced to pelvic floor exercise training can help maintain and increase your pelvic floor strength during pregnancy. You can ask your doctor to show you how to do these exercises. 

 

When should you start doing pelvic floor exercises during pregnancy?

You can start pelvic floor exercises at any time during pregnancy or shortly following childbirth.

 

Does the exercise plan change through the pregnancy?

This varies with individual patients. A treatment plan for people with pelvic floor weakness is best supervised by a specialist physiotherapist.

A commonly asked question is: "How can I remember to do my pelvic floor exercises?" or “What advice do you have for women who find it difficult to incorporate these exercises into their routine?”

There is an excellent App called the Squeezy App that helps to remind you to do your pelvic floor exercises. Alternatively, one could set an alarm clock three times a day at a time of convenience to do them.

 

Should pelvic floor exercises be continued after pregnancy?

Yes, particularly if there are signs of pelvic floor weakness. This can help prevent symptoms such as urinary incontinence.

 

Miss Victoria Asfour is a consultant urogynaecologist and obstetrician. If you would like to book a consultation with Miss Asfour you can do so today via her Top Doctors profile

By Miss Victoria Asfour
Obstetrics & gynaecology

Miss Victoria Asfour is a consultant gynaecologist and obstetrician with over 15 years of experience, Miss Asfour is skilled in many areas of gynaecology and has a specialist interest in urogynaecology, including incontinence, prolapse, pelvic floor dysfunction arising after childbirth, and problems with intercourse.

Miss Asfour offers a free messaging service to facilitate planning of face-to-face and virtual appointments in order to:

   - help patients confirm that this is the right service and consultant for them
   - discuss most suitable options including venue and time for the consultation

After earning her medical qualification from the University of Sheffield in 2005, she completed her foundation training in Sheffield. She went on to gain specialist training in obstetrics and gynaecology in South London, Kent, Surrey and Sussex in 2008. In 2009, she became a member of the Royal College of Surgeons England, whilst starting her career in Obstetrics and Gynaecology. She went on to graduate from the University of Kent in 2012 with a Master’s degree in surgical practice. In 2014, she gained membership at the Royal College of Obstetrics and Gynaecology. Miss Asfour has undertaken a Medical Doctorate in pelvic floor ultrasound, investigating the use of ultrasound in urogynaecology, at Imperial College London.

Since 2020, Miss Asfour has been a consultant in obstetrics and gynaecology for the NHS and has worked in Obstetrics and Gynaecology with a specialist interest in urogynaecology. Privately, Miss Asfour treats patients at Aster Health & Baby Scan Clinic, in Luton. Miss Asfour is passionate about women’s care, treating each patient as an individual, and tailoring treatment and care plans to every individual’s personal situation. 

Aside from her clinical work, Miss Asfour actively participates in research. She has published papers, book chapters, case studies, and editorials. She has presented her work internationally and is a reviewer for esteemed journals, including the International Urogynaecology Journal, the Journal of Obstetrics and Gynaecology, and the British Journal of Obstetrics and Gynaecology. She has held dual membership at the Royal College of Surgeons since 2009 and at the Royal College of Obstetricians and Gynaecologists since 2014.

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